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Shared Decision Making in NeuroICU for Severe Acute Brain Injury (SABI)

shared decision making word cloud Primary Investigator (UMASS): Susanne Muehlschlegel, MD MPH

Funded by: Partial funding by National Institute of Health/Eunice Kennedy Shriver National Institute of Child Health and Human Development (NIH/NICHD); 5K23HD080971

Anticipated study duration: Approximately 2 years

Clinicaltrials.gov ID: NCT03833375

 Goals of Care Decision Aid for Critically Ill Traumatic Brain Injury Patients

Objectives: To develop and test a Decision Aid (DA) for proxies of msTBI patients (moderate to severe traumatic brain injury).

 

Aim 1: Identify psychosocial determinants of goals-of-care decisions for proxies of msTBI patients (i.e., health literacy, numeracy, decision needs, comprehension of uncertainties and expectations) and physicians (i.e., decision barriers and facilitators) using qualitative methods during proxy focus groups and physician interviews.

Aim 2: Create a DA prototype for goals-of-care decisions after msTBI with key factors from Aim 1, and outcome prediction scores for msTBI.

Aim 3: To assess proxies’ participation and retention, DA feasibility and acceptability, and compare the effects of DA use to traditional outcome prognostication (control) in improving decision-related outcomes in a feasibility trial.

UMASS IRB docket number: H00004724

 

Goals of Care Decision Aid for ICH and AIS Patients

Objectives: To develop and test a Decision Aid (DA) for surrogates of ICH (Intracerebral Hemorrhage) and AIS (Acute Ischemic stroke) patients.

Aim 1: To iteratively develop DA prototypes for ICH and AIS surrogates (one for each type of stroke), and to establish usability and acceptability of the prototypes with a cohort of surrogate participants whose family member is receiving care in the ICU setting.

Aim 2: To compare the effects of DA use to traditional outcome prognostication (control) in improving decision-related outcomes in a feasibility trial.

 UMASS IRB docket number: H00015764