Decision Making for Ventricular Assist Device Placement

PCORI-320
PCORI Project is a collaborative effort

This funding award by the Patient-Centered Outcomes Research Institute will enable investigators at Baylor College of Medicine, Houston Methodist, MD Anderson Cancer Center, and UT Houston Health Science Center to develop a decision aid for ventricular assist device placement for patients with heart failure. The project stems from the center's collaborative work with the Houston Methodist Hospital System Biomedical Ethics Program, clinicians in the heart failure service at Houston Methodist Hospital, and the John M. Eisenberg Center for Clinical Decisions and Communication Services.

Under the direction of Jennifer Blumenthal-Barby, Ph.D., the study will focus on creating a patient-centered decision aid that presents outcomes, risks, experiences, and uncertainties about ventricular assist device placement in a clear, comprehensive, scientifically-valid, and unbiased manner to help patients make informed and value-based decisions.

The multi-disciplinary research team, with experts in ethics, decision science, qualitative and quantitative methods, and cardiology and cardiovascular surgery, will be working regularly with patient representatives from Houston Methodist Hospital to ensure that their research is truly reflective of patient needs and perspectives.

Supported by: Patient-Centered Outcomes Research Institute

Project Personnel

Principal Investigator

Jennifer Blumenthal-Barby, Ph.D., Principal Investigator

Co-Investigators

Courtenay Bruce, J.D., M.A., Co- Investigator
Robert Volk, Ph.D., Co- Investigator
Sheryl McCurdy, Ph.D., Co-Investigator
Jerry Estep, M.D., Co- Investigator

Project Personnel

Matthias Loebe, M.D., Ph.D., Significant Contributor
Brian Bruckner, M.D., Significant Contributor

Center Project Personnel

Kristin Kostick, Ph.D., Research Associate
Estevan Delgado, Sr. Project Coordinator
Lidija Wilhelms, Project Coordinator III

Publications

Bruce CR, Delgado E, Kostick K, Grogan S, Ashrith G, Trachtenberg B, Estep JD, Bhimaraj A, Pham L, Blumenthal-Barby JS. Ventricular Assist Devices: A Review of Psychosocial Risk Factors and Their Impact on Outcomes. J Card Fail, 20(12), 2014:996-1003.

Blumenthal-Barby JS, Kostick KM, Delgado ED, Volk RJ, Kaplan HM, Wilhelms L, McCurdy S, Estep JL, Loebe M, Bruce CR. Assessment of Patients' and Caregivers' Informational and Decisional Needs for Left Ventricular Assist Device Placement: Implications for Informed ConsentJ Heart Lung Transplant, 34(9), 2015:1182-1189.

Bruce CR, Kostick KM, Delgado ED, Wilhelms LA, Volk RJ, Smith ML, McCurdy SA, Loebe M, Estep JD, Blumenthal-Barby JS. Reasons Why Eligible Candidates Decline Left Ventricular Assist Device PlacementJ Card Fail, 21(10), 2015:835-839.

Kostick KM, Blumenthal-Barby JS, Wilhelms LA, Delgado ED, Bruce CR. Content Analysis of Social Media Related to Left Ventricular Assist DevicesCirc Cardiovasc Qual Outcomes, 8(5), 2015:517-523.

Kostick KM, Blumenthal-Barby J. A Failing Heart and the Downside of Life-Prolonging TechnologyHealth Affairs, 34(8), 2015:1418-1422.

Kostick KM, & Blumenthal-Barby J. Left Ventricular Assist Devices: The Authors ReplyHealth Affairs, 34(10), 2015:1799.

Kostick KM, Blumenthal-Barby, J. A Team to Inform Patients’ Decisions: The Authors ReplyHealth Aff (Millwood)34(11), 2015:2003.

Grogan S, Kostick K, Delgado E, Bruce CR. Ventricular Assist Devices as Destination Therapy: Psychosocial and Ethical ImplicationsMethodist DeBakey Cardiovasc J, 11(1), 2015:9-11.

Kostick K, Delgado ED, Wilhelms LA, Bruce CR, Estep JD, Loebe M, Minard C, Blumenthal-Barby JS. Development and Pilot-Testing of a Patient Decision Aid for Left Ventricular Assist Device PlacementThe VAD Journal, 2(1), 2016:1.

