New approach to CPR talks may help patients and families feel heard
NCT ID NCT02984124
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a new way for doctors to discuss CPR with older, seriously ill patients and their families. Instead of the usual conversation, doctors followed a step-by-step guide that focused on the patient's values and explained why CPR might not help. The goal was to see if this approach improved how patients and families rated the quality of communication.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If this approach works, it could help doctors have clearer, more compassionate conversations about CPR with very sick patients and their families.
- What could go wrong
- This is a small, early-stage study focused on communication, not a treatment. Results may not apply to all hospitals or patient groups.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
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182 people
The number who actually took part.
- Started
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Dec 2016
- Finished
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Dec 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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65 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. \>65 years old 2. English speaking 3. Must have one or more of the following: 1. Chronic life-limiting illness with median survival \<2 years defined as: 1) metastatic cancer or inoperable lung cancer; 2) COPD requiring oxygen; 3) New York Heart Association Class III or IV heart failure, 4) Child's Class C cirrhosis or MELD score of \>20, 5) End-stage renal disease (must be on dialysis and ≥ 75 years old), 6) Advanced pulmonary fibrosis/interstitial lung disease, 7) Advanced pulmonary hypertension 2. Severe functional impairment defined as dependence with \>4 activities of daily living (ADLs) on Katz Index of Independence in ADLs. Exclusion Criteria: 1. Has already definitively chosen DNR status 2. Unable to provide informed consent 3. Refused consent 4. Currently listed on a transplant list (awaiting transplant) 5. Inappropriate for study enrollment per clinician 6. Known to have a left ventricular assist device (LVAD) 7. Research team unavailable 8. Patient discharged from hospital prior to enrollment
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Medical University of South Carolina
Charleston, South Carolina, 29425, United States
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University of North Carolina
Chapel Hill, North Carolina, 27599, United States
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University of Vermont
Burlington, Vermont, 05405, United States
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University of Washington
Seattle, Washington, 98104, United States
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