Trial reportHeart & lung : the journal of critical care
A randomized controlled pilot trial to improve advance care planning for LVAD patients and their surrogates.
Trial report in Heart & lung : the journal of critical care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Implementation and effectiveness of advance care planning in hospitalized older adults with chronic heart failure: a mixed-methods systematic review and meta-analysis.Frontiers in medicine · 2025Pooled it
- Advance care planning for adults with heart failure.The Cochrane database of systematic reviews · 2020Pooled it
- Pandemic Effects on Stability of End-of-Life Preferences and Patient-Surrogate Dyad Congruence.Journal of pain and symptom management · 2024Trial
- Randomised trial of a serious illness decision aid (Plan Well Guide) for patients and their substitute decision-makers to improve engagement in advance care planning.BMJ supportive & palliative care · 2022Trial
- SPIRIT advance care planning intervention in early stage dementias: An NIH stage I behavioral intervention development trial.Contemporary clinical trials · 2018Trial
- The impact of life orientation on advance care planning engagement in surrogate decision-makers of terminal cancer patients: a chain mediation model of social support and uncertainty of disease.BMC palliative care · 2025Article
- The readiness of knowledge, attitude and confidence and associated factors of implementing living wills among healthcare professionals in Shenzhen: a cross-sectional study.BMC medical ethics · 2025Article
- Estimating treatment effects from a randomized controlled trial with mid-trial design changes.Clinical trials (London, England) · 2025Article
- The mediating effect of quality of life between family support and advance care planning readiness of older adult patients with chronic diseases.Frontiers in public health · 2025Article
- Tools for tomorrow: a scoping review of patient-facing tools for advance care planning.Palliative care and social practice · 2024Article
- Effect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings.Annals of family medicine · 2020Article
- Article
- Recognizing difficult trade-offs: values and treatment preferences for end-of-life care in a multi-site survey of adult patients in family practices.BMC medical informatics and decision making · 2017Article
- Intergenerational Decision Making: The Role of Family Relationships in Medical Decision Making.MDM policy & practiceReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
objectivesTo examine feasibility, acceptability and preliminary effects of an advance care planning (ACP) intervention, SPIRIT-HF, in LVAD patients and their surrogates.
backgroundLVADs may improve HF symptoms but they are not curative. Thus, ACP is needed to prepare patients and surrogates for end-of-life (EOL) decision-making.
methodsBridge to transplant and destination therapy LVAD patient-surrogate dyads were randomized to either SPIRIT-HF or usual care. Percentages of eligible dyads who were enrolled and completed the study determined feasibility. Analysis of interviews with SPIRIT dyads determined acceptability. Group comparisons of dyad congruence, patient's decisional conflict, and surrogate's decision-making confidence determined preliminary effects.
resultsOf 38 eligible dyads, 29 (76%) were enrolled, randomized, and completed the study. The 14 intervention dyads characterized SPIRIT-HF as beneficial. All dyads demonstrated improvement in outcomes. However, SPIRIT-HF dyads tended toward greater congruence on patient EOL treatment goals.
conclusionsSPIRIT-HF is feasible and acceptable. Results will inform future trials.
Indexed as
Identifiers
What OpenQuestion holds
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.