Ignite Creation Date:
2024-05-06 @ 3:18 PM
Last Modification Date:
2024-10-26 @ 1:47 PM
Study NCT ID:
NCT04599166
Status:
COMPLETED
Last Update Posted:
2024-06-04
First Post:
2020-10-06
Brief Title:
Choosing an Effective Healthcare Spokesperson An Interactive Intervention
Sponsor:
Milton S Hershey Medical Center
Organization:
Milton S Hershey Medical Center
Study Overview
Official Title:
Choosing an Effective Healthcare Spokesperson An Interactive Intervention
Status:
COMPLETED
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The investigators developed a serious game intervention called Who Would You Choose Serious Fun WWYC to help people consider the key qualities healthcare spokespersons should have The intervention uses a spinner cards and dice along with a smart-phone App to prompt players using scenarios and metaphors to choose a spokesperson whose qualities are best suited to the role Friendly competition is encouraged by having players receive points for correct answers and additional points for good explanations of their choices At the end of the game players identify a real-life spokesperson based on the qualities considered during game-play Then using an associated smart-phone App the intervention will help spark communication between the player and their chosen spokesperson
Detailed Description:
Advance care planning ACP is the process of thinking through and articulating in advance ones preferences for future medical care It has long been promoted as a way for people to receive medical treatment consistent with their values goals and preferences While ACP typically involves decision-making about specific life-sustaining treatments choosing who will make medical decisions when the patient cannot is considered by many to be the single most important ACP action a person can take When patients fail to designate a healthcare spokesperson henceforth spokesperson it leads to uncertainty about who will make medical decisions what treatments are to be accepted or declined and on what basis-which can lead to familial conflict unwanted and costly medical care and avoidable patient suffering So too when patients choose the wrong person to represent them the patients wishes are less likely to be known or respected The investigation teams own research suggests that when patients prefer fewer aggressive medical treatments there is significantly lower concordance between spokespersons decisions and patients wishes
Patients families and ACP experts have identified several qualities as being especially important for spokespersons to have Ideally spokespersons should know the patients values be available when needed be trustworthy and caring have good judgment and be able to stand up under pressure That said many individuals and state laws assign spokespersons on the basis of relationship spouse parent etc rather than personal qualities Surprisingly no interventions to the teams knowledge are explicitly designed to help people consider the actual qualities of the person chosen as spokesperson much less engage this individual to confirm that this person can fully represent the patients wishes should the need arise
To address these gaps the investigative team has developed a novel intervention that includes a serious game to help people consider the qualities desired in a spokesperson then engage the person they choose for this role Combining a serious topic with an enjoyable activity gamification has been effective at changing health-related behaviors in multiple settings with the target population sandwich generation and older adults The game element of the intervention Who Would You Choose Serious Fun WWYC prompts players using scenarios and metaphors to choose a spokesperson whose qualities are best suited to the role At the end of the game players identify a real-life spokesperson based on the qualities considered during gameplay Then using an online interface WWYC will spark communication between the player and their chosen spokesperson
The long-term goal of this project is to help people make more thoughtful and informed choices when selecting a spokesperson and to help these spokespersons be better prepared for the role of surrogate decision-maker The current mixed methods study proposed here is designed to learn whether and how WWYC helps individuals select an appropriate spokesperson for healthcare decisions as assessed via three specific aims
Aim 1 To explore how playing the novel game Who Would You Choose affects peoples choice of a spokesperson Using qualitative methods including focus groups and one-on-one interviews the investigative team will explore how WWYC affects individual players thought process for choosing a spokesperson and whether the players choice changes as a result of game-play
Aim 2 To establish that WWYC is a feasible way to help individuals choose and engage a spokesperson The investigative team will judge it feasible if 1 100 individuals are recruited to play the game 2 75 of game players report that playing the game is helpful for choosing a spokesperson 3 75 of game players endorse the game 4 75 of spokespersons engage with WWYC using its online interface following player request
Aim 3 To integrate qualitative and quantitative data to explain how the experience of playing the game relates to their spokespersons willingness to engage The investigative team hypothesizes that a positive player experience with WWYC will be associated with successful engagement with their spokesperson
Patients families and ACP experts have identified several qualities as being especially important for spokespersons to have Ideally spokespersons should know the patients values be available when needed be trustworthy and caring have good judgment and be able to stand up under pressure That said many individuals and state laws assign spokespersons on the basis of relationship spouse parent etc rather than personal qualities Surprisingly no interventions to the teams knowledge are explicitly designed to help people consider the actual qualities of the person chosen as spokesperson much less engage this individual to confirm that this person can fully represent the patients wishes should the need arise
To address these gaps the investigative team has developed a novel intervention that includes a serious game to help people consider the qualities desired in a spokesperson then engage the person they choose for this role Combining a serious topic with an enjoyable activity gamification has been effective at changing health-related behaviors in multiple settings with the target population sandwich generation and older adults The game element of the intervention Who Would You Choose Serious Fun WWYC prompts players using scenarios and metaphors to choose a spokesperson whose qualities are best suited to the role At the end of the game players identify a real-life spokesperson based on the qualities considered during gameplay Then using an online interface WWYC will spark communication between the player and their chosen spokesperson
The long-term goal of this project is to help people make more thoughtful and informed choices when selecting a spokesperson and to help these spokespersons be better prepared for the role of surrogate decision-maker The current mixed methods study proposed here is designed to learn whether and how WWYC helps individuals select an appropriate spokesperson for healthcare decisions as assessed via three specific aims
Aim 1 To explore how playing the novel game Who Would You Choose affects peoples choice of a spokesperson Using qualitative methods including focus groups and one-on-one interviews the investigative team will explore how WWYC affects individual players thought process for choosing a spokesperson and whether the players choice changes as a result of game-play
Aim 2 To establish that WWYC is a feasible way to help individuals choose and engage a spokesperson The investigative team will judge it feasible if 1 100 individuals are recruited to play the game 2 75 of game players report that playing the game is helpful for choosing a spokesperson 3 75 of game players endorse the game 4 75 of spokespersons engage with WWYC using its online interface following player request
Aim 3 To integrate qualitative and quantitative data to explain how the experience of playing the game relates to their spokespersons willingness to engage The investigative team hypothesizes that a positive player experience with WWYC will be associated with successful engagement with their spokesperson
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| R21NR019363 | NIH | None | httpsreporternihgovquickSearchR21NR019363 |