2007
DOI: 10.1001/archinte.167.8.828
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Using Video Images of Dementia in Advance Care Planning

Abstract: Background: Advance care planning is a process by which patients plan for future medical care under circumstances of impaired decision-making. Central to this process is the patient's understanding and ability to imagine future health states. Methods: A before and after oral survey was used to compare the effect of a video depiction with that of a verbal description of a patient with advanced dementia for individuals selecting level of medical care at 7 primary care clinics at 2 US medical centers. The study e… Show more

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Cited by 110 publications
(89 citation statements)
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References 26 publications
(10 reference statements)
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“…A recent study showed that while 20% of participants said that they desired lifeprolonging treatment if they had advanced Alzheimer's disease, after seeing a video of a patient and family's struggles, not one desired life-prolonging treatment. 61 Thus, the powerful impact of narratives might call for giving patients a time gap or debriefing between experiencing them and making their decisions.…”
Section: Problems Envisioning Future States Cognitive Distortions In mentioning
confidence: 99%
“…A recent study showed that while 20% of participants said that they desired lifeprolonging treatment if they had advanced Alzheimer's disease, after seeing a video of a patient and family's struggles, not one desired life-prolonging treatment. 61 Thus, the powerful impact of narratives might call for giving patients a time gap or debriefing between experiencing them and making their decisions.…”
Section: Problems Envisioning Future States Cognitive Distortions In mentioning
confidence: 99%
“…19 Video images have been shown to improve the communication of health information and the description of health states. [20][21][22][23][24] What This Study Adds…”
Section: What Is Already Known?mentioning
confidence: 83%
“…The questionnaire was adapted from prior studies. [11][12][13][14][15] The baseline assessment included age, sex, self-reported race and ethnicity, religion and intensity of religious practice, educational status, and marital status. Surrogates provided this information for themselves and for the patient and indicated whether the patient had engaged in prior conversations about goals of therapy and/or had completed any advance directives (either identified a health care proxy and/or drafted a living will).…”
Section: Methodsmentioning
confidence: 99%
“…1B). [11][12][13][14][15] Overall scores ranged from 0 to 4, with higher scores representing more knowledge of the choices of medical care. Surrogates in the post-intervention arm of our study viewed the CPR video decision support tool before answering the knowledge questions.…”
Section: Methodsmentioning
confidence: 99%
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