Systematic implementation of an advance directive program in nursing homes: A randomized controlled trial

JAMA

Volumn 283, Issue 11, 2000, Pages 1437-1444

  Molloy, D William ^a,e   Guyatt, Gordon H ^a   Russo, Rosalie ^a   Goeree, Ron ^a   O'Brien, Bernie J ^a   Bédard, Michel ^a,c   Willan, Andy ^a   Watson, Jan ^a   Patterson, Christine ^a   Harrison, Christine ^a,d   Standish, Tim ^a   Strang, David ^b   Darzins, Peteris J ^f   Smith, Stephanie ^a   Dubois, Sacha ^a  

^a ST JOSEPH S HOSPITAL   (Canada)

^b UNIVERSITY OF MANITOBA   (Canada)

^c Lakehead Psychiatric Hospital   (Canada)

^d HOSPITAL FOR SICK CHILDREN   (Canada)

^e MCMASTER UNIVERSITY   (Canada)

^f NONE

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ARTICLE; CANADA; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DECISION MAKING; FAMILY; FEMALE; HEALTH CARE COST; HEALTH CARE UTILIZATION; HEART ARREST; HUMAN; LIVING WILL; MAJOR CLINICAL STUDY; MALE; MORTALITY; NURSING HOME; NUTRITION; PATIENT SATISFACTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RANDOMIZED CONTROLLED TRIAL; STAFF TRAINING;

EID: 0034653486     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.283.11.1437     Document Type: Article

References (56)

1. Harrison C, Molloy DW, Darzins PJ, Bédard M. Should people do unto others as they would not want done unto themselves? J Clin Ethics. 1995;6:14-19.
2. Johns JL. Advance directives and opportunities for nurses. Image J Nurs Sch. 1996;28:149-153.
3. Rubin SM, Strull WM, Fialkow MF, Weiss SJ, Lo B. Increasing the completion of the durable power of attorney for health care: a randomized, controlled trial. JAMA. 1994;271:209-212.
4. High DM. Advance directives and the elderly: a study of intervention strategies to increase use. Gerontologist. 1993;33:342-349.
5. Shore AD, Rubin HR, Haisfield ME, McCuire DB, Zabora JR, Krumm S. Health care providers' and cancer patients' preferences regarding disclosure of information about advance directives. J Psychosoc Oncol. 1993;11:39-53.
6. Luptak MK, Boult C. A method for increasing elders' use of advance directives. Gerontologist. 1994; 34:409-412.
7. Spears R, Drinka PJ, Voeks SK. Obtaining a durable power of attorney for health care from nursing home residents. J Fam Pract. 1993;36:409-413.
8. Hammes BJ, Rooney BL. Death and end-of-life planning in one midwestern community. Arch Intern Med. 1998;158:383-390.
9. Teno J, Lynn J, Wenger N, et al, for the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatment (SUPPORT). Advance directives for seriously ill hospitalized patients: effectiveness with the Patient Self-Determination Act and the SUPPORT intervention. J Am Geriatr Soc. 1997;45:500-507.
10. Teno J, Lynn J, Connors AF Jr, et al, for the SUPPORT Investigators. The illusion of end-of-life resource savings with advance directives. J Am Geriatr Soc. 1997;45:513-518.
11. Morrison RS, Olson E, Mertz KR, Meier DE. The inaccessibility of advance directives on transfer from ambulatory to acute care settings. JAMA. 1995;274: 478-482.
12. Teno JM, Licks S, Lynn J, et al, for the SUPPORT Investigators. Do advance directives provide instructions that direct care? ; Am Geriatr Soc. 1997;45:508-512.
13. Ghusn HF, Teasdale TA, Jordan D. Continuity of do-not-resuscitate orders between hospital and nursing home settings. J Am Geriatr Soc. 1997;45:465-469.
14. Moss AH, Oppenheimer EA, Casey P, et al. Patients with amyotrophic lateral sclerosis receiving long-term mechanical ventilation: advance care planning and outcomes. Chest. 1996;110:249-255.
15. Keiner M, Bourgeault IL, Hebert PC, Dunn EV. Advance directives: the views of health care professionals. CMAJ. 1993;148:1331-1338.
16. The SUPPORT Principal Investigators. A controlled trial to improve care for seriously ill hospitalized patients: the Study to Understand Prognoses and Preferences for Outcomes and Risks of Treatments (SUPPORT) [published correction appears in JAMA. 1996;275:1232]. JAMA. 1995;274:1591-1598.
17. Patterson C, Molloy DW, Guyatt GH, et al. Systematic implementation of an advance health care directive in the community. Can J Nurs Adm. 1997;10:96-108.
18. Molloy DW, Russo R, Pedlar D, Bedard M. Implementation of advance directives among community-dwelling veterans Gerontologist. In press.
19. Terry M, Zweig S. Prevalence of advance directives and do-not-resuscitate orders in community nursing facilities. Arch Fam Med. 1994;3:141-145.
20. Bradley EH, Blechner BB, Walker LC, Wetle TT. Institutional efforts to promote advance care planning in nursing homes: challenges and opportunities. J Law Med Ethics. 1997;25:150-159.
21. Meier DE, Fuss BR, O'Rourke D, Baskin SA, Lewis M, Morrison RS. Marked improvement in recognition and completion of health care proxies: a randomized controlled trial of counseling by hospital patient representatives. Arch Intern Med. 1996;156:1227-1232.
22. Reilly BM, Wagner M, Ross J, Magnussen CR, Papa L, Ash J. Promoting completion of health care proxies following hospitalization: a randomized controlled trial in a community hospital. Arch Intern Med. 1995;155:2202-2206.
23. Robinson MK, DeHaven MJ, Koch KA. Effects of the Patient Self-Determination Act on patient knowledge and behaviour. J Fam Pract. 1993;37:363-368.
24. Jacobson JA, White BE, Battin MP, Francis LP, Green DJ, Kasworm ES. Patients' understanding and use of advance directives. West J Med. 1994;160:232-236.
25. Sachs GA, Stocking CB, Miles SH. Empowerment of the older patient? a randomized controlled trial to increase discussion and use of advance directives. J Am Geriatr Soc. 1992;40:269-273.
26. Dexter PR, Wolinsky FD, Gramelspacher GP, et al. Effectiveness of computer-generated reminders for increasing discussions about advance directives and completion of advance directive forms a randomized, controlled trial. Ann Intern Med. 1998;128:102-110.
27. Landry FJ, Kroenke K, Lucas C, Reeder J. Increasing the use of advance directives in medical outpatients. J Gen Intern Med. 1997;12:412-415.
