Using A Video-Based Advance Care Planning (ACP) Website to Facilitate Group Visits for Diverse Older Adults in Primary Care Is Feasible And Improves ACP Engagement (TH307D)

Zapata, Carly; Wistar, Emily; Horton, Claire; Lum, Hillary D.; Sudore, Rebecca L.

doi:10.1016/j.jpainsymman.2016.12.034

Cited by 2 publications

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“…Future studies should examine a full range of ACP behaviors beyond ADs. In addition, because PREPARE and the easy-to-read AD are likely to be synergistic with other clinician or health system interventions, future studies should examine use of PREPARE in group medical visits(19,20) or clinician prescribing of particular PREPARE steps tailored to patients’ needs and readiness.…”

Section: Discussionmentioning

confidence: 99%

Improving a Full Range of Advance Care Planning Behavior Change and Action Domains: The PREPARE Randomized Trial

Lum

Barnes

Katen

et al. 2018

Journal of Pain and Symptom Management

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Section: Discussionmentioning

confidence: 99%

Improving a Full Range of Advance Care Planning Behavior Change and Action Domains: The PREPARE Randomized Trial

Lum

Barnes

Katen

et al. 2018

Journal of Pain and Symptom Management

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“…al developed and validated a questionnaire grounded in Social Cognitive Theory and the Trans-theoretical Model of Behavior Change that has been utilized as an important outcome measure in several studies and interventional trials. [17][18][19][20][21][22] Although the psychometrics of that questionnaire, called the ACP Engagement Survey, have been well studied, it has not been adapted for use with…”

Section: Introductionmentioning

confidence: 99%

Adaptation and Preliminary Validation of the Advance Care Planning Engagement Survey for Surrogate Decision Makers

Scoy

Day²,

Howard

et al. 2019

Journal of Pain and Symptom Management

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Context.-Although measures exist that assess patient engagement in the advance care planning (ACP) process, there are no validated tools to assess surrogate decision-makers' (SDM) role in ACP. Objectives.-To adapt and begin to validate a patient-oriented questionnaire for use with SDMs of patients with chronic illness Methods.-Questions from the 55-item patient-oriented ACP engagement survey were adapted for SDMs and assessed for face validity. The resultant 47-item questionnaire was administered to 65 SDMs of patient with chronic illness. Responses were assessed and items were flagged for removal based on item redundancy, nonresponses, and ceiling effects. A preliminary exploratory factor analysis was performed, internal consistency assessed, and domains constructed based on findings. Results.-The 47-item questionnaire was administered to 65 participants (mean age 51.8; 81% female; 96% Caucasian). 17 items were removed due to redundancy (r>0.80), 13 items lacking face validity were removed. In preliminary exploratory factor analysis of the resultant 17-item questionnaire, a 3-factor solution was deemed most statistically and conceptually sound. Items were organized into domains: 1) serving as a SDM (7-items); 2) contemplation (4-items); 3) Readiness (6-items). Internal consistency for each domain was high (Cronbach alpha 0.90-0.91).

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Using A Video-Based Advance Care Planning (ACP) Website to Facilitate Group Visits for Diverse Older Adults in Primary Care Is Feasible And Improves ACP Engagement (TH307D)

Abstract: Conclusion. The purely patient-facing, ACP PREPARE website plus an easy-to-read advance directive compared to a directive alone increased ACP documentation and engagement among diverse older adults.

Cited by 2 publications

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Improving a Full Range of Advance Care Planning Behavior Change and Action Domains: The PREPARE Randomized Trial

Improving a Full Range of Advance Care Planning Behavior Change and Action Domains: The PREPARE Randomized Trial

Adaptation and Preliminary Validation of the Advance Care Planning Engagement Survey for Surrogate Decision Makers

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