Video-Enhanced Advance Care Planning: Joshua Lakin and Kei Ouchi
episode
GeriPal - A Geriatrics and Palliative Medicine Podcast
47 min
3 speakers
8 chapters
transcribed 10 hours ago
Transcript
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Transcript generated automatically by AI and may contain errors.
What is the purpose of using video decision aids in advance care planning?
This podcast is not CME eligible. If people do want to learn more about CME eligible podcast, Alex, what do they do?
They can go to cherrypal.org backslash CME.
And on to the show. Welcome to the Jerry Powell podcast. This is Eric Widera. This is Alex Smith. Alex, today we're going to be talking about the use of video to enhance advanced care planning. Who do we have with us today?
We have two repeat guests today, Eric. We have Kay Uchi, who is an emergency medicine and internal medicine doctor and researcher who practices at the Brigham and Women's Hospital in Boston. Kay, welcome back to the Jerry Powell podcast. It's been a minute.
Thank you so much for having me. I love the
energy. And we have Josh Lakin, who's a palliative care doc and researcher who did his palliative care fellowship and residency here at UCSF. He's now at the Dana-Farber Cancer Institute, also in Boston. Josh, welcome back to the Jerry Pell Podcast.
Good to see you, gentlemen.
So we're going to be talking about two papers that came out that included some type of video-enhanced advanced care planning. One published in Journal of General and Internal Medicine, JGIM, and another in JAMA Network Open. We'll have links to both of them in our show notes. But before we do, we always start off with a sign request. Who has a sign request? I do. Josh, what song?
It's the only one I could find that fit this one. It's called Video Killed the Radio Star, which I love by the Bagels.
And we have done this one a while ago, but it's been a while. And I think I tried to change it up a little bit.
Why did the guests become interested in video‑enhanced ACP research?
Why did you choose this song, Josh? Or is it just obvious?
Because we're talking videos. That's all I had. Plus, anytime you can bring the 80s into a conversation, you should probably do that.
And we'll see if you truly believe that video killed something. Like an old way of advanced care planning conversations. We'll find out. Here's a little bit.
I heard you back on wireless back in 52 Lying awake intent on tuning into you If I was young it didn't stop you coming through They took the credit for your second symphony Rewritten by machine on new technology And now I understand the problems that you see Oh oh oh I met your children Oh oh oh What did you tell them? Video killed the radio star Video killed the radio star Pictures came and broke your heart
That was awesome.
That was a fun one. It was a blast. It's a one-hit wonder band. What was it called? Buggles or something? The Buggles. The Buggles. That's a good trivia question. Everyone knows the song. I doubt that many people know the name of the band.
Maybe for a little bit after this podcast.
Okay, so we got a lot to talk about. I'm going to turn to both of you first. Just why are you personally or got interested in this topic of improving advanced care planning through things like video? Josh, I'm going to turn to you first.
Yeah, so I've spent most of my career, both in training and then afterwards, really thinking about clinician interventions for improving communication. And there was something about considering ways of empowering patients outside of clinicians through these video decision aids that interested me. And I also hadn't thought a lot about, like, we spend most of our time thinking about the words we're going to say and how we talk to people, how we're going to use different professionals to do different aspects of care. But the idea of empowering people with images and videos in their own language as it had been interpreted into so many different languages was interesting to me. So it just felt like a very different tool.
And throughout my career, I've been lucky enough to just get to play with a bunch of tools for advanced care planning and serious illness communication. And this one was just unique in such a way that it was interesting. And Angelo Volandes, who built these along with his wife and the company, ACP Decisions, are just so thoughtful about the way they deploy them. It was just an interesting new way of getting at what matters most to patients. And so that's how I got into it.
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Chapters
8 chapters
1
What is the purpose of using video decision aids in advance care planning?
0:00–1:36
2
Why did the guests become interested in video‑enhanced ACP research?
1:36–8:20
3
How does the emergency department serve as a strategic point for ACP conversations?
8:20–17:30
4
What were the designs and key components of the JGIM emergency‑department trial?
17:30–25:17
5
How was the stepped‑wedge oncology trial structured and why was that design chosen?
25:17–32:47
6
What outcomes did the trials measure and how were they captured with NLP?
32:47–41:15
7
Did the video‑plus‑training intervention produce clinically meaningful improvements?
41:15–47:11
8
What should a health‑system leader invest in to scale video‑enhanced ACP most effectively?
47:11–47:12
Speakers
3 identifiedMore from GeriPal - A Geriatrics and Palliative Medicine Podcast
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