A video to improve patient and surrogate understanding of cardiopulmonary resuscitation choices in the ICU: A randomized controlled trial

Michael Wilson, Artur Krupa, Richard F. Hinds, John M. Litell, Keith M. Swetz, Abbasali Akhoundi, Rahul Kashyap, Ognjen Gajic, Kianoush Kashani

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: To determine if a video depicting cardiopulmonary resuscitation and resuscitation preference options would improve knowledge and decision making among patients and surrogates in the ICU. Design: Randomized, unblinded trial. Setting: Single medical ICU. Patients: Patients and surrogate decision makers in the ICU. Interventions: The usual care group received a standard pamphlet about cardiopulmonary resuscitation and cardiopulmonary resuscitation preference options plus routine code status discussions with clinicians. The video group received usual care plus an 8-minute video that depicted cardiopulmonary resuscitation, showed a simulated hospital code, and explained resuscitation preference options. Measurements and Main Results: One hundred three patients and surrogates were randomized to usual care. One hundred five patients and surrogates were randomized to video plus usual care. Median total knowledge scores (0-15 points possible for correct answers) in the video group were 13 compared with 10 in the usual care group, p value of less than 0.0001. Video group participants had higher rates of understanding the purpose of cardiopulmonary resuscitation and resuscitation options and terminology and could correctly name components of cardiopulmonary resuscitation. No statistically significant differences in documented resuscitation preferences following the interventions were found between the two groups, although the trial was underpowered to detect such differences. A majority of participants felt that the video was helpful in cardiopulmonary resuscitation decision making (98%) and would recommend the video to others (99%). Conclusions: A video depicting cardiopulmonary resuscitation and explaining resuscitation preference options was associated with improved knowledge of in-hospital cardiopulmonary resuscitation options and cardiopulmonary resuscitation terminology among patients and surrogate decision makers in the ICU, compared with receiving a pamphlet on cardiopulmonary resuscitation. Patients and surrogates found the video helpful in decision making and would recommend the video to others.

Original languageEnglish (US)
Pages (from-to)621-629
Number of pages9
JournalCritical Care Medicine
Volume43
Issue number3
DOIs
StatePublished - Mar 4 2015

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Cardiopulmonary Resuscitation
Randomized Controlled Trials
Resuscitation
Decision Making
Pamphlets
Terminology
Resuscitation Orders
Names

Keywords

  • Attitudes
  • Cardiopulmonary resuscitation
  • Communication
  • Decision making
  • Health knowledge
  • Patient education
  • Practice

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

A video to improve patient and surrogate understanding of cardiopulmonary resuscitation choices in the ICU : A randomized controlled trial. / Wilson, Michael; Krupa, Artur; Hinds, Richard F.; Litell, John M.; Swetz, Keith M.; Akhoundi, Abbasali; Kashyap, Rahul; Gajic, Ognjen; Kashani, Kianoush.

In: Critical Care Medicine, Vol. 43, No. 3, 04.03.2015, p. 621-629.

Research output: Contribution to journalArticle

Wilson, Michael ; Krupa, Artur ; Hinds, Richard F. ; Litell, John M. ; Swetz, Keith M. ; Akhoundi, Abbasali ; Kashyap, Rahul ; Gajic, Ognjen ; Kashani, Kianoush. / A video to improve patient and surrogate understanding of cardiopulmonary resuscitation choices in the ICU : A randomized controlled trial. In: Critical Care Medicine. 2015 ; Vol. 43, No. 3. pp. 621-629.
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abstract = "Objective: To determine if a video depicting cardiopulmonary resuscitation and resuscitation preference options would improve knowledge and decision making among patients and surrogates in the ICU. Design: Randomized, unblinded trial. Setting: Single medical ICU. Patients: Patients and surrogate decision makers in the ICU. Interventions: The usual care group received a standard pamphlet about cardiopulmonary resuscitation and cardiopulmonary resuscitation preference options plus routine code status discussions with clinicians. The video group received usual care plus an 8-minute video that depicted cardiopulmonary resuscitation, showed a simulated hospital code, and explained resuscitation preference options. Measurements and Main Results: One hundred three patients and surrogates were randomized to usual care. One hundred five patients and surrogates were randomized to video plus usual care. Median total knowledge scores (0-15 points possible for correct answers) in the video group were 13 compared with 10 in the usual care group, p value of less than 0.0001. Video group participants had higher rates of understanding the purpose of cardiopulmonary resuscitation and resuscitation options and terminology and could correctly name components of cardiopulmonary resuscitation. No statistically significant differences in documented resuscitation preferences following the interventions were found between the two groups, although the trial was underpowered to detect such differences. A majority of participants felt that the video was helpful in cardiopulmonary resuscitation decision making (98{\%}) and would recommend the video to others (99{\%}). Conclusions: A video depicting cardiopulmonary resuscitation and explaining resuscitation preference options was associated with improved knowledge of in-hospital cardiopulmonary resuscitation options and cardiopulmonary resuscitation terminology among patients and surrogate decision makers in the ICU, compared with receiving a pamphlet on cardiopulmonary resuscitation. Patients and surrogates found the video helpful in decision making and would recommend the video to others.",
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