NCT06860932

A Palliative Care Model Impact on Knowledge and Attitudes

Recruiting now NA Last updated 16 September 2025

What this trial tests

NA trial testing Palliative care video comprises the conversation and advance directives. in Multiple Sclerosis, MS in 50 participants. Currently enrolling.

Timeline

1 February 2025

Primary endpoint
1 February 2026

30 June 2026

Quick facts

Lead sponsor	Hunter College of City University of New York
Phase	NA
Status	Recruiting now
Study type	INTERVENTIONAL
Allocation	randomized
Design	parallel
Masking	none
Primary purpose	supportive care
Enrollment	50
Start date	1 February 2025
Primary completion	1 February 2026
Estimated completion	30 June 2026
Sites	2 locations across United States

Drugs / interventions tested

• Palliative care video comprises the conversation and advance directives.
• Palliative care written material

Conditions studied

• Multiple Sclerosis, MS — all drugs for Multiple Sclerosis, MS →

Sponsor

Hunter College of City University of New York

Who can join

Adults 18 to 65, any sex, with Multiple Sclerosis, MS. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

This study is using a central, computer-generated simple randomization technique. Participants will be randomly assigned to groups within the constraints of ensuring balanced representation of gender, ethnicity, and race.

One-half of the patients are randomized to the decision aid video model, and one-half will serve as controls and receive a palliative care (PC) informational sheet. Sessions are designed to be consistent with PC principles of care using constructs from the Murray's transition theory including knowledge development coupled with advanced care planning (ACP)-to drive palliative care alongside curative treatment, and to support people with chronic progressive illnesses. The 2 groups will complete the demographic forms, and pre- and post-tests, at baseline and after three months. The intervention group will view the video decision aid, which takes 10 minutes, during their follow up appointment. The controls will read written information of the same content shown on the video and will complete similar questionnaires. The video opens with empathic statements regarding the situation in which patients may find themselves, including an introduction about medical decisions, and statements regarding values and spiritual beliefs and their impact on decision-making. The video translates the information into actionable medical orders using a three-goal framework: life-prolonging care, limited/blended care, and comfort care. The video describes the features of each of the goals of care and the risks and benefits of each option using visual images that illustrate the interventions. Patients will review the video using iPads and will be able to review the video again as needed. The Flesch-Kincaid ease score for the video narration is 71.6; for the "Conversation" piece, it is 65.9. These indicate that the passages require approximately a 7th or 8th grade reading level, which Flesch suggests makes them "easy to read" and "plain English," respectively.

The goal of the video intervention is to help patients express their values and health goals, while achieving their life and core values. The intervention group will view the video which includes modules to teach patients strategies for expressing their concerns and enhance their self-efficacy, helping them overcome any barriers. To enhance intervention fidelity, an ACP facilitator guide will be developed as reference for the intervention implementation. It will detail the key topics and purposes of each session of the intervention, the guiding questions, and the facilitation skills.

Aim 1: To explore the preferences of patients with neuroinflammatory diseases, PC knowledge, decisional conflict, and preparation for decision making among 50 adult (18-65 years old) patients randomly assigned to one of two PC modalities: 1. a video depicting PC goals of care (intervention group, n=25), or 2. standard usual care using PC written information (control group, n=25).

H1a: Patients randomized to the video will have higher documented preferences and fewer preferences for life-prolonging interventions (primary outcome) than the control group. The intervention group will have greater knowledge, lower decisional conflict, and greater preparation for decision making than those randomized to the control group.

Aim 2: To compare PC conversations and documentation at 3 months among patients with neuroinflammatory diseases.

H2: Patients randomized to the video will have more PC conversations and higher rates of PC documentation after 3 months.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.