Eligibility, any sex, with Advance Care Planning. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Percentage of Patients With Advance Care Planning BillsPrimary· 11 months
Percentage of advance care planning bills submitted by physicians in the trial for patients over the age of 65 in the period before and after the roll-out of the video game intervention at their hospital. Advance care planning bills are defined as the presence/absence of ACP charges (Medicare billing codes 99497 or 99498) during a patient's hospitalization.
Group
Value
95% CI
Pre-intervention
5,298
Post-intervention
4,920
Percentage of Patients Who Died While in HospitalSecondary· 11 months
Number of patients who died in the pre-intervention and post-intervention period/total number of patients for both periods
Group
Value
95% CI
Usual Care Control
1625
Video Game Intervention
1862
Percentage of Patients Readmitted in 7 DaysSecondary· 11 months
Number of patients readmitted within 7 days/Total number of patients treated in the pre-intervention and post-intervention periods
Group
Value
95% CI
Usual Care Control
756
Video Game Intervention
750
Percentage of Patients Readmitted Within 30-daysSecondary· 11 months
Number of patients readmitted within 30-days/Total number of patients in the pre-intervention and post-intervention periods
Group
Value
95% CI
Usual Care Control
2,065
Video Game Intervention
2,190
Percentage of Patients Who Received Critical CareSecondary· 11 months
Number of patients who received critical care while admitted/total number of patients admitted in the pre-intervention and post-intervention periods
Group
Value
95% CI
Usual Care Control
1,065
Video Game Intervention
1,034
Length of StaySecondary· 11 months
Duration of hospitalization for patients treated in the pre-intervention and post-intervention periods
Group
Value
95% CI
Usual Care Control
6.5
± 5.3
Video Game Intervention
6.4
± 5.0
Sponsor's own description
Hopewell Hospitalist is a theory-based adventure video game designed to increase the likelihood that a physician will engage in an advance care planning (ACP) conversation with a patient over the age of 65. Drawing on the theory of narrative engagement, players assume the persona of a hospitalist and navigate a series of clinical encounters with seriously-ill patients over the age of 65. Players experience the consequences of having (or not having) ACP conversations in a timely fashion. The planned study is a pragmatic stepped-wedge crossover phase III trial testing the efficacy of Hopewell Hospitalist for increasing ACP rates measured by ACP billing frequency.
Publications & conference data
3 peer-reviewed publications reference this trial (live from Europe PMC):
NCT04881968 — EFFECTIVENESS: Hopewell Hospitalist: A Video Game Intervention to Increase Advance Care Planning by Hospitalists
· NA
· terminated
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Dartmouth-Hitchcock Medical Center
Last refreshed: 10 April 2023
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04557930.