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Angelo E Volandes - One of the best experts on this subject based on the ideXlab platform.

  • we have to discuss it cancer patients advance care planning impressions following Educational Information about cardiopulmonary resuscitation
    Psycho-oncology, 2015
    Co-Authors: Andrew S Epstein, Kristen Gary, Eileen M Oreilly, Elyse Shuk, Angelo E Volandes
    Abstract:

    Objective Most cancer patients desire Information about care options at the end of life, including cardiopulmonary resuscitation (CPR). Communicating such care options can be challenging and is part of advance care planning (ACP). Our prior studies with video Educational media produced data on patients' categoric preferences (yes/no/unsure) for CPR; however, the thematic underpinnings of these educated preferences in patients treated for advanced cancer aren't well known. Methods Qualitative thematic content analysis of participants' responses in a randomized trial of an Educational video (V) or narrative (N) about CPR in patients with advanced gastrointestinal cancers. Responses were independently coded and categorized for thematic content by two reviewers. Results Of 54 study participants, 26 total (41% of V arm, 56% of N arm) articulated questions, comments, or both. Reviewer analyses demonstrated thematic consensus and resulted in seven distinct themes listed in decreasing order of prevalence: (a) ACP should be started early; (b) Educational Information about CPR affirmed participants' existing beliefs/knowledge/values about advanced illness; (c) participants were apprehensive about ACP but wanted to discuss it; (d) gaps in knowledge about ACP emerged; (e) CPR Information was helpful/acceptable; (f) physicians should be involved in ACP; and (g) medical questions about critical illness arose. Conclusions Findings identified that while sometimes difficult to discuss, advance care planning is desired, deemed helpful, and ideally begun early by clinicians, and that video education is an appropriate and affirming initiator of discussions. These themes are incorporated into our ongoing research on cancer patient-specific values and education about care options. Copyright © 2015 John Wiley & Sons, Ltd.

  • a randomized controlled trial of a cardiopulmonary resuscitation video in advance care planning for progressive pancreas and hepatobiliary cancer patients
    Journal of Palliative Medicine, 2013
    Co-Authors: Andrew S Epstein, Ling Y Chen, Kristen Gary, Patricia Agre, Diane Lauren Reidy, Raymond D Meng, Angelo E Volandes, Tomer T. Levin, Yuelin Li, Neil H Segal
    Abstract:

    Abstract Background: Cardiopulmonary resuscitation (CPR) is an important advance directive (AD) topic in patients with progressive cancer; however such discussions are challenging. Objective: This study investigates whether video Educational Information about CPR engenders broader advance care planning (ACP) discourse. Methods: Patients with progressive pancreas or hepatobiliary cancer were randomized to an Educational CPR video or a similar CPR narrative. The primary end-point was the difference in ACP documentation one month posttest between arms. Secondary end-points included study impressions; pre- and post-intervention knowledge of and preferences for CPR and mechanical ventilation; and longitudinal patient outcomes. Results: Fifty-six subjects were consented and analyzed. Rates of ACP documentation (either formal ADs or documented discussions) were 40% in the video arm (12/30) compared to 15% in the narrative arm (4/26), OR=3.6 [95% CI: 0.9–18.0], p=0.07. Post-intervention knowledge was higher in bo...

  • using video in advance care planning for progressive pancreas and hepatobiliary cancer patients
    BMJ, 2012
    Co-Authors: Andrew S Epstein, Angelo E Volandes, Eileen M Oreilly
    Abstract:

    Cardiopulmonary resuscitation (CPR) is an important advance directive (AD) topic in patients with progressive cancer; however such discussions are challenging. Whether video Educational Information about CPR engenders broader advance care planning (ACP) discourse is unknown. We studied patients with progressive pancreas or hepatobiliary cancer by randomising them to an Educational CPR video or narrative. The primary endpoint was differences in ACP documentation 1 month post-test between randomisation arms. Secondary endpoints included impressions of the study Information; and, pre- and post-intervention knowledge of and preferences for CPR and mechanical ventilation (MV). Fifty-six subjects were consented and analysed. ACP documentation (either a formal AD or a documented discussion about patient wishes) within 1 month post-test was not significantly higher (OR = 3.583 [95% CI: 0.886 – 17.937], p = 0.074) in the video arm (12/30, 40.0%) than in the narrative arm (4/26, 15.4%). Knowledge increased in both arms after the intervention (p

Andrew S Epstein - One of the best experts on this subject based on the ideXlab platform.

