Design and development of a new pictorial tool to facilitate communication around advance care planning.

Autor:	Baylina Melé M; Convalescent Care Geriatric Unit, Centre Assistencial Prytanis, Sant Boi de Llobregat (Barcelona), Spain.; Research Unit, Fundación Caredoctors, Barcelona, Spain.; School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat del Valles (Barcelona), Spain., Villavicencio-Chávez C; Research Unit, Fundación Caredoctors, Barcelona, Spain.; School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Sant Cugat del Valles (Barcelona), Spain., Garzón Rodríguez C; Research Unit, Fundación Caredoctors, Barcelona, Spain.; Department of Internal Medicine, Hospital San Juan de Dios, Seville, Spain., Edo-Gual M; Escoles Universitàries Gimbernat, Universitat Autònoma de Barcelona, Sant Cugat del Vallès (Barcelona), Spain., Crespo I; Department of Basic Sciences, School of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.
Jazyk:	angličtina
Zdroj:	Age and ageing [Age Ageing] 2024 Jul 02; Vol. 53 (7).
DOI:	10.1093/ageing/afae148
Abstrakt:	Background: Advance care planning (ACP) aims to ensure that people with chronic or advanced disease receive medical care that is consistent with their values and preferences. However, professionals may find it challenging to engage these patients in conversations about the end of life. We sought to develop a pictorial tool to facilitate communication around ACP. Methods: This was a three-phase study. In phase 1, we used the nominal group and Delphi techniques to achieve expert consensus regarding the conceptual content of the tool. In phase 2, a professional cartoonist was commissioned to create a series of cartoons representing each of the content areas resulting from the Delphi process. The pictorial tool was then administered (phase 3) with a sample of individuals with advanced/chronic disease to explore whether the cartoons were easy to understand and conveyed the intended message. Results: Following a three-round Delphi process, consensus was reached regarding a set of 12 key content areas that should be considered in the context of an ACP interview. The cartoons created to represent each of the 12 areas were then reviewed and ordered so as to reflect the typical stages of an end-of-life care interview. After administering the pictorial tool with 24 frail older adults with advanced/chronic disease, changes were made to 9 of the 12 cartoons. Conclusions: The new pictorial tool comprises a set of 12 cartoons that can guide professionals as they seek to engage frail older adults with advanced/chronic disease in conversations about the end of life and ACP. (© The Author(s) 2024. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu