CompletedNot Applicable

Personalized Decision-Aid to Guide Tracheostomy and Prolonged Mechanical Ventilation Decision-Making

United States105 participantsStarted 2024-01-01

Plain-language summary

The goal of this study is to determine the Usability and Acceptability of a personalized online decision support tool for patients, families, and providers considering long-term breathing support options for patients who cannot breathe by themselves. The tool is called TRACH-Support. The key questions are: 1. Is TRACH-Support usable and acceptable to people who make decisions for patients on breathing machines. 2. Is TRACH-Support usable, acceptable, appropriate, and feasible for medical providers, nurses, and respiratory therapists who care for patients on breathing machines. In this study, family members of patients on a breathing machine and members of the medical team will review the tool and fill out an online survey describing their thoughts about the tool. A subgroup of individuals who fill out the survey will also be asked to participate in qualitative interviews about their experience with the tool.

Who can participate

Age range18 Years

SexALL

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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion Criteria: Surrogates * Age \>18 years * English or Spanish speaking * Surrogate decision-maker for a patient who has been receiving mechanical ventilation for greater than or equal to 7 days or in whom a tracheostomy discussion is planned. The role of surrogate decision-maker will be determined by the medical team (can be either a medical decision power of attorney (MDPOA) or proxy decision-maker). * As many decisions are made by a group of surrogates rather than a single surrogate, up to 3 surrogates per patient will be enrolled. Healthcare Team Members * Age \> 18 years * A critical care or palliative care physician (MD/DO), advanced practice provider (APP), nurse, or respiratory therapist who routinely engages in tracheostomy and PMV discussions Exclusion Criteria: Surrogates * Age \< 18 years * Non-English or Non-Spanish speaking * Prisoner Healthcare Team Members * Age \< 18 years * refuses to evaluate TRACH-Support * refuses to discuss alternatives to tracheostomy with families

What they're measuring

System Usability Scale

Timeframe: Baseline

Trial details

NCT IDNCT07223918

SponsorDenver Health and Hospital Authority

Sponsor typeOTHER

Study typeOBSERVATIONAL

Primary completion2025-06-30