EmergenciesVIDEO-EDNCT04931797
Video Images About Decisions for Ethical Outcomes in the Emergency Department (VIDEO-ED)
A study testing video decision aid in people with Emergencies, run by Massachusetts General Hospital at 4 sites in United States.
Trial summary
A randomized controlled trial of a video decision aid in the Emergency Department Setting to improve advance care planning documentation. Read more about this study
- Who is it for?
- Ages 50 years and older
- Conditions the study is for
- Emergencies
- What is being tested?
- video decision aid
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 598 participants
- Where
- 4 sitesUnited States
- Study dates
- 25 Apr 2022to 30 May 2026
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- anyone aged 65 and over or anyone aged over 50-64 with an indicator of serious illness
Who cannot join
- non english or spanish speakers those with a POLST legally blind medically non stable requiring ICU level care
Trial locations and contacts
4 sites in 1 country.
United States4 sites
Massachusetts General Hospital
Boston, Massachusetts, 02114
Brigham and Women's Hospital
Boston, Massachusetts, 02115
UC Davis
Davis, California, 95616
Newton Wellesley Hospital
Newton, Massachusetts, 02468
About this study
Official title: Using the Emergency Department Visit to Promote Advance Care Planning
A randomized controlled trial of a video decision aid in the Emergency Department Setting to improve advance care planning documentation.
Read the detailed description
A randomized controlled trial of a video decision aid in the Emergency Department setting shown to patients followed by a brief advance care planning discussion and then relay that discussion to the patient's primary care provider and/or admitting clinical team and look at rates of advance care planning documentation in the electronic health record over time. Primary outcome is advance care planning documentation in the EHR at 3 months.
- Conditions
- Emergencies
- Being tested
- video decision aid, control arm ACP information sheet
- Medical subject headings
- Emergencies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
video decision aidBehavioural
advance care planning video decision aid
control arm ACP information sheetBehavioural
control arm ACP information sheet
| Study group | Role | What they receive |
|---|---|---|
| Video | Experimental | Video decision aid and advance care planning discussion Receives: Behavioral: video decision aid |
| Control arm | Active comparator | Usual advance care planning services provided at the study site. Receives: Behavioral: control arm ACP information sheet |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number of Participants With EHR Documentation of Advance Care Planning at 3 Months
EHR documentation of advance care planning at three months assessed by Natural Language Processing.
Measured: 3 months
Secondary outcomes (5)
Patient Preferences for Goals of Care
Patient preference for life prolonging care, limited care or comfort care.
Measured: Baseline (Day 1) for Control arm, and immediately after the video decision aid at Day 1 for the Video Arm
Concordance Between Stated and Documented Preferences
Concordance between stated and documented preferences among participants who died during follow-up
Measured: 6 months
ACP Documentation in the EHR
Advance care planning documentation in the EHR at six months by Natural Language Processing
Measured: at 6 months
Patient Knowledge of ACP
Knowledge score of advance care planning, range 0-5, higher value is better.
Measured: Baseline (Day 1) for Control arm, and immediately after the video decision aid at Day 1 for the Video Arm
Patient ACP Engagement With ACP Topics
Advance care planning engagement (ACPE) score, range 1-5, higher value is better.
Measured: Baseline (Day 1) for Control arm, and immediately after the video decision aid at Day 1 for the Video Arm
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2021
- Study start25 Apr 2022
- Primary completion10 Jun 2025
- Study completion30 May 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for EmergenciesStudies of the same condition, open and under way.
- More trials run by Massachusetts General HospitalThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- RCT
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 598 participants (actual)
Sponsor and investigators
- Lead sponsor
- Massachusetts General Hospital
- Sponsor type
- University, hospital or other
- Collaborators
- University of California, Davis, National Institute on Aging (NIA)
- Responsible party
- Principal investigator, Angelo E. Volandes, MD, Massachusetts General Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04931797
- Sponsor's protocol ID
- 2021p001552
- Other IDs
- R01AG065254
- Acronym
- VIDEO-ED
- Status last verified
- Sep 2026
- First submitted
- 1 Jun 2021
- Last updated
- 21 Oct 2026
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Publications
Volandes AE, Bohossian H, Chang Y, Lindvall C, Paasche-Orlow MK, Randa S, Samarakoon U, Hashimoto T, Shirai N, Davis AD, Goldstein NE, Garde C, Paasche-Orlow GA, Sciacca K, Klein K, Hanson E, Sage A, Nielsen DS, Walker-Corkery B, El-Jawahri A, Barry MJ, Joel M, Platts-Mills T, Durieux BN, Kwok A, Tyler KR, Ouchi K. Effect of Emergency Department-Initiated Video-Enhanced Advance Care Planning on Documentation and Goal-Concordant Care: A Randomized Clinical Trial. J Gen Intern Med. 2026 Apr 17. doi: 10.1007/s11606-026-10406-6. Online ahead of print.
PubMed 41998266
Study at a glance
From the registry record, last updated by the sponsor on 21 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Using the Emergency Department Visit to Promote Advance Care Planning
- ClinicalTrials.gov ID
- NCT04931797
- Acronym / sponsor ID
- VIDEO-ED / 2021p001552
- Conditions
- Emergencies
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 598 participants (actual)
- Lead sponsor
- Massachusetts General HospitalUniversity, hospital or other
- Collaborators
- University of California, Davis, National Institute on Aging (NIA)
- Study start
- 25 Apr 2022 (actual)
- Primary completion
- 10 Jun 2025 (actual)
- Study completion
- 30 May 2026 (actual)
- First posted
- 18 Jun 2021 (actual)
- Results
- Posted 21 Oct 2026
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A randomized controlled trial of a video decision aid in the Emergency Department Setting to improve advance care planning documentation.
Detailed description
A randomized controlled trial of a video decision aid in the Emergency Department setting shown to patients followed by a brief advance care planning discussion and then relay that discussion to the patient's primary care provider and/or admitting clinical team and look at rates of advance care planning documentation in the electronic health record over time. Primary outcome is advance care planning documentation in the EHR at 3 months.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- RCT
| Arm | Type | Receives |
|---|---|---|
| Video | Experimental | Behavioral: video decision aidVideo decision aid and advance care planning discussion |
| Control arm | Active comparator | Behavioral: control arm ACP information sheetUsual advance care planning services provided at the study site. |
Who may qualify
- Ages
- 50 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- anyone aged 65 and over or anyone aged over 50-64 with an indicator of serious illness
Key exclusion criteria (1 listed)
- non english or spanish speakers those with a POLST legally blind medically non stable requiring ICU level care
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| video decision aidadvance care planning video decision aid | Behavioural | Video |
| control arm ACP information sheetcontrol arm ACP information sheet | Behavioural | Control arm |
Primary outcome
Number of Participants With EHR Documentation of Advance Care Planning at 3 Months
Time frame: 3 months
EHR documentation of advance care planning at three months assessed by Natural Language Processing.
5 secondary outcomes
Patient Preferences for Goals of Care
Time frame: Baseline (Day 1) for Control arm, and immediately after the video decision aid at Day 1 for the Video Arm
Concordance Between Stated and Documented Preferences
Time frame: 6 months
ACP Documentation in the EHR
Time frame: at 6 months
Patient Knowledge of ACP
Time frame: Baseline (Day 1) for Control arm, and immediately after the video decision aid at Day 1 for the Video Arm
Patient ACP Engagement With ACP Topics
Time frame: Baseline (Day 1) for Control arm, and immediately after the video decision aid at Day 1 for the Video Arm
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Oct 2026.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 41998266Volandes AE, Bohossian H, Chang Y, Lindvall C, Paasche-Orlow MK, Randa S, Samarakoon U, Hashimoto T, Shirai N, Davis AD, Goldstein NE, Garde C, Paasche-Orlow GA, Sciacca K, Klein K, Hanson E, Sage A, Nielsen DS, Walker-Corkery B, El-Jawahri A, Barry MJ, Joel M, Platts-Mills T, Durieux BN, Kwok A, Tyler KR, Ouchi K. Effect of Emergency Department-Initiated Video-Enhanced Advance Care Planning on Documentation and Goal-Concordant Care: A Randomized Clinical Trial. J Gen Intern Med. 2026 Apr 17. doi: 10.1007/s11606-026-10406-6. Online ahead of print.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
4 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing video decision aid in people with Emergencies, run by Massachusetts General Hospital at 4 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Yes. Results are posted in the registry (first posted 21 Oct 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Number of Participants With EHR Documentation of Advance Care Planning at 3 Months (time frame: 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04931797, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2026.