VIDEO-PEDS for Goals of Care Discussions in Pediatric Cancer
This study, called VIDEO-PEDS, is looking at a new way to help parents of children with cancer talk about their child's care goals with their medical team. It uses a special video to help parents think about what's most important for their child. After watching the video, parents will talk with a trained team member called a Navigator. The study wants to see if this video and discussion help parents and doctors communicate better, improve how care goals are written down, and potentially lead to care choices that better match family wishes, including palliative care (comfort care) or hospice. This study is for parents of children aged 0-12 who have any type of cancer and are receiving treatment.
- Study design
- This study plans to enroll 567 parents and children. It will involve a pilot study and then a larger study comparing the VIDEO-PEDS intervention to standard care.
- What's involved
- Following enrollment, parents will view a video decision aid and then engage in communication with a trained Navigator. Some parents may also participate in a focus group.
- Compensation
- Not stated in the trial record.
- Follow-up
- The study will measure outcomes related to Goals-of-Care Discussion, Code Status Limitation, and Palliative Care at the end of three 9-month cycles.
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Video Inspired Discussions About Ethical Outcomes in Pediatrics
At a glance
Conditions
Where it's being run
4 sites across 4 statesStudy leadership
- Angelo Volandes, MD · PRINCIPAL_INVESTIGATOR · Dartmouth-Hitchcock Medical Center
Who to contact
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Do you actually qualify for this trial?
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Inclusion
Exclusion
What this trial measures
- Goals-of-Care DiscussionAt the end of Cycles 1, 2, and 3 (each cycle is 9 months)
Percentage of parents who held conversations with their medical team about goals, values, or priorities for treatment and outcomes as per documentation in the medical record.
- Code Status LimitationAt the end of Cycles 1, 2, and 3 (each cycle is 9 months)
Percentage of parents who communicate limitations to cardiopulmonary resuscitation and intubation with their medical team as per documentation in the medical record.
- Palliative CareAt the end of Cycles 1, 2, and 3 (each cycle is 9 months)
Percentage of parents who mention a visit with a specialty palliative care clinician, mention of specialist palliative care discussion, or patient preferences regarding seeing a palliative care clinician to their medical team as per documentation in the medical record.
- Time-Limited TrialAt the end of Cycles 1, 2, and 3 (each cycle is 9 months)
Percentage of parents who engage in conversations with their medical team about the use of a treatment or procedure for a set amount of time with a pre-defined goal and plan related to the outcome at the end of the trial as per documentation in the medical record.