Fidelity and Feasibility of a Brief Emergency Department Intervention to Empower Adults With Serious Illness to Initiate Advance Care Planning Conversations.

ABSTRACT:

Context

Emergency department (ED) visits provide opportunities to empower patients to discuss advance care planning with their outpatient clinicians, but systematically developed, feasible interventions do not currently exist. Brief negotiated interview (BNI) interventions, which allow ED clinicians to efficiently motivate patients, have potential to meet this need.

Objectives

We developed a BNI ED intervention to empower older adults with life-limiting illness to formulate and communicate medical care goals to their primary outpatient clinicians. This study assessed the fidelity and feasibility of this intervention in a high-volume ED.

Methods

We enrolled adult patients with serious illnesses (advanced cancer, congestive heart failure, chronic obstructive pulmonary d

SUBMITTER: Leiter RE 

PROVIDER: S-EPMC6289886 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature