FAmily-CEntered (FACE) Advance Care Planning Among African-American and Non-African-American Adults Living With HIV in Washington, DC: A Randomized Controlled Trial to Increase Documentation and Health Equity
| Autor: | Jichuan Wang, Melissa Turner, Yao I. Cheng, Lawrence J. D'Angelo, Rachel K. Scott, Tara E. Weixel, Patricia Tanjutco, Debra Benator, Isabella Greenberg, Leah E. Squires, Maureen E. Lyon |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Advance care planning medicine.medical_specialty Adolescent HIV Infections Context (language use) Documentation Article law.invention Advance Care Planning Young Adult 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Randomized controlled trial law Intervention (counseling) Humans Medicine Longitudinal Studies 030212 general & internal medicine Prospective cohort study General Nursing Aged Aged 80 and over Health Equity business.industry Medical record Middle Aged medicine.disease Health equity Black or African American Anesthesiology and Pain Medicine 030220 oncology & carcinogenesis Family medicine Female Neurology (clinical) Advance Directives business |
| Zdroj: | Journal of Pain and Symptom Management. 57:607-616 |
| ISSN: | 0885-3924 |
| DOI: | 10.1016/j.jpainsymman.2018.11.014 |
| Popis: | CONTEXT. No prospective studies address disease-specific Advance Care Planning (ACP) for adults living with HIV/AIDS. OBJECTIVE. To examine the efficacy of FAmily-CEntered (FACE) ACP in increasing advance care planning and advance directive documentation in the medical record. METHODS. Longitudinal, two-arm, randomized controlled trial with intent-to-treat design recruited from 5 hospital-based outpatient HIV clinics in Washington, DC. Adults living with HIV and their surrogate decision makers (N=233 dyads) were randomized to either an intensive facilitated two-session FACE ACP (Next Steps: Respecting Choices goals of care conversation and Five Wishes advance directive) or Healthy Living Control (conversations about developmental/relationship history and nutrition). RESULTS. Patients (n=223) mean age: 51 years, 56% male, 86% African-American. One hundred ninety-nine dyads participated in the intervention. At baseline, only 13% of patients had an advance directive. Three months post-intervention, this increased to 59% for the FACE ACP group versus 17% in the control group (p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect