Interventions to promote the use of advance directives: an overview of systematic reviews.

Abstract:

OBJECTIVE:To identify, appraise and synthesise the results of systematic reviews of the literature (SRLs) that examines the effectiveness of interventions to increase advance directive (AD) completion rate. METHODS:Narrative review of the literature-an overview of SRLs focused on interventions to improve patients' AD completion rate. RESULTS:Seven SRLs were located. A wide range of interventions was identified in order to determine their influence on the AD completion rate. CONCLUSION:The most effective method of increasing the use of ADs is the combination of informative material and repeated conversations over clinical visits. The use of passive informative material in isolation does not significantly increase AD completion rates. However, when interactive informative interventions are employed, the AD completion rate increases and the majority of the studies identify multiple sessions as the most effective method for direct interaction between patients and health care professionals. PRACTICE IMPLICATIONS:The progressive ageing of the population and the provision of quality care during the process of ageing and dying, have given rise to the Governments' interest in developing moral autonomy and regulating tools as ADs. In order to put legislation into practice it is necessary to set up successful interventions to expand ADs use.

journal_name

Patient Educ Couns

authors

Tamayo-Velázquez MI,Simón-Lorda P,Villegas-Portero R,Higueras-Callejón C,García-Gutiérrez JF,Martínez-Pecino F,Barrio-Cantalejo IM

doi

10.1016/j.pec.2009.09.027

subject

Has Abstract

pub_date

2010-07-01 00:00:00

pages

10-20

issue

1

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(09)00443-1

journal_volume

80

pub_type

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