Open AccessMultimedia decision support intervention: A promising approach to enhance the intention to complete an advance directive among hospitalized adults
Author(s) -
Hickman Ronald L.,
Lipson Amy R.,
Pinto Melissa D.,
Pignatiello Grant
Publication year - 2014
Publication title -
journal of the american association of nurse practitioners
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.414
H-Index - 19
eISSN - 2327-6924
pISSN - 2327-6886
DOI - 10.1002/2327-6924.12051
Subject(s) - helpfulness , intervention (counseling) , medicine , psychological intervention , directive , teachable moment , family medicine , physical therapy , psychology , psychiatry , social psychology , computer science , psychoanalysis , programming language
Purpose We examined the acceptability and initial efficacy of a multimedia decision support (MDS) intervention to improve intention to complete an advanced directive (AD) among hospitalized adults following an episode of critical illness. Data sources We used comparative quasi‐experimental posttest only design. Forty‐nine hospitalized adults, recovering from a critical illness, received either MDS or AD educational brochure. Demographic characteristics and self‐report measures of AD knowledge were captured at baseline and used as covariates. Helpfulness of the intervention (acceptability) and the outcome variable, intention to complete an AD decision, were assessed after exposure to the MDS intervention or educational brochure (information‐only control condition). Conclusions The MDS was a more acceptable form of education compared to a brochure. After adjusting for covariates, participants exposed to the MDS intervention were 24.7 times more likely to intend to complete an AD compared to those who were assigned to the information‐only control condition. Implications for practice This pilot study establishes the acceptability and initial efficacy of the MDS intervention among individuals with critical illness, who are at high risk for hospital readmission life‐sustaining treatment. This study illuminates a teachable moment in which patients are more receptive to interventions to complete an AD.