RecruitingNot ApplicableNCT06786104

Video Inspired Discussions About Ethical Outcomes in Pediatrics

A Multisite RWCT Comparing the Effectiveness of a Goals of Care Video and Navigator Intervention, the VIDEO-PEDS Experience, Versus Usual Care in Pediatric Cancer

Sponsor

Massachusetts General Hospital

Enrollment

567 participants

Start Date

May 5, 2026

Study Type

INTERVENTIONAL

Conditions

Pediatric Cancer

Summary

The goal of this clinical trial is to learn if the VIDEO-PEDS intervention works to improve Goals of Care communication between clinicians and parents of children with cancer. The main questions it aims to answer are: Does the intervention improve Goals of Care documentation? Does it improve patient outcomes (including less invasive preferences for resuscitation and interventions, less hospital utilization, and more palliative care and hospice use)? Does it improve parent outcomes (including health satisfaction and feeling heard and understood per survey scores)?

Eligibility

Inclusion Criteria8

Patient
Age 0-12 years
Diagnosed with any type or stage of cancer
Receiving cancer directed treatment
Parent
Decision maker for the child.
Biological parent, step-parent, legal guardian (e.g., adoptive parent), or grandparent with medical consent authority.
Able to communicate in English or Spanish (the languages of the video decision aids).

Exclusion Criteria8

Patient
Not receiving primary medical care from the cancer clinic (e.g., second-opinion consultations only)
Already referred to and fully consulted by the palliative care team
Prognosis of less than a 2-month life expectancy
Parent
Visually impaired beyond 20/200 corrected and unable to view the video (note: hearing impaired is not an exclusion as the videos are closed captioned).
Psychological state not appropriate for GOC discussions, as determined by the primary oncologist per the opt-out.
Participants who do not speak English or Spanish

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Interventions

OTHERVIDEO-PEDS

Following enrollment, parents will receive a link to view the refined video decision aid that is designed to prompt parents to think about their goals of care for their child with cancer, and then to react by engaging in communication with a trained member of the research team called the Navigator and eventually their clinical team over the course of the 9-month study duration.

OTHERVIDEO-PEDS pilot

This is the 3-month pilot version of the intervention, which will be further developed for the eventual RWCT.

OTHERFocus Group

Parents will view the Video aid and provide fascilitated feedback in an audio-recorded virtual group setting.