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. 2018 Jul 19;2018(7):CD006732. doi: 10.1002/14651858.CD006732.pub4

NCT02721810.

Trial name or title Patient Engagement Initiative (PEI)
Methods RCT
Participants Inclusion criteria
  • Licensed physicians

  • At least 4 weeks of clinical work in an I.C.U. in the U.S.A. during the past 12 months


Exclusion criteria
  • < 25 years old

  • Non‐English speaking

  • Primarily practicing medicine outside the USA

Interventions No intervention: control
Prompts standard to rounds or electronic medical records
Experimental: prompting Intervention
Prompting consideration of 3‐month functional outcome
Outcomes Primary outcome
  • Presence of acceptable treatment option as assessed by a checklist completed by clinical colleges.


Secondary outcomes
  • Level of conflict with proxy with a previously validated single question

  • Level of shared decision‐making measured using CollaboRATE scale

  • Prevalence of communication skills for involving ICU proxies in treatment decisions assessed by a checklist completed by clinical colleges

  • Medical interactions assessed using the Roter Interaction Analysis System (RIAS)

  • Prevalence of the discussed option of stopping life support as assessed by blinded assessors

  • Prevalence of conveying prognosis as assessed by blinded assessors

  • Level of shared decision‐making measured using CollaboRATE scale as assessed by blinded assessors

  • The Observer OPTIONS5 measure completed by blinded assessors

  • Consulting services requested by study participants

Starting date October 2016
Contact information Alison E Turnbull, DVM,MPH,PhD, (410)‐955‐2190, turnbull@jhmi.edu
Notes