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- Title
Feasibility and Effectiveness of Virtual Group Advance Care Planning Visits During the COVID-19 Pandemic.
- Authors
Yourman, Lindsey; Pollner, Alina; Khatibi, Jasmine; Ramos, Vanessa; Melkote, Vaishnavi; O'Gorman, Aoibhin; Begler, Erika; Lum, Hillary D.
- 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.
- Subjects
PATIENT compliance; DOCUMENTATION; WORLD Wide Web; FEAR; CONVERSATION; RESEARCH funding; PILOT projects; TREATMENT effectiveness; DESCRIPTIVE statistics; SURVEYS; TELEMEDICINE; MEDICAL appointments; MEDICAL records; ACQUISITION of data; ELECTRONIC health records; ADULT education workshops; VIDEOCONFERENCING; CLINICS; APPLICATION software; ADVANCE directives (Medical care); COVID-19 pandemic; MEDICAL referrals; PATIENTS' attitudes; HOPE
- Publication
American Journal of Hospice & Palliative Medicine, 2024, Vol 41, Issue 10, p1238
- ISSN
1049-9091
- Publication type
Article
- DOI
10.1177/10499091241233687