Clinical trial NCT04881968: EFFECTIVENESS: Hopewell Hospitalist: A Video Game Intervention to Increase Advance Care Planning by Hospitalists
Official title: Hopewell Hospitalist: A Video Game Intervention to Increase Advance Care Planning Conversations by Hospitalists With Older Adults
Study type: INTERVENTIONAL
Overall status: TERMINATED
Phase: NA
Conditions: Advance Care Planning
Keywords: advance care planning
physician performance
serious games
narrative engagement
Lead sponsor: Dartmouth-Hitchcock Medical Center
Sponsor class: OTHER
Collaborators: name: Sound Physicians
name: National Institute on Aging (NIA)
First posted: 2021-05-11
Enrollment: 1261
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: SEQUENTIAL
Intervention model description: We will email the Uniform Resource Locator (URL) to download the App with encouragement to play the game, including positive feedback from participants in the efficacy study. Receipt of the email will be our measure of intervention delivery. Each hospitalist 'crosses over' from control to intervention at a single time point.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: 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 physician 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 crossover phase III trial testing the effectiveness of providing physicians with a link to a free version of Hopewell Hospitalist as a means for increasing ACP rates measured by ACP billing frequency.


Eligibility criteria: Hospitalist Inclusion Criteria:

* Employed by Sound
* Not previously included in the Efficacy Trial Arm of the study.

Hospitalist Exclusion Criteria:

* Not employed by Sound
* Does not provide informed consent
* Previously included in the Efficacy Trial Arm of the study.

Primary outcomes:
measure: Incidence of Billed Advance Care Planning
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Merit-based Incentive Payment System Advance Care Planning Quality Score
timeFrame: 6 months (3 months pre and 3 months post intervention)
Secondary outcomes:
measure: Hospitalist-Managed Patient In-Hospital Mortality Rate
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Hospitalist-Managed Patient 90-Day Mortality Rate
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Sum of Resources Utilized by Hospitalist-Managed Patients
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Incidence of Hospitalist-Managed Patient Admission to ICU
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Incidence of Hospitalist-Managed Patient Mechanical Ventilation
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Incidence of Hospitalist-Managed Patient Receipt of Life-Sustaining Treatment(s)
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Hospitalist-Managed Patient Length of Stay
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Hospitalist-Managed Patient Disposition Status Type
timeFrame: 6 months (3 months pre and 3 months post intervention)
measure: Hospitalist-Managed Patient 90-Day Episode-Based Spending
timeFrame: 6 months (3 months pre and 3 months post intervention)
Other outcomes:
measure: Hopewell Hospitalist - Apple App Store and Google Analytics
timeFrame: 3 months
Locations:
city: Lebanon
country: United States
facility: Dartmouth Hitchcock Medical Center
state: New Hampshire
Study officials:
affiliation: Dartmouth-Hitchcock Medical Center and Geisel School of Medicine�
name: Amber Barnato, MD, MPH, MS
role: PRINCIPAL_INVESTIGATOR
References: