Increasing the use of advance directives in medical outpatients

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

Research output: Contribution to journalArticle

47 Scopus citations

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 - Jul 30 1997

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Keywords

  • Advance directives
  • Living wills

ASJC Scopus subject areas

  • Internal Medicine

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