Title
Impact of a community health conversation upon advance care planning attitudes and preparation intentions
Publication Date
2020
Journal Title
Gerontol Geriatr Educ
Abstract
© 2020, © 2020 Taylor & Francis Group, LLC. Background: Advance care planning conversations and preparations do not occur as frequently as they should. Framing advance care planning as a health behavior and an opportunity for community engagement can help improve community-dwellers’ intentions to have discussions and preparations regarding facing serious illness, death and dying. Methods: A multi-setting confidential pre/post paper survey assessing advance care planning discussions and preparation intentions was given to community-dwelling citizens residing in the New York metropolitan area. Survey items were adapted from a previous end of life survey to include questions on chronic illnesses, important conversations, comfort levels and concerns about end of life. The intervention was a 1-hour presentation on advance care planning (importance, laws, effective communication and audience questions) Results: Our study found significant interest in discussing advanced care planning across age groups. There were significant changes for participant intentions regarding: having conversations with loved ones, a health care proxy or similar document and none; as well as differences in participant intentions for discussions with caregiver, family, friends, primary physician and no-one. Conclusion: Educating individuals on the importance of advance care planning may be effective in changing community dwellers’ intentions to start the conversation and put advanced care planning measures in place. Abbreviations: ACP: Advance Care Planning; CHAT: Conversations Health and Treatments; EoL: End of Life; HCP: Health Care Proxy; MOLST: Medical Orders for Life-Sustaining Treatments; PCP: Primary Care Physician.
Pages
1-14
Document Type
Article
Status
Faculty
Facility
School of Medicine
Primary Department
General Internal Medicine
Additional Departments
Geriatric and Palliative Medicine; Molecular Medicine; Occupational Medicine, Epidemiology and Prevention; Science Education
PMID
DOI
10.1080/02701960.2020.1739670
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