Trial reportCritical care medicine2013
The effect of emotion and physician communication behaviors on surrogates' life-sustaining treatment decisions: a randomized simulation experiment.
Trial report in Critical care medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04239209 (The Effect of Intensivist Communication on Prognosis Interpretation by Family Members of Patients at High Risk for Intensive Care Unit Admission), which is not on this map. Cited by 22 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Intensivist Communication on Prognosis Interpretation by Family Members of Patients at High Risk for Intensive Care Unit Admission: A Randomized Trial
Who cites it
22 citing papers in PubMed, 102 citations in OpenAlex.
- Effect of Intensivist Communication in a Simulated Setting on Interpretation of Prognosis Among Family Members of Patients at High Risk of Intensive Care Unit Admission: A Randomized Trial.JAMA network open · 2020Trial
- Actor feedback and rigorous monitoring: Essential quality assurance tools for testing behavioral interventions with simulation.PloS one · 2020Trial
- The effect of framing on surrogate optimism bias: A simulation study.Journal of critical care · 2016Trial
- Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement from the American Heart Association and Neurocritical Care Society.Neurocritical care · 2024Article
- Critical Care Management of Patients After Cardiac Arrest: A Scientific Statement From the American Heart Association and Neurocritical Care Society.Circulation · 2024Review
- Early Shared Decision-Making for Older Adults with Traumatic Brain Injury: Using Time-Limited Trials and Understanding Their Limitations.Neurocritical care · 2023Article
- Code status orders in hospitalized patients with COVID-19.Resuscitation plus · 2023Article
- Change in Code Status Orders of Hospitalized Adults With COVID-19 Throughout the Pandemic: A Retrospective Cohort Study.Journal of palliative medicine · 2023Article
- Article
- Decision-making approaches for children with life-limiting conditions: results from a qualitative phenomenological study.BMC medical ethics · 2022Article
- Developing standardized patient-based cases for communication training: lessons learned from training residents to communicate diagnostic uncertainty.Advances in simulation (London, England) · 2021Article
- Optimism bias in understanding neonatal prognoses.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- We Need a Paradigm Shift Around End-of-Life Decision Making.Journal of the American Geriatrics Society · 2021Article
- More than one in three proxies do not know their loved one's current code status: An observational study in a Maryland ICU.PloS one · 2019Observational
- Investigation of the disposal of dead pigs by pig farmers in mainland China by simulation experiment.Environmental science and pollution research international · 2017Article
- The Language of End-of-Life Decision Making: A Simulation Study.Journal of palliative medicine · 2015Article
- "Allow Natural Death" versus "Do Not Resuscitate": What Do Patients with Advanced Cancer Choose?Journal of palliative medicine · 2015Article
- Default options in the ICU: widely used but insufficiently understood.Current opinion in critical care · 2014Review
- Recognizing, naming, and measuring a family intensive care unit syndrome.Annals of the American Thoracic Society · 2014Article
- The patient perspective and physician's role in making decisions on instituting dialysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2013Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectiveSurrogate decision makers for critically ill patients experience strong negative emotional states. Emotions influence risk perception, risk preferences, and decision making. We sought to explore the effect of emotional state and physician communication behaviors on surrogates' life-sustaining treatment decisions.
design5 × 2 between-subject randomized factorial experiment.
settingWeb-based simulated interactive video meeting with an intensivist to discuss code status. SUBJECTS: Community-based participants 35 and older who self-identified as the surrogate for a parent or spouse recruited from eight U.S. cities through public advertisements.
interventionsBlock random assignment to emotion arousal manipulation and each of the four physician communication behaviors. MEASUREMENTS AND MAIN
resultsSurrogate's code status decision (cardiopulmonary resuscitation vs do not resuscitate/allow natural death). Two hundred fifty-six of 373 respondents (69%) logged-in and were randomized: average age was 50; 70% were surrogates for a parent; 63.5% were women; 76% were white, 11% black, and 9% Asian; and 81% were college educated. When asked about code status, 56% chose cardiopulmonary resuscitation. The emotion arousal manipulation increased the score on depression-dejection scale (β = 1.76 [0.58 - 2.94]) but did not influence cardiopulmonary resuscitation choice. Physician attending to emotion and framing the decision as the patient's rather than the surrogate's did not influence cardiopulmonary resuscitation choice. Framing no cardiopulmonary resuscitation as the norm rather than cardiopulmonary resuscitation resulted in fewer surrogates choosing cardiopulmonary resuscitation (48% vs 64%, odds ratio, 0.52 [95% CI, 0.32-0.87]), as did framing the alternative to cardiopulmonary resuscitation as "allow natural death" rather than do not resuscitate (49% vs 61%, odds ratio, 0.58 [95% CI, 0.35-0.96]).
conclusionsExperimentally induced emotional state did not influence code status decisions, although small changes in physician communication behaviors substantially influenced this decision.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.