Empowering Older Adults to Discuss Advance Care Planning During Clinical Visits: The PREPARE Randomized Trial.

ABSTRACT:

Background/objectives

A patient-directed, online program (PREPARE for Your Care [PREPARE]; prepareforyourcare.org) has been shown to increase advance care planning (ACP) documentation. However, the mechanisms underlying PREPARE are unknown. Our objectives were to compare the efficacy of PREPARE plus an easy-to-read advance directive (AD) vs an AD alone to increase active patient participation in ACP discussions during clinic visits and to examine effects of active patient participation on ACP documentation.

Design

Audio recordings of postintervention primary care visits from two randomized trials (2013-2016).

Setting

Seven primary care clinics at a veterans affair and safety-net hospital in San Francisco, CA.

Participants

English- and Spanish-speaking adults, a

SUBMITTER: Freytag J 

PROVIDER: S-EPMC7787080 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature