Integrating machine-generated mortality estimates and behavioral nudges to promote serious illness conversations for cancer patients: Design and methods for a stepped-wedge cluster randomized controlled trial.

Journal: Contemporary clinical trials
PMID: 31982648

Abstract

INTRODUCTION: Patients with cancer often receive care that is not aligned with their personal values and goals. Serious illness conversations (SICs) between clinicians and patients can help increase a patient's understanding of their prognosis, goals and values.

Authors

  • Christopher R Manz
    Harvard Medical School, Boston, MA.
  • Ravi B Parikh
    Division of Hematology and Oncology, Perelman School of Medicine, University of Philadelphia, Philadelphia, Pennsylvania.
  • Chalanda N Evans
    University of Pennsylvania, Philadelphia, PA, United States of America.
  • Corey Chivers
    Penn Medicine, University of Pennsylvania, Philadelphia.
  • Susan H Regli
    University of Pennsylvania Health System, Philadelphia, PA, United States of America.
  • Justin E Bekelman
    University of Pennsylvania, Philadelphia, PA, United States of America; Penn Center for Cancer Care Innovation, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA, United States of America.
  • Dylan Small
  • Charles A L Rareshide
    University of Pennsylvania, Philadelphia, PA, United States of America.
  • Nina O'Connor
    University of Pennsylvania, Philadelphia, PA, United States of America.
  • Lynn M Schuchter
    Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
  • Lawrence N Shulman
    Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
  • Mitesh S Patel
    Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

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