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Table 1 Data Collection Strategy

From: Evaluation of the CPR video decision aid with patients with end stage renal disease

Data source

Time period for data collection

Collection tool

Participating Patient / Family

Pre VDA intervention

PART A: Demographics, Frailty Index, Health Literacy Score

Knowledge about CPR

Decisional Self-efficacy

CPR-VDA Intervention

View CPR-VDA (http://vimeo.com/48147363)

Observation Matrix (i.e., elements of capacity, fatigue, attention)

Post VDA intervention

PART B: Acceptability Survey

Knowledge about CPR

Decisional Conflict Scale

Decisional Self-efficacy Scale

CPR Worksheet

Study Nurse

Patient / Family / Physician participants discuss CPR decision

OPTION

Participating Physician

Post VDA intervention and discussion

PART A: Demographics (completed once only per physician)

PART B: Physician Survey (completed after engaging in each discussion about CPR: Decisional Conflict Scale)

Medical record of participating patient

At enrollment (consent) and 1 week from date of enrollment

Chart Abstraction Tool (co-morbid illnesses, the presence of ‘Goals of Care’ orders, ‘DNR’ orders, ‘Resuscitation Care-plan’ orders and any order related to CPR)

Study Nurse

Initiated at time of enrollment until end of participation

Field notes