An Advance Care Planning Video Decision Support Tool for Nursing Home Residents With Advanced Dementia: A Cluster Randomized Clinical Trial.

ABSTRACT:

Importance

Better advance care planning (ACP) can help promote goal-directed care in patients with advanced dementia.

Objectives

To test whether an ACP video (vs usual care) has an effect on documented advance directives, level of care preferences, goals-of-care discussions, and burdensome treatments among nursing home residents with advanced dementia.

Design, setting, and participants

The Educational Video to Improve Nursing home Care in End-stage dementia (EVINCE) trial was a cluster randomized clinical trial conducted between February 2013 and July 2017, at 64 Boston-area nursing homes (32 facilities per arm). A total of 402 residents with advanced dementia and their proxies (intervention arm, n = 212; control arm, n = 190) were assessed quarterly for 12 months.

SUBMITTER: Mitchell SL 

PROVIDER: S-EPMC6033645 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature