Feasibility and Effectiveness of Virtual Group Advance Care Planning Visits During the COVID-19 Pandemic.
Am J Hosp Palliat Care
; : 10499091241233687, 2024 Jun 19.
Article
em En
| MEDLINE
| ID: mdl-38896819
ABSTRACT
BACKGROUND:
The COVID-19 pandemic necessitated the transition from in person to virtual advance care planning (ACP) engagement efforts. This pilot initiative evaluated virtual group visits (GVs) and in-person GVs for ACP to determine their feasibility and effectiveness.METHODS:
Participants included patients in a Geriatric Medicine clinic who were referred by their primary care physician to an ACP GVs intervention. The ACP GVs had 2 sessions, led by clinicians with ACP expertise who facilitated a discussion on patients' values, goals, and preferences. Participants were provided with technical assistance to support use of the virtual platform. Evaluation included an ACP readiness survey, post-session feedback, GV observations, and electronic health record review at baseline and a 6 month follow-up for goals of care documentation and advance directives.RESULTS:
Seventy patients attended 46 ACP GVs from August 2019 to February 2022, including 16 in-person GVs and 54 virtual GVs. At a 6 month follow-up, for virtual GVs participants (n = 54), goals of care documentation increased from 31% to 93%, and advance directives increased from 22% to 30%. For in-person GVs participants (n = 16), goals of care documentation increased from 25% to 100%, and advance directives increased from 69% to 75%. All surveyed patients in both formats would recommend ACP GVs.CONCLUSION:
ACP GVs are feasible and effective for supporting ACP, demonstrating an increase in both goals of care conversations and advance directives completion.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Am J Hosp Palliat Care
Ano de publicação:
2024
Tipo de documento:
Article