Development of Personalized Health Messages to Promote Engagement in Advance Care Planning

Journal of the American Geriatrics Society
Terri R FriedLynne Iannone

Abstract

To develop and test the acceptability of personalized intervention materials to promote advance care planning (ACP) based on the Transtheoretical Model (TTM), in which readiness to change is a critical organizing construct. Development study creating an expert system delivering TTM-personalized feedback reports and stage-matched brochures with more-general information on ACP and modifications based on participant reviews. Senior centers. Community-living persons aged 65 and older (N = 77). Participant ratings of length, attractiveness, and trustworthiness of and reactions to reports and brochures. The expert system assessed participants' readiness to engage in each of four ACP behaviors: completion of a living will, naming a health care proxy, communication with loved ones about quality vs quantity of life, and communication with clinicians about quality vs quantity of life. The system also assessed pros and cons of engagement and values and beliefs that influence engagement. The system provided individualized feedback based on the assessment, with brochures providing additional general information. Initial participant review indicating unacceptable length led to revision of feedback reports from full-sentence paragraph format ...Continue Reading

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Citations

Mar 21, 2017·Journal of the American Geriatrics Society·Terri R FriedBrenda T Fenton
Apr 19, 2017·Behavioral Sciences·Maryjo Prince-Paul, Evelina DiFranco
Apr 25, 2019·BMC Geriatrics·Anne Cattagni KleinerLaurence Seematter-Bagnoud
Jul 5, 2019·Journal of the American Geriatrics Society·Andrea PaivaTerri R Fried
Apr 10, 2019·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Suzanne S Sullivan
Dec 7, 2017·Journal of the American Geriatrics Society·Joseph A LadapoMark Monane
Jan 5, 2019·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Kaylee Schnur, Kavita Radhakrishnan
Nov 21, 2020·Journal of the American Geriatrics Society·Terri R FriedLaura Moreines
Jun 20, 2021·Patient Education and Counseling·Svenja DiegelmannRalf Terlutter

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