Patient-Centered Approach to Advance Care Planning. Inclusive Dates: 08/01/03 - 08/31/08.

摘要

The Patient-Centered Advance Care Planning (PC-ACP) intervention was conducted with the patient in the presence of surrogate. The specific aims were (1) To test the efficacy of PC-ACP on patient and surrogate outcomes immediately following receipt of the intervention and (2) To test the efficacy of PC-ACP on patient and surrogate outcomes during end-of-life care. A randomized trial was conducted with 313 patients and surrogates experiencing life-limiting illnesses of end-stage renal disease or end-stage heart failure. Patients and their surrogates were randomized to PC-ACP or control. Both groups received “usual care” for advance directives. Subjects (patients and their surrogates) completed measures of clinical and demographic data when they entered the study. Patient preferences for care with differing potential outcomes were elicited. Patients were then followed until the end of the study and distal outcomes were collected at the patient’s death for those who died (n=110 patients).