Afficher la couverture 'A communication intervention to improve prognostic understanding and engagement in advance care planning among diverse advanced cancer patient-caregiver dyads : a pilot study | SHEN, Megan J.' en grand format
/5

0 avis

A communication intervention to improve prognostic understanding and engagement in advance care planning among diverse advanced cancer patient-caregiver dyads : a pilot study

Article indépendant

SHEN, Megan J. | PRIGERSON, Holly G. | MACIEJEWSKI, Paul K. | DALY, Bobby | ADELMAN, Ronald | MCCONNELL TREVINO, Kelly M.

OBJECTIVES: Accurate prognostic understanding among patients with advanced cancer and their caregivers is associated with greater engagement in advance care planning (ACP) and receipt of goal-concordant care. Poor prognostic understanding is more prevalent among racial and ethnic minority patients. The purpose of this study was to examine the feasibility, acceptability, and impact of a patient-caregiver communication-based intervention to improve prognostic understanding, engagement in ACP, and completion of advance directives among a racially and ethnically diverse, urban sample of patients and their caregivers. METHODS: Patients with advanced cancer and their caregivers (n = 22 dyads) completed assessments of prognostic understanding, engagement in ACP, and completion of advance directives at baseline and post-intervention, Talking About Cancer (TAC). TAC is a 7-session intervention delivered remotely by licensed social workers that includes distress management and communication skills, review of prognosis, and information on ACP. RESULTS: TAC met a priori benchmarks for feasibility, acceptability, and fidelity. Prognostic understanding and engagement in ACP did not change over time. However, patients showed increases in completion of advance directives. SIGNIFICANCE OF RESULTS: TAC was feasible, acceptable, and delivered with high fidelity. Involvement of caregivers in TAC may provide added layers of support to patients facing advanced cancer diagnoses, especially among racial and ethnic minorities. Trends indicated greater completion of advance directives but not in prognostic understanding or engagement in ACP. Future research is needed to optimize the intervention to improve acceptability, tailor to diverse patient populations, and examine the efficacy of TAC in a randomized controlled trial.

http://dx.doi.org/10.1017/S1478951523000901

Voir la revue «Palliative & Supportive Care»

Autres numéros de la revue «Palliative & Supportive Care»

Consulter en ligne

Suggestions

Du même auteur

A communication intervention to improve progn...

Article indépendant | SHEN, Megan J. | Palliative & Supportive Care

OBJECTIVES: Accurate prognostic understanding among patients with advanced cancer and their caregivers is associated with greater engagement in advance care planning (ACP) and receipt of goal-concordant care. Poor prognostic under...

Planning for your advance care needs (PLAN) :...

Article indépendant | SHEN, Megan J. | Cancers | n°14 | vol.15

BACKGROUND: The goal of this study was to develop and optimize an intervention designed to address barriers to engagement in advance care planning (ACP) among Latino patients with advanced cancer. The resulting intervention, title...

Development and refinement of a novel end-of-...

Article indépendant | WALSH, Casey A. | Supportive care in cancer | n°12 | vol.31

Purpose: Despite known benefits of planning for end-of-life, no digital tool exists to help patients with advanced cancer and their loved ones plan for death comprehensively. To address this unmet need, we developed a preliminary ...

De la même série

SAHD-10 : development and initial validation ...

Article indépendant | KREMEIKE, Kerstin | Palliative & Supportive Care | vol.23

OBJECTIVES: Wishes to hasten death (WTHDs) are common in patients with serious illness. The Schedule of Attitudes Toward Hastened Death (SAHD) is a validated 20-item instrument for measuring WTHD. Two short versions have also been...

Communicating about the end of life : the pat...

Article indépendant | D'ANDRIA URSOLEO, Jacopo | Palliative & Supportive Care | vol.23

Patients with cancer are surviving longer, and therefore have more time both living as well as for end-of-life (EOL) planning (Bergenholtz et al. Reference Bergenholtz, Missel and Timm2020). Major concerns for dying patients relat...

Upper arm movements in the last days of life ...

Article indépendant | JULIAO, Miguel | Palliative & Supportive Care | vol.23

One of the most crucial stages of palliative care is the last days and hours of life, which require special attention and knowledgeable identification of clinical signs described as signs of impending death (SID). Our case series ...

Patients with advanced cancer in Uganda : gen...

Article indépendant | KULIKOWSKI, Julia D. | Palliative & Supportive Care | vol.23

OBJECTIVES: Cancer is associated with physical, social, spiritual, and psychological changes in patients and their caregivers. However, in sub-Saharan Africa, there is lack of evidence on the impact of gender, social norms, and re...

Family and carer experiences of advanced care...

Article indépendant | WHITEFORD, Gail | Palliative & Supportive Care | vol.23

OBJECTIVES: Despite practice development in the area of advanced care planning (ACP) and systems wide changes implemented to support ACP processes, there has been a paucity of research which has addressed the experiences of a key ...

Chargement des enrichissements...