John Wilde

I am a palliative care physician at the University of Iowa.

[John Wilde @jhwilde27]

@HarvardMacy @LaurenMazzurco @keefer007 @erhall1 @SocraticEM A2: Group 9 - prioritizing enough time, overwhelming information without time to sift through everything, personal vs professional...
#HMIVirtual

[John Wilde @jhwilde27]

This is so exciting! Group 9 #hmivirtual

[John Wilde @jhwilde27]

@HarvardMacy @HarvardMacy #HMIVirtual A1: I am ashamed to say that it was Myspace. Does that still exist?

[John Wilde @jhwilde27]

@molano_pena Making a study on very realistic vs very fake video may be an interesting study! #jchpmiowa

[John Wilde @jhwilde27]

@HPM_Univ_Iowa Good point. Again, I feel that solely using video platform would likely be short of the mark. Augmenting the conversation and DESIRE to fill out ACP would be my goal. #JCHPMIowa

[John Wilde @jhwilde27]

A1T3: How could our patient population and that of Iowa benefit from video-based learning? How would you implement it (i.e. Native app, web app, video link to YouTube, webpage to UIHC PC resource page, outsource etc.)? #JCHPMIowa

[John Wilde @jhwilde27]

A1T3: If you were to design a video to encourage ACP documentation and discussion with loved ones, what content would you include and why? #JCHPMIowa

[John Wilde @jhwilde27]

A1T2: Opposition to CPR in video group increased while the brochure group showed a significant decreased (i.e. in favor of EOL CPR) group difference 10.4%; P=0.24. Surprising results! Do you postulate it was content or the medium? #JCHPMIowa

[John Wilde @jhwilde27]

A1T2: Intention to document ACP with video ACP guide increased by 14.4% p=0.008. Thoughts on primary objective? #JCHPMIowa

[John Wilde @jhwilde27]

A1T2: The sample had >80% power to detect a 15% difference at the 5% significance level, using the two-sample t-test for the difference between groups. They also compared pre and post intention to treat using Pearson’s X2 test. #JCHPMIowa

[John Wilde @jhwilde27]

A1T2: While intention to document ACP is honorable, by the admission of the paper 46.2% of Koreans hoped for an APC documentation, only 1% have it done. Intention does not equal results. How would you design the study differently? #JCHPMIowa

[John Wilde @jhwilde27]

A1T2: RESULTS: Primary outcome of the study was the change of the percentage of participants with positive intention to document an ACP. Secondary outcomes of the study were intention to refuse CPR at terminal status. #JCHPMIowa

[John Wilde @jhwilde27]

A1T1: Willingness to undergo CPR in terminal status was measured with 1) Yes 2) No 3) Not sure. Other knowledge-based questions on palliative care, CPR, as well as anxiety/depression involving hospitals was gathered. #JCHPMIowa

[John Wilde @jhwilde27]

A1T1: Does anyone else feel they could have added more Likert items? #JCHPMIowa

[John Wilde @jhwilde27]

A1T1: Do you think that the research aid may have contributed to response bias? How would you design the study differently to not include a research aid to administer per/post intervention survey? #JCHPMIowa

[John Wilde @jhwilde27]

A1T1: A research aid went to participants and administered a pre and post intervention survey. Pre then post intervention surveys asked, “Are you willing to write an ACP?” with intention ranging from 1 (strong rejection) to 4 (strong intention).#JCHPMIowa

[John Wilde @jhwilde27]

Do you feel that Americans would enroll in a similar study at a rate 30% with no patients falling out? #JCHPMIowa

[John Wilde @jhwilde27]

A1T1: 832 people were randomly selected by a computer from the public. 250 (125 in each group) completed the study. No statistically significant difference was found between the two populations #JCHPMIowa

[John Wilde @jhwilde27]

@lorinfisher Great question. I honestly feel that video based learning with only augment a discussion rather than take the place of one. I only see it helping. #JCHPMIowa

[John Wilde @jhwilde27]

@empressoftheair, it was in Korean so it was not posted (to my knowledge). I have heard of some videos that have shown a code. Do you think that would be helpful or too traumatic? #JCHPMIowa