Trial reportPatient education and counseling2007
An advance directive redesigned to meet the literacy level of most adults: a randomized trial.
Trial report in Patient education and counseling, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 80 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Integrated Approach to Patient and Family Engagement for Advance Care Planning for Vulnerable Older Adult Within an Accountable Care Organization (ACO)
Comparison of a Web-based Advance Directive to a Standard Advance Directive: Randomized Evaluation
Who cites it
80 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Pooled it
- Interventions for End of Life Decision Making for Patients with Limited English Proficiency.Journal of immigrant and minority health · 2020Pooled it
- Pooled it
- Communication Tools for End-of-Life Decision-Making in Ambulatory Care Settings: A Systematic Review and Meta-Analysis.PloS one · 2016Pooled it
- Tools to Promote Shared Decision Making in Serious Illness: A Systematic Review.JAMA internal medicine · 2015Pooled it
- Interventions to improve patient comprehension in informed consent for medical and surgical procedures: a systematic review.Medical decision making : an international journal of the Society for Medical Decision MakingPooled it
- The Prevalence of Advance Directives and Its Moderators Among Community People, Acutely and Chronically Ill Patients: A Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financingPooled it
- Empowering Older Adults to Discuss Advance Care Planning During Clinical Visits: The PREPARE Randomized Trial.Journal of the American Geriatrics Society · 2020Trial
- Health Literacy Matters More Than Experience for Advance Care Planning Knowledge Among Older Adults.Journal of the American Geriatrics Society · 2019Trial
- Engaging Diverse English- and Spanish-Speaking Older Adults in Advance Care Planning: The PREPARE Randomized Clinical Trial.JAMA internal medicine · 2018Trial
- Trial
- Improving a Full Range of Advance Care Planning Behavior Change and Action Domains: The PREPARE Randomized Trial.Journal of pain and symptom management · 2018Trial
- Effect of the PREPARE Website vs an Easy-to-Read Advance Directive on Advance Care Planning Documentation and Engagement Among Veterans: A Randomized Clinical Trial.JAMA internal medicine · 2017Trial
- A Randomized Trial of Expanding Choice Sets to Motivate Advance Directive Completion.Medical decision making : an international journal of the Society for Medical Decision Making · 2017Trial
- Trial
- The Influence of Race/Ethnicity and Education on Family Ratings of the Quality of Dying in the ICU.Journal of pain and symptom management · 2016Trial
- Trial
- Apoyo con Cariño: a pilot randomized controlled trial of a patient navigator intervention to improve palliative care outcomes for Latinos with serious illness.Journal of pain and symptom management · 2015Trial
- Improving the Adoption of Advance Directives in Primary Care Practices.Journal of the American Board of Family Medicine : JABFMTrial
- The Effect of Health Literacy on a Brief Intervention to Improve Advance Directive Completion: A Randomized Controlled Study.Journal of primary care & community healthTrial
20 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo determine whether an advance directive redesigned to meet most adults' literacy needs (fifth grade reading level with graphics) was more useful for advance care planning than a standard form (>12th grade level).
methodsWe enrolled 205 English and Spanish-speaking patients, aged >/=50 years from an urban, general medicine clinic. We randomized participants to review either form. Main outcomes included acceptability and usefulness in advance care planning. Participants then reviewed the alternate form; we assessed form preference and six-month completion rates.
resultsForty percent of enrolled participants had limited literacy. Compared to the standard form, the redesigned form was rated higher for acceptability and usefulness in care planning, P</=0.03, particularly for limited literacy participants (P for interaction </=0.07). The redesigned form was preferred by 73% of participants. More participants randomized to the redesigned form completed an advance directive at six months (19% vs. 8%, P=0.03); of these, 95% completed the redesigned form.
conclusionsThe redesigned advance directive was rated more acceptable and useful for advance care planning and was preferred over a standard form. It also resulted in higher six-month completion rates. PRACTICE IMPLICATIONS: An advance directive redesigned to meet most adults' literacy needs may better enable patients to engage in advance care planning.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.