28. Sulmasy DP, Song KY, Marx ES, Mitchell JM. Strategies to promote the use of advance directives in a residency outpatient practice J Gen Intern Med. 1996; 11:657-663.
29. Joos SK, Reuler JB, Powell JL, Hickam DH. Outpatients' attitudes and understandings regarding living wills. J Gen Intern Med. 1993;8:259-263.
30. Richter KP, Langel S, Fawcett SB, Paine-Andrews A, Biehler L, Manning R. Promoting the use of advance directives: an empirical study. Arch Fam Med. 1995;4:609-615.
31. Broadwell AW, Boisaubin EV, Dunn JK, Engelhardt HT Jr. Advance directives on hospital admission: a survey of patient attitudes. South Med J. 1993; 86:165-168.
32. Hare J, Nelson C. Will outpatients complete living wills? a comparison of two interventions. J Gen Intern Med. 1991;6:41-46.
33. Holley JL, Nespor S, Rault R. Chronic in-center hemodialysis patients' attitudes, knowledge, and behavior towards advance directives. J Am Soc Nephrol. 1993;3:1405-1408.
34. Sugarman J, Kass NE, Faden RR, Goodman SN. Catalysts for conversations about advance directives: the influence of physician and patient characteristics. J Law Med Ethics. 1994;22:29-35.
35. Schneiderman U, Kronick R, Kaplan RM, Anderson JP, Langer RD. Effects of offering advance directives on medical treatments and costs. Ann Intern Med. 1992;117:599-606.
36. Emanuel EJ. Cost savings at the end of life: what do the data show? JAMA. 1996;275:1907-1914.
37. Molloy DW, Urbanyi M, Horsman JR, Guyatt GH, Bédard M. Two years' experience with a comprehensive health care directive in a home for the aged .Ann R Coll Physicians Surg Can. 1992;7:433-436.
38. Molloy DW, Guyatt GH, Goeree R, et al. A comprehensive health-care directive for competent and incompetent residents of a home for the aged. Ann R Coll Physicians Surg Can. 1997;30:339-345.
39. Molloy DW, Mepham V. Let Me Decide. 3rd ed. Toronto, Ontario: Penguin Books; 1996.
40. Molloy DW, Alemayehu E, Roberts R. Reliability of a Standardized Mini-Mental State Examination compared with the traditional Mini-Mental State Examination. Am J Psychiatry. 1991;148:102-105.
41. Molloy DW, Silberfeld M, Darzins PJ, . Measuring capacity to complete an advance directive. J Am Geriatr Soc. 1996;44:660-664.
42. Guyatt GH, Mitchell A, Molloy DW, Capretta R, Horsman J, Griffith L. Measuring patient and relative satisfaction with level or aggressiveness of care and involvement in care decisions in the context of life threatening illness. J Clin Epidemiol. 1995;48:1215-1224.
43. Mehran S, Singer A. Canadian outpatients and advance directives: poor knowledge and little experience but positive attitudes. CMAJ. 1993;148:1497-1501.
44. Molloy DW, Harrison C, Farrugia MC, Cunje A. The Canadian experience with advance treatment directives. Humane Med. 1993;1:70-77.
45. James J, Molloy DW, Urbanyi M, Rapelje DH. The right to die with dignity. Can Health Care Manage 1996:78-82.
46. Ontario Case Costing Project. Ontario Guide to Case Costing. Toronto: Ontario Hospital Association; 1995.
47. Ontario Ministry of Health. Schedule of Benefits: Physician Services Under the Health Insurance Act. Toronto: Ontario Ministry of Health; 1992.
48. Ontario Ministry of Health. Ontario Government Pharmaceutical & Medical Supply Service: Price List, 1997. Toronto: Ontario Ministry of Health; 1997.
49. Ontario Ministry of Health. Drug Benefit Formulary: Comparative Drug Index. Vol 35. Toronto: Publications Ontario; 1997.
50. Donner A, Donald A. Analysis of data arising from a stratified design with the cluster as unit of randomization. Stat Med. 1987;6:43-52.
51. Guyatt GH, Sackett DL, Cook DJ, for the Evidence-Based Medicine Working Group. Users' guide to the medical literature, II: how to use an article about therapy or prevention, A.: are the results of the study valid? JAMA. 1993;270:2598-2601.
52. Fried TR, Mor V. Frailty and hospitalization of long-term stay nursing home residents. J Am Geriatr Soc. 1997;45:265-269.
53. Konings JW, Wendte JF, Danse JA, Ribbe MW. Hospital admission of nursing home patients: patient characteristics and purpose of admission. Ned Tijdsctir Geneeskd. 1994;138:2655-2659.
54. Alemayehu E, Molloy DW, Guyatt GH, et al. Variability in physicians' decisions on caring for chronically ill elderly patients: an international study. CMAJ. 1991;144:1133-1138.
55. Eisemann M, Richter J, Bauer B, Bonelli R, Porzsolt F. Physicians' decision-making in incompetent elderly patients: a comparative study between Austria, Germany (East, West), and Sweden. Int Psychogeriatr. 1999;11:313-324.
56. Patterson C, Molloy W, Jubelius R, Guyatt GH, Bedard M. Provisional educational needs of health care providers in palliative care in three nursing homes in Ontario. J Palliat Care. 1997;13:13-17.