JAMDA
Volume 10, Issue 8 , Pages 575-580 , October 2009

Using Video Images to Improve the Accuracy of Surrogate Decision-Making: A Randomized Controlled Trial

  • Angelo E. Volandes, MD, MPH

      Affiliations

    • General Medicine Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA
    • John D. Stoeckle Center for Primary Care Innovation, Massachusetts General Hospital, Boston, MA
    • Harvard Medical School, Boston, MA
    • Corresponding Author InformationAddress correspondence to Angelo E. Volandes, MD, MPH, Massachusetts General Hospital, General Medicine Unit, 50 Staniford Street, 9th floor, Boston, MA 02114.
    • ,
  • Susan L. Mitchell, MD, MPH

      Affiliations

    • Harvard Medical School, Boston, MA
    • Hebrew SeniorLife, Boston, MA
    • Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA
    • ,
  • Muriel R. Gillick, MD

      Affiliations

    • Harvard Medical School, Boston, MA
    • Department of Ambulatory Care and Prevention, Harvard Medical School/Harvard Pilgrim, Boston, MA
    • ,
  • Yuchiao Chang, PhD

      Affiliations

    • General Medicine Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA
    • ,
  • Michael K. Paasche-Orlow, MD, MA, MPH

      Affiliations

    • Department of Medicine, Boston University School of Medicine, Boston, MA

References 

  1. Buchanan AE, Brock DW. Deciding for others: The ethics of surrogate decision making. New York, NY: Cambridge University Press; 1989;
  2. Brock DW. What is the moral authority of family members to act as surrogates for incompetent patients?. Milbank Q. 1996;74:599–618
  3. Arnold RM, Kellum J. Moral justifications for surrogate decision making in the intensive care unit: implications and limitations. Crit Care Med. 2003;31:S347–S353
  4. Beauchamp TL, Childress JF. Principles of Biomedical Ethics. 6th ed.. New York: Oxford University Press; 2009;
  5. Teno JM, Lynn J, Phillips RS, et al. Do formal advance directives affect resuscitation decisions and the use of resources for seriously ill patients? SUPPORT Investigators. Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. J Clin Ethics. 1994;5:23–30
  6. Layde PM, Beam CA, Broste SK, et al. Surrogates' predictions of seriously ill patients' resuscitation preferences. Arch Fam Med. 1995;4:518–523
  7. Gerety MB, Chiodo LK, Kanten DN, et al. Medical treatment preferences of nursing home residents: Relationship to function and concordance with surrogate decision-makers. J Am Geriatr Soc. 1993;41:953–960
  8. Seckler AB, Meier DE, Mulvihill M, Paris BE. Substituted judgment: How accurate are proxy predictions?. Ann Intern Med. 1991;115:92–98
  9. Zweibel NR, Cassel CK. Treatment choices at the end of life: A comparison of decisions by older patients and their physician-selected proxies. Gerontologist. 1989;29:615–621
  10. Suhl J, Simons P, Reedy T, Garrick T. Myth of substituted judgment. Surrogate decision making regarding life support is unreliable. Arch Intern Med. 1994;154:90–96
  11. Sulmasy DP, Sood JR, Texiera K, et al. A prospective trial of a new policy eliminating signed consent for do not resuscitate orders. J Gen Intern Med. Sep 11, 2006;[Epub ahead of print]
  12. Tilden VP, Tolle SW, Nelson CA, Fields J. Family decision-making to withdraw life-sustaining treatments from hospitalized patients. Nurs Res. 2001;50:105–115
  13. Anderson CJ. The psychology of doing nothing: Forms of decision avoidance result from reason and emotion. Psychol Bull. 2003;129:139–167
  14. Volandes AE, Lehmann LS, Cook EF, et al. Using video images of dementia in advance care planning. Arch Intern Med. 2007;167:828–833
  15. Volandes AE, Ariza M, Abbo ED, Paasche-Orlow M. Overcoming educational barriers for advance care planning in latinos with video images. J Palliat Med. 2008;11:700–706
  16. Volandes AE, Paasche-Orlow M, Gillick MR, et al. Health literacy not race predicts end-of-life care preferences. J Palliat Med. 2008;11:754–762
  17. Volandes A, Paasche-Orlow M, Barry M, Mitchell SL. A video decision support tool for advance care planning in dementia: A randomized controlled trial. BMJ. 2009;338:b2159
  18. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23:433–441
  19. Sclan SG, Reisberg B. Functional assessment staging (FAST) in Alzheimer's disease: Reliability, validity, and ordinality. Int Psychogeriatr. 1992;4:55–69
  20. National Cancer Institute. Making health communication programs work: a planner's guide. June 26, 2008. Available at: http://www.cancer.gov/pinkbook/page1. Accessed May 1, 2009.
  21. Grant BK, Sloniowski J. Documenting the Documentary: Close Readings of Documentary Film and Video. Detroit: Wayne State University Press; 1998;
  22. Gillick MR, Volandes AE. The psychology of using and creating video decision aids for advance care planning. In:  Lynch TE editors. Psychology of Decision Making in Medicine and Health Care. New York, NY: Nova Science Publishers; 2007;p. 193–206
  23. Support. A controlled trial to improve care for seriously ill hospitalized patients. The study to understand prognoses and preferences for outcomes and risks of treatments (SUPPORT). The SUPPORT Principal Investigators. JAMA. 1995;274:1591–1598
  24. Hofmann JC, Wenger NS, Davis RB, et al. Patient preferences for communication with physicians about end-of-life decisions. SUPPORT Investigators. Study to Understand Prognoses and Preference for Outcomes and Risks of Treatment. Ann Intern Med. 1997;127:1–12
  25. Covinsky KE, Fuller JD, Yaffe K, et al. Communication and decision-making in seriously ill patients: Findings of the SUPPORT project. The Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments. J Am Geriatr Soc. 2000;48:S187–S193

 Dr. Volandes was supported by a George Bennett Fellowship from the Foundation for Informed Medical Decision Making, a New Investigator Research Grant from the Alzheimer's Association, and a Center for Excellence Career Development Award from the Hartford Foundation. None of the Foundations participated in the collection, analysis, or interpretation of the data or in preparation, review, or approval of the manuscript.

PII: S1525-8610(09)00195-9

doi: 10.1016/j.jamda.2009.05.006

JAMDA
Volume 10, Issue 8 , Pages 575-580 , October 2009

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