Document Detail


Interventions to promote the use of advance directives: an overview of systematic reviews.
MedLine Citation:
PMID:  19879090     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To identify, appraise and synthesise the results of systematic reviews of the literature (SRLs) that examines the effectiveness of interventions to increase advance directive (AD) completion rate.
METHODS: Narrative review of the literature-an overview of SRLs focused on interventions to improve patients' AD completion rate.
RESULTS: Seven SRLs were located. A wide range of interventions was identified in order to determine their influence on the AD completion rate.
CONCLUSION: The most effective method of increasing the use of ADs is the combination of informative material and repeated conversations over clinical visits. The use of passive informative material in isolation does not significantly increase AD completion rates. However, when interactive informative interventions are employed, the AD completion rate increases and the majority of the studies identify multiple sessions as the most effective method for direct interaction between patients and health care professionals.
PRACTICE IMPLICATIONS: The progressive ageing of the population and the provision of quality care during the process of ageing and dying, have given rise to the Governments' interest in developing moral autonomy and regulating tools as ADs. In order to put legislation into practice it is necessary to set up successful interventions to expand ADs use.
Authors:
Maria-Isabel Tamayo-Velázquez; Pablo Simón-Lorda; Román Villegas-Portero; Camila Higueras-Callejón; José-Francisco García-Gutiérrez; Flora Martínez-Pecino; Inés-María Barrio-Cantalejo
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-10-29
Journal Detail:
Title:  Patient education and counseling     Volume:  80     ISSN:  1873-5134     ISO Abbreviation:  Patient Educ Couns     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-06-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406280     Medline TA:  Patient Educ Couns     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  10-20     Citation Subset:  N    
Copyright Information:
Copyright 2009 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Andalusian School of Public Health, Granada, Spain. mariai.tamayo.easp@juntadeandalucia.es
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