Shared Decision Making to Improve Goals-of-Care Decisions for Families of Severe Acute Brain Injury Patients
NCT03833375 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 41
Last updated 2020-06-17
Summary
Severe acute brain injury (SABI), including large artery acute ischemic stroke, intracerebral hemorrhage, and severe traumatic brain injury continue to be the leading cause of death and disability in adults in the U.S. Due to concerns for a poor long-term quality of life, withdrawal of mechanical ventilation and supportive medical care with transition to comfort care is the most common cause of death in SABI, but occurs at a highly variable rate (for example in Traumatic Brain Injury (TBI) 45-89%). Decision aids (DAs) are shared decision-making tools which have been successfully implemented and validated for many other diseases to assist difficult decision making. The investigators have developed a pilot DA for goals-of-care decisions for surrogates of SABI patients. This was developed through qualitative research using semi-structured interviews in surrogate decision makers of TBI patients and physicians. The investigators now propose to pilot-test a DA for surrogates of SABI patients in a feasibility trial.
Conditions
- Traumatic Brain Injury
- Ischemic Stroke
- Intracerebral Hemorrhage
Interventions
- OTHER
-
Decision Aid
Shared-decision making tool
Sponsors & Collaborators
-
Yale University
collaborator OTHER -
University of Florida
collaborator OTHER -
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
collaborator NIH -
University of Massachusetts, Worcester
lead OTHER
Principal Investigators
-
Dr. Susanne Muehlschlegel, MD, MPH · University of Massachusetts, Worcester
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-11
- Primary Completion
- 2019-12-02
- Completion
- 2020-03-09
Countries
- United States
Study Locations
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