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Advancing Discussions Using a Video-Based Support Tool About End-of-Life Care (ADVISE): Protocol for a Single-Center

Mokunfayo O Fajemisin1, Ashna S Karpe1, Stephanie Martinez Ugarte1

  • 1The University of Texas Health Science Center at Houston, Houston, TX, United States.

JMIR Research Protocols
|June 18, 2026
PubMed
Summary
This summary is machine-generated.

This study tests a video tool to improve end-of-life care discussions for older trauma patients. The ADVISE trial aims to enhance patient and surrogate understanding of cardiopulmonary resuscitation decisions.

Keywords:
cardiopulmonary resuscitationcode statusdecision aidolder peopletraumavideo

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Area of Science:

  • Geriatric Trauma Care
  • Patient-Centered Communication
  • Health Informatics

Background:

  • Over 950,000 adults over 65 are hospitalized annually due to injury.
  • Adequate code status discussions are recommended but infrequent for older trauma patients.
  • Video interventions show promise in improving patient knowledge and treatment preference alignment.

Purpose of the Study:

  • To evaluate the effectiveness of a video conversation aid in enhancing code status discussions for older trauma patients.
  • To assess implementation considerations of the video intervention in trauma care settings.
  • To improve communication regarding cardiopulmonary resuscitation (CPR) decisions among patients, surrogates, and providers.

Main Methods:

  • A single-center randomized controlled trial comparing a video conversation aid to usual care.
  • Eligible participants include trauma patients aged 65+ admitted after injury, excluding specific patient groups.
  • Primary outcome is transitions in code status; secondary outcomes include CPR success perception, knowledge, and resource utilization.

Main Results:

  • The ADVISE trial (NCT06804226) was funded in February 2025.
  • Enrollment commenced on March 17, 2025, with an estimated conclusion date of May 1, 2026.
  • Results on effectiveness and implementation are pending study completion.

Conclusions:

  • The ADVISE trial extends prior research on advanced care planning for older trauma patients.
  • A video intervention is being investigated to improve code status discussions.
  • The study anticipates enhanced patient and surrogate knowledge regarding end-of-life care discussions.