ID

39140

Description

A Representational Intervention to Promote Preparation for End-of-life Decision Making; ODM derived from: https://clinicaltrials.gov/show/NCT01259011

Link

https://clinicaltrials.gov/show/NCT01259011

Keywords

Versions (1)
  1. 12/5/19 12/5/19 -
Copyright Holder

See clinicaltrials.gov

Uploaded on

December 5, 2019

DOI

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License

Creative Commons BY 4.0
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Eligibility End Stage Renal Disease NCT01259011

English

Eligibility End Stage Renal Disease NCT01259011

1 forms  
Inclusion Criteria
Description

Inclusion Criteria

Alias
UMLS CUI
C1512693
for patients,
Description

Patients

Data type

boolean

Alias
UMLS CUI [1]
C0030705
self-identified caucasian or african american;
Description

Caucasians | African American

Data type

boolean

Alias
UMLS CUI [1]
C0043157
UMLS CUI [2]
C0085756
receiving either center-hemodialysis or home-peritoneal dialysis for at least 6 months prior to enrollment;
Description

In center hemodialysis | Peritoneal Dialysis At home

Data type

boolean

Alias
UMLS CUI [1]
C3841812
UMLS CUI [2,1]
C0031139
UMLS CUI [2,2]
C4534363
availability of an individual chosen by the patient who can be present during the intervention as a surrogate decision maker;
Description

The patient has designated a decision-maker

Data type

boolean

Alias
UMLS CUI [1]
C3845103
age 18 years or older;
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
ability to participate in health care decisions as evidenced by less than 3 errors on the short portable mental status questionnaire (spmsq), suggesting normal mental functioning;
Description

Ability Participation Decision Making | Mental status questionnaire

Data type

boolean

Alias
UMLS CUI [1,1]
C0085732
UMLS CUI [1,2]
C0679823
UMLS CUI [1,3]
C0011109
UMLS CUI [2]
C0451291
ability to read, write, and speak english.
Description

Able to read English Language | Able to write English Language | Able to speak English Language

Data type

boolean

Alias
UMLS CUI [1,1]
C0586740
UMLS CUI [1,2]
C0376245
UMLS CUI [2,1]
C0584993
UMLS CUI [2,2]
C0376245
UMLS CUI [3,1]
C0564215
UMLS CUI [3,2]
C0376245
a cci score of ≥6;
Description

Charlson Comorbidity Index

Data type

boolean

Alias
UMLS CUI [1]
C4546361
hospitalization in the last 6 months, a cci score of 5, including congestive heart failure (chf).
Description

Hospitalization Recent | Charlson Comorbidity Index | Congestive heart failure

Data type

boolean

Alias
UMLS CUI [1,1]
C0019993
UMLS CUI [1,2]
C0332185
UMLS CUI [2]
C4546361
UMLS CUI [3]
C0018802
for surrogates,
Description

Patient Surrogate

Data type

boolean

Alias
UMLS CUI [1,1]
C0030705
UMLS CUI [1,2]
C4053457
age 18 years or older (to serve as a surrogate decision maker, the individual must be an adult);
Description

Age

Data type

boolean

Alias
UMLS CUI [1]
C0001779
willingness to serve as the surrogate decision maker and participate in the intervention with the patient;
Description

Surrogate Decision Making Willing | Participation Intervention Willing

Data type

boolean

Alias
UMLS CUI [1,1]
C4053457
UMLS CUI [1,2]
C0011109
UMLS CUI [1,3]
C0600109
UMLS CUI [2,1]
C0679823
UMLS CUI [2,2]
C0184661
UMLS CUI [2,3]
C0600109
ability to read, write, and speak english.
Description

Able to read English Language | Able to write English Language | Able to speak English Language

Data type

boolean

Alias
UMLS CUI [1,1]
C0586740
UMLS CUI [1,2]
C0376245
UMLS CUI [2,1]
C0584993
UMLS CUI [2,2]
C0376245
UMLS CUI [3,1]
C0564215
UMLS CUI [3,2]
C0376245
Exclusion Criteria
Description

Exclusion Criteria

Alias
UMLS CUI
C0680251
patients who are too sick to participate in an hour-long interview, who require special care and assistance, who would not be able to care for their needs will be excluded.
Description

Participation Patient interview Unable | Requirement Special care | Requirement Assistance | Self-care Unable

