Are demographic characteristics associated with advance directive completion? : a secondary analysis of two randomized trials

Article indépendant

HART, Joanna L. | GABLER, Nicole B. | COONEY, Elizabeth | BAYES, Brian | YADAV, Kuldeep N. | BRYCE, Cindy | HALPERN, Scott D.

Introduction: Preferences for future medical treatments may be documented in a legal document known as an advance directive (AD). Despite national efforts to promote AD completion,1 men, blacks, and those with less education less frequently complete ADs.2,3 However, it remains unclear whether such groups differ in their willingness to complete ADs or have different opportunities to do so. The latter would suggest disparities in access to advance care planning. We sought to elucidate this key distinction by assessing associations between demographic characteristics and AD completion within two randomized controlled trials (RCTs) that presented uniform opportunities to participants who may be targeted for AD completion. Methods and findings: We performed secondary analyses of data from two RCTs (NCT02289105 and NCT02017548). RCT 1 compared three ADs that differed in how information was presented to 484 people with serious illnesses enrolled from 30 clinics within two Pennsylvania health...

http://dx.doi.org/10.1007/s11606-017-4223-7

Voir la revue «Journal of general internal medicine, 33»

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