A Trial of a CPR Video in Heart Failure Patients

Aim 1: To compare the care preferences for CPR and intubation among subjects randomized to
video and subjects randomized to the current standard of care without the video.

Hypothesis 1: Subjects randomized to the video intervention will be significantly more
likely to opt against CPR and intubation compared to those who do not see the video.

Aim 2: To compare code-status documentation in the electronic medical records between
subjects randomized to the video and those who are receiving the current standard of care
without the video.

Hypothesis 2: Subjects randomized to the video are more likely to have their code status
correctly documented in the electronic medical records compared to those who do not see the
video.

Aim 3: To compare knowledge and decisional conflict of subjects randomized to video and
subjects randomized to the current standard of care without the video.

Hypothesis 3: When compared to subjects randomized to the current standard of care, subjects
in the video intervention group will have higher knowledge and lower decisional conflict
(lower decisional conflict scores) when asked to choose CPR and intubation preferences.

Inclusion Criteria:

1. A diagnosis of advanced heart failure:

- New York Heart Association Class III or IV (III: marked limitation in activity
due to symptoms, even during less-than-ordinary activity; IV: severe
limitations, experiences symptoms while at rest). AND

- Two or more hospitalizations for heart failure in the last year. AND

- Either a systolic blood pressure ≤ 120 mm Hg OR Na ≤ 135 mEq/L.

2. Ability to provide informed consent.

3. Ability to communicate in English.

4. Age 65 or older.