 |
|
Impact of Advance Directive Videotape on Patient Comprehension and Treatment Preferences
Elisabeth A. Siegert, MD;
Elizabeth C. Clipp, PhD;
Paul Mulhausen, MD;
Gary Kochersberger, MD
Arch Fam Med. 1996;5(4):207-212.
Abstract
| |
Objective
To examine the effects of an advance directive videotape on patient comprehension of advance directive concepts and preferences for resuscitation.
Design
Pilot study, randomized cohort trial.
Setting
Extended Care and Rehabilitation Center, Veterans Affairs Medical Center, Durham, NC.
Participants
Thirty-six residents of the center; mean age, 69 years.
Interventions
Sixteen subjects observed an advance directive videotape, and 20 subjects observed a healthrelated videotape. All subjects received written material and counseling on advance directives.
Measurement
Structured interviews were conducted at three time points relative to the educational program (pretest, posttest, delayed posttest), measuring comprehension of two advance directive concepts (living will and cardiopulmonary resuscitation) and resuscitation preferences based on hypothetical clinical vignettes. Mean comprehension and mean resuscitation preference scores were derived for each time point.
Results
The mean comprehension score improved an average of 1.6 points for all subjects from pretest to delayed posttest (P<.001); however, score changes were not significantly different between the two video groups (P=.39). Mean resuscitation preference scores were stable over time, and there were no significant score differences between the two video groups.
Conclusion
The advance directive videotape did not significantly affect resuscitation preferences or comprehension of selected advance directive concepts.
Author Affiliations
From the Department of Geriatric Research, Education and Clinical Center, Durham (NC) Veterans Affairs Medical Center, and Division of Geriatrics, Department of Medicine, Duke University Medical Center, Durham, NC. Dr Siegert is now with the Division of Geriatrics, Cooper Hospital/University Medical Center, Camden, NJ. Dr Mulhausen is now with the Division of Clinical Epidemiology and Health Services Research, Department of General Internal Medicine, University of Iowa, Iowa City. Dr Kochersberger is now with the Veterans Affairs Medical Center, Canandaigua, NY, and the Department of Medicine, University of Rochester (NY).
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Advance care planning among residents in long-term care
McAuley and Travis
AM J HOSP PALLIAT CARE 2003;20:353-359.
ABSTRACT
The Challenges of Teaching and Learning About Cardiopulmonary Resuscitation in the Nursing Home
Zweig
Arch Fam Med 1996;5:213-214.
ABSTRACT
|
