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TUESDAY, Nov. 13, 2018 (HealthDay News) — The patient-facing PREPARE advance care planning program plus an easy-to-read advance directive significantly increases documentation of advance care planning and patient-reported engagement, according to a study published online Oct. 29 in JAMA Internal Medicine<\/i>.<\/p>\n
Rebecca L. Sudore, M.D., from the University of California in San Francisco, and colleagues compared the efficacy of PREPARE For Your Care (a patient-directed, online advance care planning program) plus an easy-to-read advance directive versus an advance directive alone to increase advance care planning documentation and patient-reported engagement among 986 patients of four safety-net, primary care clinics. Patients were randomly assigned to one of the two groups.<\/p>\n
The researchers found that of the participants (603 women and 383 men; mean age, 63.3 years), 39.7 percent had limited health literacy and 45.1 percent were Spanish-speaking. PREPARE resulted in a higher adjusted rate of advance care planning documentation (43 versus 32 percent) and higher self-reported increased advance care planning engagement scores (98.1 versus 89.5 percent) compared with the advance directive alone. Results were significant for both English speakers and Spanish speakers.<\/p>\n
“These tools may mitigate literacy and language barriers to advance care planning, allow patients to begin planning on their own, and could substantially improve the process for diverse English-speaking and Spanish-speaking populations,” the authors write.<\/p>\n
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