Shared Decision Aid Assessment for Objective (Goal)

Phase-Based Estimates
1
Effectiveness
1
Safety
Mayo Clinic in Rochester, Rochester, MN
Shared Decision Aid Assessment - Other
Eligibility
18+
All Sexes
Eligible conditions
Objective (Goal)

Study Summary

This study is evaluating whether an intervention to improve end of life discussions in the emergency department will improve patient outcomes.

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Treatment Effectiveness

Study Objectives

This trial is evaluating whether Shared Decision Aid Assessment will improve 1 primary outcome and 1 secondary outcome in patients with Objective (Goal). Measurement will happen over the course of 1 year.

1 year
Patient and physician feedback survey for tool development and iterative refinement
Patient and physician satisfaction questionnaire

Trial Safety

Trial Design

2 Treatment Groups

Control
Shared decision aid assessment

This trial requires 230 total participants across 2 different treatment groups

This trial involves 2 different treatments. Shared Decision Aid Assessment is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Shared decision aid assessment
Other
Patients will be selected to have a goals of care discussion with an emergency physician utilizing a pilot decision aid and will be asked for feedback to assist with refinement of the decision aid.
ControlNo treatment in the control group

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 1 year
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 1 year for reporting.

Who is running the study

Principal Investigator
L. E. W.
Laura E. Walker, Principal Investigator
Mayo Clinic

Closest Location

Mayo Clinic in Rochester - Rochester, MN

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 10 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Ability to provide informed consent
Medically stable at the time of enrollment
Known to be pregnant
Incarcerated or in Police Custody
Patients presenting to Mayo Clinic Rochester, Saint Marys' Emergency Department
Patients at high risk for critical illness as determined by an Elderly Risk Assessment (ERA) score ≥ 16 or as determined by provider discretion
≥ 60 years of age
Able to participate without causing a delay in care.
GCS scores < 15
Signs of altered mental status

Patient Q&A Section

Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What causes objective (goal)?

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When asked why they were engaged in a particular activity, participants were likely to mention goals the activity helped them to achieve (1) and to (2) interact with others and with self (i.e. social interaction goals and self goals). The social interaction goals relate to strengthening interpersonal relationships. The self goals are to (1) seek a new role, or (2) to explore alternatives to a well established role. Social interaction goals are most prominent in the early phases of engagement and self goals in the later phases, perhaps because the activity is new and less demanding.

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How many people get objective (goal) a year in the United States?

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Objective (goal) seeking in the United States depends more on individual than on demographic or clinical attributes. Although much of this can be related to the tendency of the population to seek objectives that fit the health profile of those seeking them, other research indicates that individual preferences and attitudes may play an increasing role in seeking objective health goals, especially in persons with chronic pain or other chronic illnesses.

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What are common treatments for objective (goal)?

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The common treatments listed show that surgeons agree on the objectives. One should not be surprised to find that most surgeons have a goal of minimizing the surgical scars.

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What is objective (goal)?

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Findings from a recent study, patients were asked to assess an objective goal that they thought they could achieve or not achieve. Participants in this study were more likely to assess goals that were very weakly defined, had a low chance of being attained, or lacked a clear goal. These outcomes correspond to a variety of definitions of goal attainment and assessment. These data suggest that the measurement of goal as an objective may be useful in an effort to evaluate goals.

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What are the signs of objective (goal)?

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Objective signs have been documented in a number of contexts.\n\nSubjective signs consist of thoughts, feelings, as well as any behaviour associated with the sign.\nSubjective signs include depression, anxiety, sadness, anger, worry, and panic.\n\nA positive association can be seen between subjective signs and objective signs.\n\nSigns can have many possible etiologies, which must be known when performing differential diagnosis.\n\nIn most conditions, signs are typically limited to a certain age group or location.\n\nIn some cases, a sign can indicate any of a number of diseases.

Unverified Answer

Can objective (goal) be cured?

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It seems no reason why the goals may not be reached. However, if the goals are not reached, we have to redefine them so that they become more acceptable.

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Does objective (goal) run in families?

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The objective goal approach appears to be advantageous compared with the normative approach, and may increase adherence to dietary, fitness, and substance abuse goals. Future research should focus on developing additional and better ways of ensuring that objectively-based goals are achieved.

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What is the average age someone gets objective (goal)?

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Average age people get objective (goal) is 61 years of age. People have different personal objective (goal) expectations for age based on their current and previous self-reported objectives. If an older person has objective (goal) and a younger person has subjective (feelings), the older person's objective (goal) has a greater impact on their sense of well-being than the younger person.

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Who should consider clinical trials for objective (goal)?

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For some treatment goals, patients and treatment centers should be informed first, since some patients may benefit more from clinical research than others. For other treatment goals, patients should be informed so they may make informed decisions about the best allocation of resources.

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What are the common side effects of shared decision aid assessment?

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Some side effects that commonly occur are discomfort, reduced quality of life and increased anxiety. More research is needed in terms of patient-reported outcomes for shared decision making, such topics are: quality of life in PCT, patient attitudes and perceptions, and coping strategies of patients and care staff. The shared decision making process will be most effective if it is not just a treatment process but also a personal one.

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What does shared decision aid assessment usually treat?

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Findings suggest that SDAs may impact the provision and use of decision support in the care of cancer patients by eliciting preferences, fostering discussions, encouraging a greater desire to engage in decision-making, increasing a sense of patient autonomy, and by guiding patients through decision support activities. It is therefore clear that SDAs, as a process of patient engagement, may be useful in the discussion of end-of-life planning and in the process of obtaining the preferences of patients over time.

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What is the latest research for objective (goal)?

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(1) More studies are needed to clarify the role of monoclonal antibody therapy. There is no evidence for any role of rituximab in the treatment of IgA nephropathy. Although anti-platelet antibodies (e.g. abciximab) seem to be relatively efficacious in controlling thrombosis in patients with IgA nephropathy, it is unclear if this beneficial effect is associated with a marked reduction in kidney damage. This type of therapy is not widely available.

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