Using a Video Game Intervention to Increase Hospitalists' Advance Care Planning Conversations with Older Adults: a Stepped Wedge Randomized Clinical Trial.

ABSTRACT:

Background

Guidelines recommend Advance Care Planning (ACP) for seriously ill older adults to increase the patient-centeredness of end-of-life care. Few interventions target the inpatient setting.

Objective

To test the effect of a novel physician-directed intervention on ACP conversations in the inpatient setting.

Design

Stepped wedge cluster-randomized design with five 1-month steps (October 2020-February 2021), and 3-month extensions at each end.

Setting

A total of 35/125 hospitals staffed by a nationwide physician practice with an existing quality improvement initiative to increase ACP (enhanced usual care).

Participants

Physicians employed for ≥ 6 months at these hospitals; patients aged ≥ 65 years they treated between July 2020-May 2021.

Interven

SUBMITTER: Mohan D 

PROVIDER: S-EPMC10651818 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature