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Association of an Advance Care Planning Video and Communication Intervention With Documentation of Advance Care Planning Among Older Adults

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Key Points Question Can an advance care planning (ACP) video and communication intervention promote ACP for elderly patients during the ongoing COVID-19 pandemic? Findings This pre-post, open-cohort nonrandomized controlled trial… Click to show full abstract

Key Points Question Can an advance care planning (ACP) video and communication intervention promote ACP for elderly patients during the ongoing COVID-19 pandemic? Findings This pre-post, open-cohort nonrandomized controlled trial compared ACP documentation during three 6-month periods: pre–COVID-19 (14 107 patients), COVID-19 wave 1 (12 806 patients), and an intervention period (15 106 patients). The ACP documentation rates were 17.9% in the pre–COVID-19 period, 12.5% in the COVID-19 wave 1 period, and 23.7% in the intervention period; ACP rates during the intervention period were highest compared with the 2 other periods. Meaning The use of an ACP video and communication intervention may promote ACP for elderly adults during the evolving COVID-19 pandemic.

Keywords: intervention; care planning; video communication; advance care

Journal Title: JAMA Network Open
Year Published: 2022

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