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Seminars on advance directives for adult outpatients increased completion rates

https://doi.org/10.1136/ebn.1.2.53

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    Landry FJ, Kroenke K, Lucas C , et al. Increasing the use of advance directives in medical outpatients . J Gen Intern Med 1997 Jul; 12 : 412 –5. OpenUrlCrossRefPubMedWeb of Science

    Objective

    To determine whether attendance at an educational seminar compared with receipt of postal information will increase the completion of advance directives by medical outpatients.

    Design

    Randomised controlled trial.

    Setting

    An internal medicine clinic in a military teaching hospital in Washington, DC, USA.

    Patients

    187 patients (mean age 62 y, 55% women, 67% white) who did not have a written living will (advance directive) and requested information via a questionnaire filled out during a clinic visit. Exclusion criterion was inability to complete the questionnaire. Follow up was 91% at 1 month.

    Intervention

    95 patients were allocated to a standardised 60 minute seminar with 20 patients in each group. The seminar included a 10 minute didactic presentation on advance directives, durable power of attorney for health care, …

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    Footnotes

    • Source of funding: Walter Reed Army Medical Center.

    • For article reprint: Dr F J Landry, University of Vermont, Fletcher Allen Health Care, 310 Pine Street, Burlington, VT 05401, USA. Fax +1 802 863 6639.