Data type

boolean

Alias
UMLS CUI [1,1]
C0679823
UMLS CUI [1,2]
C0683518
UMLS CUI [1,3]
C1299582
UMLS CUI [2,1]
C1514873
UMLS CUI [2,2]
C1718344
UMLS CUI [3,1]
C1514873
UMLS CUI [3,2]
C1269765
UMLS CUI [4,1]
C3872897
UMLS CUI [4,2]
C1299582
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Similar models

Eligibility End Stage Renal Disease NCT01259011

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
C1512693 (UMLS CUI)
Patients
Item
for patients,
boolean
C0030705 (UMLS CUI [1])
Caucasians | African American
Item
self-identified caucasian or african american;
boolean
C0043157 (UMLS CUI [1])
C0085756 (UMLS CUI [2])
In center hemodialysis | Peritoneal Dialysis At home
Item
receiving either center-hemodialysis or home-peritoneal dialysis for at least 6 months prior to enrollment;
boolean
C3841812 (UMLS CUI [1])
C0031139 (UMLS CUI [2,1])
C4534363 (UMLS CUI [2,2])
The patient has designated a decision-maker
Item
availability of an individual chosen by the patient who can be present during the intervention as a surrogate decision maker;
boolean
C3845103 (UMLS CUI [1])
Age
Item
age 18 years or older;
boolean
C0001779 (UMLS CUI [1])
Ability Participation Decision Making | Mental status questionnaire
Item
ability to participate in health care decisions as evidenced by less than 3 errors on the short portable mental status questionnaire (spmsq), suggesting normal mental functioning;
boolean
C0085732 (UMLS CUI [1,1])
C0679823 (UMLS CUI [1,2])
C0011109 (UMLS CUI [1,3])
C0451291 (UMLS CUI [2])
Able to read English Language | Able to write English Language | Able to speak English Language
Item
ability to read, write, and speak english.
boolean
C0586740 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0584993 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
C0564215 (UMLS CUI [3,1])
C0376245 (UMLS CUI [3,2])
Charlson Comorbidity Index
Item
a cci score of ≥6;
boolean
C4546361 (UMLS CUI [1])
Hospitalization Recent | Charlson Comorbidity Index | Congestive heart failure
Item
hospitalization in the last 6 months, a cci score of 5, including congestive heart failure (chf).
boolean
C0019993 (UMLS CUI [1,1])
C0332185 (UMLS CUI [1,2])
C4546361 (UMLS CUI [2])
C0018802 (UMLS CUI [3])
Patient Surrogate
Item
for surrogates,
boolean
C0030705 (UMLS CUI [1,1])
C4053457 (UMLS CUI [1,2])
Age
Item
age 18 years or older (to serve as a surrogate decision maker, the individual must be an adult);
boolean
C0001779 (UMLS CUI [1])
Surrogate Decision Making Willing | Participation Intervention Willing
Item
willingness to serve as the surrogate decision maker and participate in the intervention with the patient;
boolean
C4053457 (UMLS CUI [1,1])
C0011109 (UMLS CUI [1,2])
C0600109 (UMLS CUI [1,3])
C0679823 (UMLS CUI [2,1])
C0184661 (UMLS CUI [2,2])
C0600109 (UMLS CUI [2,3])
Able to read English Language | Able to write English Language | Able to speak English Language
Item
ability to read, write, and speak english.
boolean
C0586740 (UMLS CUI [1,1])
C0376245 (UMLS CUI [1,2])
C0584993 (UMLS CUI [2,1])
C0376245 (UMLS CUI [2,2])
C0564215 (UMLS CUI [3,1])
C0376245 (UMLS CUI [3,2])
Item Group
C0680251 (UMLS CUI)
Participation Patient interview Unable | Requirement Special care | Requirement Assistance | Self-care Unable
Item
patients who are too sick to participate in an hour-long interview, who require special care and assistance, who would not be able to care for their needs will be excluded.
boolean
C0679823 (UMLS CUI [1,1])
C0683518 (UMLS CUI [1,2])
C1299582 (UMLS CUI [1,3])
C1514873 (UMLS CUI [2,1])
C1718344 (UMLS CUI [2,2])
C1514873 (UMLS CUI [3,1])
C1269765 (UMLS CUI [3,2])
C3872897 (UMLS CUI [4,1])
C1299582 (UMLS CUI [4,2])
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