  • we have to discuss it cancer patients advance care planning impressions following Educational Information about cardiopulmonary resuscitation
    Psycho-oncology, 2015
    Co-Authors: Andrew S Epstein, Kristen Gary, Eileen M Oreilly, Elyse Shuk, Angelo E Volandes
    Abstract:

    Objective Most cancer patients desire Information about care options at the end of life, including cardiopulmonary resuscitation (CPR). Communicating such care options can be challenging and is part of advance care planning (ACP). Our prior studies with video Educational media produced data on patients' categoric preferences (yes/no/unsure) for CPR; however, the thematic underpinnings of these educated preferences in patients treated for advanced cancer aren't well known. Methods Qualitative thematic content analysis of participants' responses in a randomized trial of an Educational video (V) or narrative (N) about CPR in patients with advanced gastrointestinal cancers. Responses were independently coded and categorized for thematic content by two reviewers. Results Of 54 study participants, 26 total (41% of V arm, 56% of N arm) articulated questions, comments, or both. Reviewer analyses demonstrated thematic consensus and resulted in seven distinct themes listed in decreasing order of prevalence: (a) ACP should be started early; (b) Educational Information about CPR affirmed participants' existing beliefs/knowledge/values about advanced illness; (c) participants were apprehensive about ACP but wanted to discuss it; (d) gaps in knowledge about ACP emerged; (e) CPR Information was helpful/acceptable; (f) physicians should be involved in ACP; and (g) medical questions about critical illness arose. Conclusions Findings identified that while sometimes difficult to discuss, advance care planning is desired, deemed helpful, and ideally begun early by clinicians, and that video education is an appropriate and affirming initiator of discussions. These themes are incorporated into our ongoing research on cancer patient-specific values and education about care options. Copyright © 2015 John Wiley & Sons, Ltd.

  • a randomized controlled trial of a cardiopulmonary resuscitation video in advance care planning for progressive pancreas and hepatobiliary cancer patients
    Journal of Palliative Medicine, 2013
    Co-Authors: Andrew S Epstein, Ling Y Chen, Kristen Gary, Patricia Agre, Diane Lauren Reidy, Raymond D Meng, Angelo E Volandes, Tomer T. Levin, Yuelin Li, Neil H Segal
    Abstract:

    Abstract Background: Cardiopulmonary resuscitation (CPR) is an important advance directive (AD) topic in patients with progressive cancer; however such discussions are challenging. Objective: This study investigates whether video Educational Information about CPR engenders broader advance care planning (ACP) discourse. Methods: Patients with progressive pancreas or hepatobiliary cancer were randomized to an Educational CPR video or a similar CPR narrative. The primary end-point was the difference in ACP documentation one month posttest between arms. Secondary end-points included study impressions; pre- and post-intervention knowledge of and preferences for CPR and mechanical ventilation; and longitudinal patient outcomes. Results: Fifty-six subjects were consented and analyzed. Rates of ACP documentation (either formal ADs or documented discussions) were 40% in the video arm (12/30) compared to 15% in the narrative arm (4/26), OR=3.6 [95% CI: 0.9–18.0], p=0.07. Post-intervention knowledge was higher in bo...

