Use of a Video Decision Tool to Improve Informed Decision-Making in Hospitalized Patients Considering Palliative Radiation Therapy

Study Overview
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Brief Summary
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The purpose of this study is to assess the effectiveness and acceptability of a recently created informative video geared for patients who have been evaluated by a radiation oncologist for palliative radiation therapy during a hospitalization at Memorial Sloan-Kettering Cancer Center. Palliative radiation therapy is radiation therapy that is given to patients with the purpose of easing symptoms from cancer. It is not given with the intent to cure the cancer. The video presents basic information about palliative radiation and palliative care.

Official Title
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Use of a Video Decision Tool to Improve Informed Decision-Making in Hospitalized Patients Considering Palliative Radiation Therapy

Conditions
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Metastatic Cancer or Locally Advanced, Patients Receiving Palliative Radiation

Intervention / Treatment
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* Behavioral: questionnaires


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥18 years Eligible for palliative radiation to the brain, spine, chest, abdomen, pelvis, skin, or bone as per the judgment of the radiation oncologist or nurse practitioner Patient is English-speaking and able to give informed consent and fill out study questionnaires Hospitalized at MSKCC Pathologically confirmed malignancy Cancer is metastatic or locally advanced, and is not curable Patients who may undergo radiation at a satellite facility are still eligible for protocol enrollment Exclusion Criteria: Those who have seen the video beforehand

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| pts receiving palliative radiation therapy<br>The design of the study will be a prospective non-randomized cohort study with structured questionnaires administered to all enrolled patients at two or three time-points. | Behavioral: questionnaires<br>* Questionnaires will be given before the patient watches a video educational tool to aid informed consent about palliative radiation therapy; and (2) after the patient watches the video educational tool. (3) If the patient receives PRT, a final questionnaire that assesses the patient's impression of the video will also be administered at the conclusion of radiation therapy.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| create an effective video decision aid | Effectiveness of the video tool will be assessed by the following measures before and after watching the video. The pre- and post-assessment design comparing uncertainty, knowledge and preference scores of a video explaining palliative radiation and palliative care. | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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palliative radiation, 12-172