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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
Summary
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.
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.
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