Increasing the use of advance directives in medical outpatients

Frank J. Landry, Kurt Kroenke, Chris Lucas, Jean Reeder

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

OBJECTIVE: We studied whether a simple educational intervention would increase patient completion of advance directives and discussions on end-of- life issues, DESIGN: Randomized, controlled trial. SETTING: Outpatient clinic of a teaching hospital. SUBJECTS: One hundred eighty-seven outpatients of a primary care internal medicine clinic. INTERVENTION: Study subject attended a 1-hour interactive seminar and received an informational pamphlet and advance directive forms. Control subjects received by mail the pamphlet and forms only. MEASUREMENTS AND MAIn RESULTS: Completion of the advance directive was the main measurement. There were no significant differences in baseline characteristics of either group. Follow-up at 1 month revealed advance directive completion in 38% of study versus 24% of control subjects (p = .04), and discussions on advance planning in 73% of study versus 57% of control subjects (p = .02). Patients most likely to complete the documents were white, married, or attendees at the educational seminar. CONCLUSIONS: Interactive group seminars for medical outpatients increased discussions and use of written advance directives.

Original languageEnglish (US)
Pages (from-to)412-415
Number of pages4
JournalJournal of General Internal Medicine
Volume12
Issue number7
DOIs
StatePublished - 1997
Externally publishedYes

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Advance Directives
Outpatients
Pamphlets
Postal Service
Internal Medicine
Ambulatory Care Facilities
Teaching Hospitals
Primary Health Care
Randomized Controlled Trials

Keywords

  • Advance directives
  • Living wills

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Increasing the use of advance directives in medical outpatients. / Landry, Frank J.; Kroenke, Kurt; Lucas, Chris; Reeder, Jean.

In: Journal of General Internal Medicine, Vol. 12, No. 7, 1997, p. 412-415.

Research output: Contribution to journalArticle

Landry, Frank J. ; Kroenke, Kurt ; Lucas, Chris ; Reeder, Jean. / Increasing the use of advance directives in medical outpatients. In: Journal of General Internal Medicine. 1997 ; Vol. 12, No. 7. pp. 412-415.
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