NCT03833622

Shared Decision Making to Improve Goals of Care in the ED

Shared Decision Making to Improve Goals of Care Discussions in the Emergency Department

• Status: Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 230 (estimated)
• Sponsor: Mayo Clinic · Academic / Other
• Sex: All
• Age: 60 Years
• Healthy volunteers: Not accepted

Summary

This project will develop and refine a shared decision making (SDM) intervention (decision aid tool) to improve and normalize high quality end of life discussions in the Emergency Department (ED) setting.

Detailed description

Develop a shared decision making (SDM) intervention informed by insights elicited from patients and clinicians to improve goals of care discussions. The process of decision aid design involves: (1) review and synthesis of the evidence; (2) an analysis of usual practice through observation of clinical encounters; (3) development of an initial decision aid prototype; (4) field testing in the context of clinical care to gain insights on both intended and unintended effects of its use in practice to facilitate patient centered goals of care discussions; and (5) successive iterations of the decision aid until thematic saturation is reached and it is ready for testing in a clinical trial.

Conditions

• Goals

Interventions

Type	Name	Description
OTHER	Shared Decision Aid Assessment	Provide feedback on a shared decision making tool to aid in discussion on goals of care in the emergency department

Timeline

• Start date: 2018-03-28
• Primary completion: 2026-12-01
• Completion: 2026-12-01
• First posted: 2019-02-07
• Last updated: 2026-02-10

Locations

3 sites across 1 country: United States