Patient-Family Agenda Setting for Primary Care Patients with Cognitive Impairment: the SAME Page Trial

Journal of General Internal Medicine
Jennifer L WolffLaura N Gitlin

Abstract

Establishing priorities for discussion during time-limited primary care visits is challenging in the care of patients with cognitive impairment. These patients commonly attend primary care visits with a family companion. To examine whether a patient-family agenda setting intervention improves primary care visit communication for patients with cognitive impairment DESIGN: Two-group pilot randomized controlled study PARTICIPANTS: Patients aged 65 + with cognitive impairment and family companions (n = 93 dyads) and clinicians (n = 14) from two general and one geriatrics primary care clinic INTERVENTION: A self-administered paper-pencil checklist to clarify the role of the companion and establish a shared visit agenda MEASUREMENTS: Patient-centered communication (primary); verbal activity, information disclosure including discussion of memory, and visit duration (secondary), from audio recordings of visit discussion RESULTS: Dyads were randomized to usual care (n = 44) or intervention (n = 49). Intervention participants endorsed an active communication role for companions to help patients understand what the clinician says or means (90% of dyads), remind patients to ask questions or ask clinicians questions directly (84% of dyads),...Continue Reading

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Citations

Sep 6, 2018·Journal of Clinical Nursing·Patricia M DavidsonSarah L Szanton
Nov 11, 2019·Journal of General Internal Medicine·Ariel R GreenCynthia M Boyd
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Dec 8, 2020·Patient Education and Counseling·Catherine RiffinKarl A Pillemer

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