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Advance Care Planning and Advance Directives: A Multimedia Education Program in Community-Dwelling Older Adults
Chiu-Hsiang Chiu Wu, Shoa-Jen Perng, Chun-Kuan Shi, Hui-Ling Lai. Journal of applied gerontology : the official journal of the Southern Gerontological Society, 2019-02-22
Topic: Health services, long-term care and technology
This community-based cluster randomized trial evaluated the efficacy of a 4-week multimedia educational intervention followed by telephone consultations at Weeks 12 and 24 on the selection of a hospice program for end-of-life care and completion of an advance directive (AD) in case of future advanced dementia. One hundred twenty-three cognitively intact older adults from five community centers in Taiwan were randomly assigned to two groups. The study showed that 100% of participants in the intervention group (two community centers, n = 52) selected hospice program care for end-of-life care and signed ADs, whereas those in the control group were less likely to do both (p < .001). Participants in the intervention group also had a positive change in knowledge, subjective norms, perceived behavioral control, and behavioral intention of advance care planning (ACP) for advanced dementia. The theoretically based multimedia educational program was effective in assisting ACP implementation and completing ADs among community-dwelling older adults.
Key findings
- The study showed that 100% of participants in the intervention group (two community centers, n = 52) selected hospice program care for end-of-life care and signed ADs, whereas those in the control group were less likely to do both (p < .001).
Study details
- Study designrandomized controlled trial
- Participants52
- Evidence strengthHigh
How this study scored 75/100
Published in a peer-reviewed journal, and it is a randomised controlled trial. Scored zero for effect reported because the record does not state it. We have no data on journal's citation record, times cited, citations per year, impact for its field and year, cited by studies here, still being cited, senior author's track record, institution's track record, multi-centre collaboration and free to read, so those were left out: it earned 42 of the 56 points we could judge it on, which is 75 out of 100.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of applied gerontology : the official journal of the Southern Gerontological Society) |
| Journal's citation record | — / 4 | No journal record from OpenAlex — left out of this score |
| Study design | 11 / 12 | A randomised controlled trial |
| Strength of evidence | 5 / 5 | Rated “high” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 2 / 5 | 2020 — within 10 year(s) of the newest study here |
| Sample size | 1 / 4 | 52 participants |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 3 / 3 | Studied in people (participant count stated) |
| Randomised / blinded | 1 / 2 | Randomised (as stated in the record) |
| Times cited | — / 7 | No citation count (not found in OpenAlex) — left out of this score |
| Citations per year | — / 5 | No citation count or no year — left out of this score |
| Impact for its field and year | — / 6 | No field-weighted citation impact (OpenAlex has none yet) — left out of this score |
| Cited by studies here | — / 6 | Not yet checked against this library's citation graph — left out of this score |
| Still being cited | — / 4 | No yearly citation counts — left out of this score |
| Senior author's track record | — / 4 | Senior author's record not available — left out of this score |
| Institution's track record | — / 3 | No institution listed in OpenAlex — left out of this score |
| Multi-centre collaboration | — / 3 | Institutions not listed — left out of this score |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 30795711) |
| Free to read | — / 2 | Access not recorded — left out of this score |
| Points | 42 / 56 | Scored on 10 of 20 parts. We have no data for the rest, so they are left out: 42 of the 56 points we could judge it on is 75 out of 100. |
| Total | 75 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
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Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Wu, C.-H. C., Perng, S.-J., Shi, C.-K., & Lai, H.-L. (2020). Advance Care Planning and Advance Directives: A Multimedia Education Program in Community-Dwelling Older Adults. Journal of applied gerontology : the official journal of the Southern Gerontological Society. https://doi.org/10.1177/0733464819831596
Vancouver
Wu C.-HC, Perng S.-J, Shi C.-K, Lai H.-L. Advance Care Planning and Advance Directives: A Multimedia Education Program in Community-Dwelling Older Adults. Journal of applied gerontology : the official journal of the Southern Gerontological Society. 2020. doi:10.1177/0733464819831596. PMID: 30795711.
BibTeX
@article{wu2020-30795711,
author = {Wu, Chiu-Hsiang Chiu and Perng, Shoa-Jen and Shi, Chun-Kuan and Lai, Hui-Ling},
title = {{Advance Care Planning and Advance Directives: A Multimedia Education Program in Community-Dwelling Older Adults}},
journal = {Journal of applied gerontology : the official journal of the Southern Gerontological Society},
year = {2020},
doi = {10.1177/0733464819831596},
pmid = {30795711},
url = {https://doi.org/10.1177/0733464819831596}
}
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