Action plans increase advance care planning documentation and engagement among English and Spanish-speaking older adults.

ABSTRACT:

Background

Advance care planning (ACP) has been reconceptualized as a health behavior. Action plans (APs), or patient-directed mini contracts, improve behavior change. However, no prior studies have assessed whether APs can increase ACP documentation and engagement.

Methods

We included English and Spanish-speaking primary care patients from San Francisco, ≥55 years of age, with ≥2 serious or chronic illnesses. Participants were in the intervention arm of the PREPAREforYOURcare.org trial and asked at baseline to choose 1 of 5 actions (e.g., choose a surrogate). At 6 months, we assessed whether participants completed their AP and if completion was associated with demographics, electronic health record (EHR) ACP documentation, and five-point ACP Engagement Survey scores. We use

SUBMITTER: Ferguson CM 

PROVIDER: S-EPMC11637950 | biostudies-literature | 2024 Dec

REPOSITORIES: biostudies-literature