  • using video in advance care planning for progressive pancreas and hepatobiliary cancer patients
    BMJ, 2012
    Co-Authors: Andrew S Epstein, Angelo E Volandes, Eileen M Oreilly
    Abstract:

    Cardiopulmonary resuscitation (CPR) is an important advance directive (AD) topic in patients with progressive cancer; however such discussions are challenging. Whether video Educational Information about CPR engenders broader advance care planning (ACP) discourse is unknown. We studied patients with progressive pancreas or hepatobiliary cancer by randomising them to an Educational CPR video or narrative. The primary endpoint was differences in ACP documentation 1 month post-test between randomisation arms. Secondary endpoints included impressions of the study Information; and, pre- and post-intervention knowledge of and preferences for CPR and mechanical ventilation (MV). Fifty-six subjects were consented and analysed. ACP documentation (either a formal AD or a documented discussion about patient wishes) within 1 month post-test was not significantly higher (OR = 3.583 [95% CI: 0.886 – 17.937], p = 0.074) in the video arm (12/30, 40.0%) than in the narrative arm (4/26, 15.4%). Knowledge increased in both arms after the intervention (p

Kristen Gary - One of the best experts on this subject based on the ideXlab platform.

  • we have to discuss it cancer patients advance care planning impressions following Educational Information about cardiopulmonary resuscitation
    Psycho-oncology, 2015
    Co-Authors: Andrew S Epstein, Kristen Gary, Eileen M Oreilly, Elyse Shuk, Angelo E Volandes
    Abstract:

    Objective Most cancer patients desire Information about care options at the end of life, including cardiopulmonary resuscitation (CPR). Communicating such care options can be challenging and is part of advance care planning (ACP). Our prior studies with video Educational media produced data on patients' categoric preferences (yes/no/unsure) for CPR; however, the thematic underpinnings of these educated preferences in patients treated for advanced cancer aren't well known. Methods Qualitative thematic content analysis of participants' responses in a randomized trial of an Educational video (V) or narrative (N) about CPR in patients with advanced gastrointestinal cancers. Responses were independently coded and categorized for thematic content by two reviewers. Results Of 54 study participants, 26 total (41% of V arm, 56% of N arm) articulated questions, comments, or both. Reviewer analyses demonstrated thematic consensus and resulted in seven distinct themes listed in decreasing order of prevalence: (a) ACP should be started early; (b) Educational Information about CPR affirmed participants' existing beliefs/knowledge/values about advanced illness; (c) participants were apprehensive about ACP but wanted to discuss it; (d) gaps in knowledge about ACP emerged; (e) CPR Information was helpful/acceptable; (f) physicians should be involved in ACP; and (g) medical questions about critical illness arose. Conclusions Findings identified that while sometimes difficult to discuss, advance care planning is desired, deemed helpful, and ideally begun early by clinicians, and that video education is an appropriate and affirming initiator of discussions. These themes are incorporated into our ongoing research on cancer patient-specific values and education about care options. Copyright © 2015 John Wiley & Sons, Ltd.

  • a randomized controlled trial of a cardiopulmonary resuscitation video in advance care planning for progressive pancreas and hepatobiliary cancer patients
    Journal of Palliative Medicine, 2013
    Co-Authors: Andrew S Epstein, Ling Y Chen, Kristen Gary, Patricia Agre, Diane Lauren Reidy, Raymond D Meng, Angelo E Volandes, Tomer T. Levin, Yuelin Li, Neil H Segal
    Abstract:

    Abstract Background: Cardiopulmonary resuscitation (CPR) is an important advance directive (AD) topic in patients with progressive cancer; however such discussions are challenging. Objective: This study investigates whether video Educational Information about CPR engenders broader advance care planning (ACP) discourse. Methods: Patients with progressive pancreas or hepatobiliary cancer were randomized to an Educational CPR video or a similar CPR narrative. The primary end-point was the difference in ACP documentation one month posttest between arms. Secondary end-points included study impressions; pre- and post-intervention knowledge of and preferences for CPR and mechanical ventilation; and longitudinal patient outcomes. Results: Fifty-six subjects were consented and analyzed. Rates of ACP documentation (either formal ADs or documented discussions) were 40% in the video arm (12/30) compared to 15% in the narrative arm (4/26), OR=3.6 [95% CI: 0.9–18.0], p=0.07. Post-intervention knowledge was higher in bo...

Neil H Segal - One of the best experts on this subject based on the ideXlab platform.

