Video decision aid increases advance care planning in seniors with chronic kidney disease
Among older adults with advanced chronic kidney disease (CKD), a video decision aid increases advance care planning (ACP) documentation in the electronic health record, according to a study published in JAMA Internal Medicine to coincide with Kidney Week, the annual meeting of the American Society of Nephrology, held from Oct. 21 to 25 in Denver.
A recent study published in JAMA Internal Medicine reveals that a video decision aid can boost advance care planning (ACP) documentation among seniors with advanced chronic kidney disease (CKD). Conducted by Angelo E. Volandes and colleagues from Dartmouth Health, the multicenter, parallel-group, randomized clinical trial was carried out at 12 ambulatory clinics across the United States.
The researchers enrolled 453 adults aged 65 years and older with advanced CKD. Half of the participants (225) received usual medical care, while the other half (228) viewed a certified video decision aid showcasing three treatment options for advanced CKD. Following the video, these participants created a video declaration outlining their treatment preferences, goals, and values, which was then sent to their treating clinician.
At the 12-month follow-up, the intervention group showed a significantly higher rate of ACP documentation (56.6% vs 40.0%) compared to the control group. Moreover, there was a notable decrease in treatment uncertainty (13.2% vs 41.3%) and an increase in preference for conservative kidney management (50.7% vs 31.8%) among intervention participants. However, further research is necessary to ascertain whether the increased documentation translates into goal-concordant care.
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