Knowledge, attitudes, and preferences of healthy young adults regarding advance care planning: a focus group study of university students in Pittsburgh, USA

Kavalieratos, Dio; Ernecoff, Natalie C.; Keim‐Malpass, Jessica; Degenholtz, Howard B.

doi:10.1186/s12889-015-1575-y

Cited by 42 publications

(51 citation statements)

References 29 publications

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“…Focus groups of undergraduate students aged 18 to 30 years found lack of information to be a major barrier to ACP discussions, with age being a moderating factor. 18 That study found that the possibility of incapacitation in the near future was difficult to consider, and therefore a barrier to advance directive completion.…”

Section: Discussionmentioning

confidence: 99%

Teaching Medical Students About “The Conversation”: An Interactive Value-Based Advance Care Planning Session

Lum

Dukes

Church

et al. 2017

Am J Hosp Palliat Care

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Background Advance care planning (ACP) promotes care consistent with patient wishes. Medical education should teach how to initiate value-based ACP conversations. Objective To develop and evaluate an ACP educational session to teach medical students a value-based ACP process and to encourage students to take personal ACP action steps. Design Groups of third-year medical students participated in a 75-minute session using personal reflection and discussion framed by The Conversation Starter Kit. The Conversation Project is a free resource designed to help individuals and families express their wishes for end-of-life care. Setting and Participants One hundred twenty-seven US third-year medical students participated in the session. Measurements Student evaluations immediately after the session and 1 month later via electronic survey. Results More than 90% of students positively evaluated the educational value of the session, including rating highly the opportunities to reflect on their own ACP and to use The Conversation Starter Kit. Many students (65%) reported prior ACP conversations. After the session, 73% reported plans to discuss ACP, 91% had thought about preferences for future medical care, and 39% had chosen a medical decision maker. Only a minority had completed an advance directive (14%) or talked with their health-care provider (1%). One month later, there was no evidence that the session increased students’ actions regarding these same ACP action steps. Conclusion A value-based ACP educational session using The Conversation Starter Kit successfully engaged medical students in learning about ACP conversations, both professionally and personally. This session may help students initiate conversations for themselves and their patients.

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Section: Discussionmentioning

confidence: 99%

Teaching Medical Students About “The Conversation”: An Interactive Value-Based Advance Care Planning Session

Lum

Dukes

Church

et al. 2017

Am J Hosp Palliat Care

View full text Add to dashboard Cite

show abstract

“…67 Early engagement means that people can be better prepared for making decisions when they are ill, as well as ensuring that their wishes are known by staff and relatives who might have to make decisions on their behalf. Some key messages come through from the existing research:…”

Section: Palliative Care Campaigns S-31mentioning

confidence: 99%

“…One study looks at university students in the United States and recommends that an important aspect of public health is providing reliable information about advance care planning to all young people. 67 Involve the community and build coalitions. There are examples of how communities can be empowered to engage at a deep level with advance care planning and to develop plans to raise awareness in their own networks and localities.…”

Section: Palliative Care Campaigns S-31mentioning

confidence: 99%

The Impact of Public Health Awareness Campaigns on the Awareness and Quality of Palliative Care

Seymour

2018

Journal of Palliative Medicine

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Objective: The right to health includes a right of access to good quality palliative care, but inequalities persist. Raising awareness is a key plank of the public health approach to palliative care, but involves consideration of subjects most of us prefer not to address. This review addresses the question: ''do public health awareness campaigns effectively improve the awareness and quality of palliative care''? Background: The evidence shows that public awareness campaigns can improve awareness of palliative care and probably improve quality of care, but there is a lack of evidence about the latter. Methods: Rapid review and synthesis. Results: A comprehensive public awareness campaign about palliative care (including advance care planning and end-of-life decision making) should be based on clear and shared terminology, use well piloted materials, and the full range of mass media to suit different ages, cultures, and religious/spiritual perspectives. Arts and humanities have a role to play in allowing individuals and communities to express experiences of illness, death, and grief and encourage conversation and thoughtful reflection. There is evidence about key factors for success: targeting, networking, and use of specific, measurable, achievable, realistic time-bound objectives; continuous evaluation; and complementarity to national and international policy. Discussion: Campaigns should be located within the framework of public health promotion and the synergy between short national mass media campaigns and longer term local community action initiatives carefully considered. National and local projects to raise awareness should identify and address any barriers at the level of individuals, communities, and systems of care, for example, literacy skills and unequal access to resources.

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“…Most of the health promotion strategies target people with chronic diseases or elderly and thus leave a gap in what concerns the health of young people (Kavalieratos et al, 2015). The working capacity of an individual depends on the duration and the intensity of the effort that he must carry on.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic Education and Health Promotion in Individuals with Neuropsychological Overload Syndrome

Georgescu¹,

Tudor²,

Iconaru³

et al. 2017

The European Proceedings of Social and Behavioural Sciences

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The supervision of health status is commonly associated with physiopatological aspects of various diseases, but also with identifying the possibilities of correcting the imbalances discovered. Increasingly nowadays, we are faced with trends and challenges for early detection or anticipation of pathological markers and for establishing how reliable are the clinical and therapeutic methods applied for a specific pathology. In this respect, the intensity of body's response to different measures should be accordingly quantified using the most accurate and efficient assessments. This study aims to determine the level of impact and the intensity of the body's response to physical or mental overload, alongside with identifying the context with increased risks for this imbalance and setting the appropriate therapeutic approach. For the research purposes we had monitored 50 student subjects, 25 of them only studying (the witness group) and 25 which were also working with a part-time job program (the experimental group). An assessment system which included testing of attention, monitoring cardiovascular parameters, type of activity and level of job-specific demands, sleep quality, mood and appetite. The analysis of our recorded data highlighted the importance and interdependence between possible causal factors, pathological condition, the evaluation system and the proposed therapeutic measures. Health specialists should offer assistance and guidelines in order to prevent the overload syndrome and to improve the quality of life of people in a multitasking environment. Our proposed protocol can contribute to health promotion and optimization of individuals' recovery process, fastening thus their social and work reintegration.

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Knowledge, attitudes, and preferences of healthy young adults regarding advance care planning: a focus group study of university students in Pittsburgh, USA

Cited by 42 publications

References 29 publications

Teaching Medical Students About “The Conversation”: An Interactive Value-Based Advance Care Planning Session

Teaching Medical Students About “The Conversation”: An Interactive Value-Based Advance Care Planning Session

The Impact of Public Health Awareness Campaigns on the Awareness and Quality of Palliative Care

Therapeutic Education and Health Promotion in Individuals with Neuropsychological Overload Syndrome

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