Evidence map›Paper›PMID 40229711›Full record

Trial reportBMC health services research2025

Bolstering agreement with scarce resource allocation policy using education: a post hoc analysis of a randomized controlled trial.

Russell G Buhr, Cher X Huang, Ruby Romero, Lauren E Wisk

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04373135 (A Study to Evaluate Health Behavior and Access Impacts Due to COVID-19 and for Community Engagement of Stakeholders Surrounding Scarce Resource Allocation Policy.), which is not on this map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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.

NCT04373135 nacompletednot on this map

A Study to Evaluate Health Behavior and Access Impacts Due to COVID-19 and for Community Engagement of Stakeholders Surrounding Scarce Resource Allocation Policy.

TypeinterventionalSponsorUniversity of California, Los AngelesRan2020 to 2021Enrolled1,971ConditionsCovid-19, Critical Illness, Attitude of Health Personnel, Attitude to HealthArmsBrief educational video
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Russell G BuhrDivision of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at the University of California, Los Angeles, 1100 Glendon Avenue, Suite 850, Los Angeles, CA, 90024, USA. rbuhr@mednet.ucla.edu.
Cher X HuangDivision of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at the University of California, Los Angeles, 1100 Glendon Avenue, Suite 850, Los Angeles, CA, 90024, USA.
Ruby RomeroDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA, USA.
Lauren E WiskDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, CA, USA.

Funding

The Effect of Nanoparticle Encapsulated Resveratrol on Treatment of PeriodontitisKL2TR001882 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Elizabeta Nemeth · 2016 to 2026
$13.1M
Delivering contextualizing population data to patients to motivate health care transition preparationK01DK116932 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WISK, LAUREN ELISABETH · 2018 to 2023
$647k
NCATS NIH HHS KL2 TR001882NCATS NIH HHS KL2TR001882NHLBI NIH HHS L30HL130125NHLBI NIH HHS L30 HL134025NHLBI NIH HHS T32072752NIDDK NIH HHS K01 DK116932NIDDK NIH HHS K01DK116932Office of the President, University of California 62165-RB
6 · The paper itself

Abstract

backgroundThe COVID- 19 pandemic prompted rapid development of scarce resource allocation policies (SRAP) in case demand for critical health services eclipsed capacity. We sought to test whether a brief, educational video could improve alignment of participant values and preferences with the tenets of the University of California Health's SRAP in a post hoc analysis of a randomized controlled trial (RCT) conducted during the pandemic.

methodsAn RCT of an educational video intervention embedded in a longitudinal web-based survey conducted from May to December 2020, analyzed in August 2024. The "explainer" video intervention was approximately 6 min long and provided an overview of the mechanics and ethical principles underpinning the UC Health SRAP, subtitled in six languages. California residents were randomized to view the intervention or not, stratified by age, sex, education, racial identity, and self-reported health care worker status. Non-California residents were assigned to the control group. 1,971 adult participants were enrolled at baseline, and 939 completed follow-up. 770 participants with matched baseline and follow-up responses were analyzed. Self-reported survey assessments of values regarding components of SRAP were scored as the percentage of agreement with the UC Health SRAP as written. Participants responded to items at baseline and follow-up (approximately 10 weeks after baseline), with randomization occurring between administrations.

resultsAfter the intervention, overall agreement improved by a substantial margin of 5.2% (from 3.8% to 6.6%, P <.001) for the intervention group compared to the control group. Significant changes in agreement with SRAP logistics and health factors were also observed in the intervention group relative to the control, while no significant changes were noted for social factors. Differential intervention effects were observed for certain demographic subgroups.

conclusionsA brief educational video effectively explains the complex ethical principles and mechanisms of the SRAP, as well as how to improve the alignment of participant values with the foundational principles of UC Health SRAP. This directly informs practice by providing a framework for educating individuals about the use of these policies during future situations that require crisis standards of care, which can, in turn, enhance agreement and buy-in from affected parties.

trial registrationClinicalTrials.gov registration NCT04373135 (registered 4 May 2020).

Indexed as

COVID-19Resource AllocationAdultCaliforniaFemaleHumansMaleMiddle AgedSARS-CoV-2Crisis standards of careCritical careInternet-based surveyPatient educationScarce resource allocation

Identifiers

PMID40229711
PMCPMC11995607

What OpenQuestion holds

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LicenceCC BY
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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.