BACKGROUND: The authors tested whether an educational video on the goals of care in @entity5 (life-prolonging care, basic care, or comfort care) helped @entity1 understand these goals and had an impact on their preferences for resuscitation. METHODS: A survey of 80 @entity1 with @entity5 was conducted before and after they viewed an educational video. The outcomes of interest included changes in goals of care preference and knowledge and consistency of preferences with code status. RESULTS: Before viewing the video, 10 @entity1 (13%) preferred life-prolonging care, 24 @entity1 (30%) preferred basic care, 29 @entity1 (36%) preferred comfort care, and 17 @entity1 (21%) were unsure. Preferences did not change after the video, when 9 @entity1 (11%) chose life-prolonging care, 28 @entity1 (35%) chose basic care, 29 @entity1 (36%) chose comfort care, and, 14 @entity1 (18%) were unsure (P = .28). Compared with baseline, after the video presentation, more @entity1 did not want cardiopulmonary resuscitation (CPR) (71% vs 62%; P = .03) or ventilation (80% vs 67%; P = .008). Knowledge about goals of care and likelihood of resuscitation increased after the video (P < .001). Of the @entity1 who did not want CPR or ventilation after the video augmentation, only 4 @entity1 (5%) had a documented do-not-resuscitate order in their medical record (kappa statistic, -0.01; 95% confidence interval, -0.06 to 0.04). Acceptability of the video was high. CONCLUSIONS: @entity1 with @entity5 did not change care preferences after viewing the video, but fewer wanted CPR or ventilation. Documented code status was inconsistent with @entity1 preferences. @entity1 were more knowledgeable after the video, reported that the video was acceptable, and said they would recommend it to others. The current results indicated that this type of video may enable @entity1 to visualize "goals of care," enriching @entity1 understanding of worsening health states and better informing decision making.

Augmenting advance care planning in poor prognosis XXXX with a video decision aid: a preintervention-postintervention study.

@entity5 :: ('MESH:D009369', 'Disease') :: ['advanced cancer'] @entity1 :: ('9606', 'Species') :: ['patient', 'patients', 'Patients']
@entity5 :: (MESH:D009369,Disease) :: ['cancer']
