Effectiveness of a brief advance directive intervention in primary care: a randomized clinical trial
| Autor: | Noemí Moreno-Farrés, Jesús Almeda-Ortega, Rosa Sorando-Alastruey, Lluís Solsona-Díaz, Núria Sanfeliu-Soto, Estrella Rodero-Pérez, Yolanda Rando-Matos, Toni Vives-Argilagós, Raquel Adroer-Martori, José Luis Ballve-Moreno |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Psychological intervention Primary education Primary care law.invention Advance Care Planning 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Completion rate medicine Humans 030212 general & internal medicine Child Primary Health Care business.industry 030503 health policy & services General Medicine Odds ratio Directive Crisis Intervention Physical therapy Brief intervention Advance Directives 0305 other medical science business |
| Zdroj: | Patient Education and Counseling. 104:207-212 |
| ISSN: | 0738-3991 |
| DOI: | 10.1016/j.pec.2020.06.018 |
| Popis: | Objective To measure the effectiveness of a brief intervention aimed at increasing interest in and use of advanced directives (AD) among primary care patients. Methods Randomized controlled trial. In the intervention arm, patients were given brief oral information and a leaflet on AD by General Practitioners (GPs), in the control group were briefly informed about the study’s purpose. Outcome variables were the proportion of patients who expressed interest in AD and those who completed one. Covariates were sex, age, education, race, Charlson comorbidity index (CCI), religion, and possession of financial will. Results Overall, 332 patients were recruited; 58 in the intervention and 36 in the control group expressed interest in AD (p = 0.033) and 18 (5.4 %) made an AD (nine in each group). Variables associated with interest were Caucasian race (odds ratio [OR], 1.88), the intervention (OR, 1.86), and CCI extreme scores (OR, 0.36). Variables associated with AD completion were primary education/no schooling (OR, 5.69) and fewer children (OR, 0.57). Conclusions A brief oral and written intervention delivered by GP significantly increased interest in AD and achieved a completion rate of 5.4 %, without differences with the control group. Practice Implications AD interventions should focus on individuals already likely to be motivated. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect