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TUESDAY, Oct. 23, 2018 (HealthDay News) — Family-centered pediatric advance care planning (FACE pACP) is associated with a lower likelihood of symptoms and suffering for adolescents with HIV, according to a study published online Oct. 19 in Pediatrics<\/i>.<\/p>\n
Maureen E. Lyon, Ph.D., from Children’s National in Washington, D.C., and colleagues randomly assigned 105 adolescent-family dyads to three weekly sessions of either FACE pACP (including pediatric advance care planning survey, Respecting Choices interview, and 5 Wishes directive) or a control arm (including developmental history, safety tips, and nutrition and exercise tips). Patients were a mean age of 17.8 years; 54 percent were male and 93 percent were African-American.<\/p>\n
The researchers identified two latent HIV symptom classes at 12 months: higher symptoms and suffering (27 percent) and lower symptoms and suffering (73 percent). A positive effect was seen between FACE pACP and dyadic treatment congruence, and higher treatment congruence had a negative effect on symptoms and suffering. Symptoms and suffering were predicted by higher religiousness.<\/p>\n
“Our results underscore the potential to improve patients’ quality of life by offering pediatric advance care planning in HIV clinics based at pediatric hospitals,” Lyon said in a statement.<\/p>\n
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