Reach and impact of a mass media event among vulnerable patients: the Terri Schiavo story.

Journal of General Internal Medicine
Rebecca L SudoreDean Schillinger

Abstract

It is unknown whether health-related media stories reach diverse older adults and influence advance care planning (ACP). To determine exposure to media coverage of Terri Schiavo (TS) and its impact on ACP. Descriptive study of 117 English/Spanish-speakers, aged >or=50 years (mean 61 years) from a county hospital, interviewed six months after enrollment into an advance directive study. We assessed whether participants had heard of TS and subject characteristics associated with exposure. We also asked whether, because of TS, subjects engaged in ACP. Ninety-two percent reported hearing of TS. Participants with adequate literacy were more likely than those with limited literacy to report hearing of TS (100% vs. 79%, P < .001), as were participants with >or= a high school vs. < high school education (97% vs. 82%, P = .004), and English vs. Spanish-speakers (96% vs. 85%, P = .04). Because of TS, many reported clarifying their own goals of care (61%), talking to their family/friends about ACP (66%), and wanting to complete an advance directive (37%). Most diverse older adults had heard of TS and reported that her story activated them to engage in ACP. Media stories may provide a powerful opportunity to engage patients in ACP and devel...Continue Reading

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Citations

Aug 18, 2010·Annals of Internal Medicine·Rebecca L Sudore, Terri R Fried
Jun 18, 2014·Journal of the American Geriatrics Society·Halima AmjadTerri Fried
Jan 29, 2016·BMJ Supportive & Palliative Care·J E SimonUNKNOWN Advance Care Planning Collaborative Research and Innovation Opportunities Program (ACP CRIO)
Apr 22, 2011·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Gina BravoSuzanne Bellemare
Feb 10, 2021·Social Science & Medicine·Deborah CarrSarah Burgard

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