Authors
Rebecca L Sudore, Adam D Schickedanz, C Seth Landefeld, Brie A Williams, Karla Lindquist, Steven Z Pantilat, Dean Schillinger
Publication date
2008/6
Journal
Journal of the American Geriatrics Society
Volume
56
Issue
6
Pages
1006-1013
Publisher
Blackwell Publishing Inc
Description
OBJECTIVES: To assess engagement in multiple steps of the advance care planning (ACP) process 6 months after exposure to an advance directive. In this study, ACP is conceptualized similarly to the behavior change model.
DESIGN: Descriptive study.
SETTINGS: County general medicine clinic in San Francisco.
PARTICIPANTS: One hundred seventy‐three English or Spanish speakers, aged 50 and older (mean 61) given a standard (12th‐grade reading level) and an easy‐to‐read (5th‐grade reading level) advance directive.
MEASUREMENTS: Six months after exposure to two advance directives, self‐reported ACP contemplation; discussions with family, friends discussions with clinicians; and documentation were measured. Associations were examined between ACP steps and between subject characteristics ACP engagement.
RESULTS: Most participants (73%) were nonwhite and 31% had less than a …
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