Conclusions
ADRD
The VIDEO-PCE randomized clinical trial demonstrated a significant and clinically meaningful increase in GOC documentation rates among hospitalized older adults receiving a GOC video intervention delivered by PCEs, a scalable intervention that could be quickly implemented across many hospitals, compared with usual care. Notably, the intervention resulted in an increase in GOC documentation for Black or African American individuals, Hispanic or Latino individuals, non-English speakers, and persons living with ADRD. Such benefits have been elusive. This trial found a benefit of a proactive model of care with social workers and nurses to facilitate GOC communication with video decision support tools that were available in 29 languages. To date, the VIDEO-PCE intervention represents one of the first rapidly adoptable paradigms with a clinically meaningful increase in GOC documentation, a widely used quality metric that reflects high-quality, patient-centered care delivery.