Clinical trial Recruiting at 1 site Observational Ages 18 and up

How risk influences care decisions for adults with disorders of consciousness

Official title: What is the Perceived Role of Risk in the Healthcare Received by People in Disorders of Consciousness (DOC)?

Run by University of Nottingham · NCT06647433 · Data updated 2026-11-12

This project sees how families, clinicians, and caregivers think about and manage risk when making care decisions for adults with disorders of consciousness.

More Disorders of Consciousness trials

Quick facts

Study typeObservational
Ages18 Years and up
SexAll
Enrollment40 (estimated)
SponsorUniversity of Nottingham
Academic / other
Locations2 sites (London, London and 1 other locations)
StatusRecruiting
StartedMay 1, 2025
Main results expectedJanuary 2027
Study endsJanuary 2027
Registry record updatedJuly 10, 2025
Trial IDNCT06647433 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with a confirmed disorder of consciousness who have an available family member able to act as a consultee, along with family members and healthcare workers involved in decision making, are the intended participants.

Probably not a fit

People without a confirmed DOC diagnosis, those appearing to be emerging from DOC, clinically unstable patients approaching end of life, and minors are unlikely to benefit from or be eligible for participation.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This critical ethnography follows adults with a confirmed disorder of consciousness, their family consultees, and healthcare teams over time to document decision-making about risk. Researchers use a prospective longitudinal case study design with direct observation, field interviews, and video reflexive ethnography to capture real-world interactions and reflections. Data collection is conducted at the Royal Hospital for Neurodisability and the University of Nottingham and focuses on decisions made on behalf of patients. Qualitative analysis will identify themes and patterns in how risk is perceived and acted upon in DOC care.

Why it matters

Potential benefit: If successful, the findings could help families and clinicians make clearer, safer, and more person-centered decisions for adults with disorders of consciousness.

How similar studies have gone: Ethnographic and qualitative methods have successfully clarified decision-making in other clinical areas, but applying video reflexive ethnography to risk decisions in DOC is relatively novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* People in a DOC:
* Working diagnosis of being in a DOC.
* Have an appropriate family member able to act as a consultee.
* Over 18 years of age.

Family members and healthcare workers:

* conversational English.
* able to give consent.
* over 18 years of age.
* Involved in decision making on behalf of a person in a DOC

Exclusion Criteria:

Person in a Disorder of Consciousness

* Not in a DOC, diagnosis uncertain, or appears to be emerging.
* Clinically unstable or approaching the end of their life.

Where it's running

  • Royal Hospital for Neurodisability
    London, London, United Kingdom
    Recruiting
  • University of Nottingham
    Nottingham, United Kingdom
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.