Bruce CR, Blumenthal-Barby JS,  Meyers D. Benefits and challenges of early introduction of left ventricular assist device placement: a patient-centered perspectiveJ Am Coll Cardiol, 66(16), 2015:1762-1765.

Kostick KM, Minard CG, Wilhelms LA, Delgado, E, Abraham, M, Bruce, CR, Estep JD, Loebe M, Volk RJ, Blumenthal-Barby JS. Development and Validation of a Patient-Centered Knowledge Scale for left ventricular assist device placementJ Heart Lung Transplantation, 2016 [Epub ahead of print]

Presentations

Blumenthal-Barby JS, Bruce CR, White D. Testing and Development of Decision Aids. The American Society for Bioethics and Humanities Annual Meeting, San Diego, CA. October 2014.

Grogan S, Bruce CR, Blumenthal-Barby JS, Delgado E. Conducting a Systematic Review of Psychosocial Risk Factors and Their Impact on VAD-Related Outcomes. World Transplant Congress, San Francisco, CA. July 2014.

Kostick K, Minard C, Delgado E, Wilhelms LA, Bruce CR, Estep JD, Loebe M, Volk R, Blumenthal-Barby JS. Development and Validation of Patient-Centered Knowledge Scale for LVAD Placement. ISHLT, Nice, France, April 2015 / International Shared Decision Making, Sydney Australia. July 2015.

Blumenthal-Barby JS, Kostick K, Delgado E, Volk R, Kaplan H, Wilhelms LA, McCurdy S, Estep JD, Loebe M, Bruce CR. Assessment of Patients’ and Caregivers’ Informational and Decisional Needs for Left Ventricular Assist Device Placement: Implications for Informed Consent and Shared Decision Making. ISHLT, Nice, France, April 2015 / Baylor College of Medicine Cardiovascular Research Institute, Houston, TX. February, 2015 / American Thoracic Society, Denver, Colorado, May 2015 / International Shared Decision Making, Sydney Australia. July, 2015.

Bruce CR, Kostick K, Delgado E, Wilhelms LA, Volk R, Smith ML, McCurdy S, Loebe M, Estep JD, Blumenthal-Barby JS. Reasons Why Eligible Candidates Decline Left Ventricular Assist Device Placement. Baylor College of Medicine Cardiovascular Research Institute, Houston, TX. February, 2015 / International Shared Decision Making Conference, Sydney, Australia, July 2015.

Kostick K, Delgado E, Wilhelms LA, Bruce CR, Estep JD, Loebe M, Minard C, Blumenthal-Barby JS. Development and Pilot-Testing of a Patient Decision Aid for Left Ventricular Assist Device Placement. International Shared Decision Making, Sydney Australia. July 2015. 

Wilhelms LA, Blumenthal-Barby JS, Delgado E, Kostick K, Estep JD, Bruce CR. Destination Therapy by Choice?: Patients' Perspectives on Why Ventricular Assist Device Therapy May Be Preferable to Cardiac Transplantation. International Shared Decision Making, Sydney, Australia, July 2015. 

Bruce C, Volk RJ, Blumenthal-Barby JS. Reconceptualizing Shared Decision Making for Heart Failure, International Shared Decision Making, Sydney, Australia, July 2015. 

Kostick K, Bruce CR, Wilhelms LA, Delgado E, Blumenthal-Barby JS. A Content Analysis of Social Media Related to Left Ventricular Assist Devices. International Shared Decision Making, Sydney, Australia, July 2015. 

Delgado E, Kostick K, Wilhelms LA, Volk R, Blumenthal-Barby JS. The Use of Patient Narratives in a Decision Aid for Left Ventricular Assist Device Placement for Heart Failure: An Application of Pre-Existing Guidelines. Society for Medical Decision Making, St. Louis, MO. October 2015.

Blumenthal-Barby JS, Estep JD, Kostick K (sub: Delgado E).  Narrative Expressions of End Stage Heart Failure Patients’ Journeys of Suffering & Healing. American Society for Bioethics and Humanities Annual Meeting, Houston, TX. October 2015.

Blumenthal-Barby JS. The Virtues of Unfilled Desire. American Philosophical Association, Central Division Meeting Main Program, Chicago, IL. March 2016.