  • a randomized controlled trial of a cardiopulmonary resuscitation video in advance care planning for progressive pancreas and hepatobiliary cancer patients
    Journal of Palliative Medicine, 2013
    Co-Authors: Andrew S Epstein, Ling Y Chen, Kristen Gary, Patricia Agre, Diane Lauren Reidy, Raymond D Meng, Angelo E Volandes, Tomer T. Levin, Yuelin Li, Neil H Segal
    Abstract:

    Abstract Background: Cardiopulmonary resuscitation (CPR) is an important advance directive (AD) topic in patients with progressive cancer; however such discussions are challenging. Objective: This study investigates whether video Educational Information about CPR engenders broader advance care planning (ACP) discourse. Methods: Patients with progressive pancreas or hepatobiliary cancer were randomized to an Educational CPR video or a similar CPR narrative. The primary end-point was the difference in ACP documentation one month posttest between arms. Secondary end-points included study impressions; pre- and post-intervention knowledge of and preferences for CPR and mechanical ventilation; and longitudinal patient outcomes. Results: Fifty-six subjects were consented and analyzed. Rates of ACP documentation (either formal ADs or documented discussions) were 40% in the video arm (12/30) compared to 15% in the narrative arm (4/26), OR=3.6 [95% CI: 0.9–18.0], p=0.07. Post-intervention knowledge was higher in bo...

Eileen M Oreilly - One of the best experts on this subject based on the ideXlab platform.

  • we have to discuss it cancer patients advance care planning impressions following Educational Information about cardiopulmonary resuscitation
    Psycho-oncology, 2015
    Co-Authors: Andrew S Epstein, Kristen Gary, Eileen M Oreilly, Elyse Shuk, Angelo E Volandes
    Abstract:

    Objective Most cancer patients desire Information about care options at the end of life, including cardiopulmonary resuscitation (CPR). Communicating such care options can be challenging and is part of advance care planning (ACP). Our prior studies with video Educational media produced data on patients' categoric preferences (yes/no/unsure) for CPR; however, the thematic underpinnings of these educated preferences in patients treated for advanced cancer aren't well known. Methods Qualitative thematic content analysis of participants' responses in a randomized trial of an Educational video (V) or narrative (N) about CPR in patients with advanced gastrointestinal cancers. Responses were independently coded and categorized for thematic content by two reviewers. Results Of 54 study participants, 26 total (41% of V arm, 56% of N arm) articulated questions, comments, or both. Reviewer analyses demonstrated thematic consensus and resulted in seven distinct themes listed in decreasing order of prevalence: (a) ACP should be started early; (b) Educational Information about CPR affirmed participants' existing beliefs/knowledge/values about advanced illness; (c) participants were apprehensive about ACP but wanted to discuss it; (d) gaps in knowledge about ACP emerged; (e) CPR Information was helpful/acceptable; (f) physicians should be involved in ACP; and (g) medical questions about critical illness arose. Conclusions Findings identified that while sometimes difficult to discuss, advance care planning is desired, deemed helpful, and ideally begun early by clinicians, and that video education is an appropriate and affirming initiator of discussions. These themes are incorporated into our ongoing research on cancer patient-specific values and education about care options. Copyright © 2015 John Wiley & Sons, Ltd.

  • using video in advance care planning for progressive pancreas and hepatobiliary cancer patients
    BMJ, 2012
    Co-Authors: Andrew S Epstein, Angelo E Volandes, Eileen M Oreilly
    Abstract:

    Cardiopulmonary resuscitation (CPR) is an important advance directive (AD) topic in patients with progressive cancer; however such discussions are challenging. Whether video Educational Information about CPR engenders broader advance care planning (ACP) discourse is unknown. We studied patients with progressive pancreas or hepatobiliary cancer by randomising them to an Educational CPR video or narrative. The primary endpoint was differences in ACP documentation 1 month post-test between randomisation arms. Secondary endpoints included impressions of the study Information; and, pre- and post-intervention knowledge of and preferences for CPR and mechanical ventilation (MV). Fifty-six subjects were consented and analysed. ACP documentation (either a formal AD or a documented discussion about patient wishes) within 1 month post-test was not significantly higher (OR = 3.583 [95% CI: 0.886 – 17.937], p = 0.074) in the video arm (12/30, 40.0%) than in the narrative arm (4/26, 15.4%). Knowledge increased in both arms after the intervention (p