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https://www.rpr.lib.ok.us/taxonomy/term/1773/all
enImproving the Adoption of Advance Directives in Primary Care Practices
https://www.rpr.lib.ok.us/resource/improving-adoption-advance-directives-primary-care-practices
<div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Date Added: </div>
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<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-03-14T00:00:00-05:00">March 14, 2019</span></div>
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<div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix">
<div class="field-label">Journal/Publication: </div>
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<div class="field-item even">Journal of the American Board of Family Medicine</div>
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<div class="field field-name-field-artifact-publisher field-type-text field-label-inline clearfix">
<div class="field-label">Publisher: </div>
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<div class="field-item even">American Board of Family Medicine</div>
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<div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Publication Date: </div>
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<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2019-03-01T00:00:00-06:00">March 1, 2019</span></div>
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<div class="field field-name-field-artifact-issue field-type-text field-label-inline clearfix">
<div class="field-label">Issue: </div>
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<div class="field-item even">2</div>
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<div class="field field-name-field-artifact-volume field-type-text field-label-inline clearfix">
<div class="field-label">Volume: </div>
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<div class="field-item even">32</div>
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<div class="field field-name-field-artifact-pages field-type-text field-label-inline clearfix">
<div class="field-label">Pages: </div>
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<div class="field-item even">168-179</div>
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<div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix">
<div class="field-label">URL: </div>
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<div class="field-item even"><a href="https://www.ncbi.nlm.nih.gov/pubmed/30850453" target="_blank">Improving the Adoption of Advance Directives in Primary Care Practices</a></div>
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<div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Type: </div>
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<div class="field-item even">Clinical Research Results</div>
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<div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Format: </div>
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<div class="field-item even">Article</div>
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<div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix">
<div class="field-label">DOI (1): </div>
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<div class="field-item even">10.3122/jabfm.2019.02.180236</div>
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<div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above">
<div class="field-label">Keywords </div>
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<div class="field-item even"><a href="/tags/advance-directives" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">advance directives</a></div>
<div class="field-item odd"><a href="/tags/end-life-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">end of life care</a></div>
<div class="field-item even"><a href="/tags/five-wishes" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">five wishes</a></div>
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<div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above">
<div class="field-label">MeSH </div>
<div class="field-items">
<div class="field-item even"><a href="/mesh/advance-directives" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">advance directives</a></div>
<div class="field-item odd"><a href="/mesh/terminal-care" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">terminal care</a></div>
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<div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden">
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<div class="field-item even"><p>Five Wishes is a patient-friendly, legally valid, advance directive tool/document. The cloud-based one is free and the other is available for a small fee or free for patients who can’t afford one and want a paper copy. James W. Mold, MD, MPH</p>
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<div class="field field-name-field-artifact-text-availability field-type-list-text field-label-hidden">
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<div class="field-item even">Free full text</div>
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<div class="field-item even" property="content:encoded"><p><em>Background:</em> Oklahoma's Advance Directive completion rate is less than 10%. We compared the implementation performance of 2 advance directive forms to determine which form could be more successfully disseminated.</p>
<p><em>Methods:</em> The implementation of the Oklahoma Advance Directive (OKAD) and the Five Wishes form were compared in an 8-month pair-matched cluster randomized study in 6 primary care practices. The outcomes measured during the 22-week implementation included form offering rate, acceptance/completion rate by patients, and documentation in the chart. Twenty semistructured interviews with patients and clinicians were conducted to assess intervention experience.</p>
<p><em>Results:</em> A total of 2748 patient encounters were evaluated. OKAD was offered in 33% of eligible patient visits (493/1494) and accepted 54% of the time (266/493). Five Wishes was offered in 36% of eligible patient visits (450/1254) and accepted 82% of the time (369/450). Unadjusted analyses found no significant difference in offering of advance directive forms between groups. However, the odds of accepting Five Wishes were 3.89 times that of OKAD (95% CI, 2.88 to 5.24; <em>P</em> < .0001). Logistic regression models controlling for several confounders indicated that the acceptance of Five Wishes was favored significantly over OKAD (OR = 1.52; 95% CI, 1.27 to 1.81; <em>P</em> < .0001). Qualitative analyses indicated a clear clinician and patient preference for Five Wishes.</p>
<p><em>Conclusions:</em> Results suggest that Five Wishes was more readable, understandable, appealing, and usable. It seemed to capture patient preferences for end-of-life care more effectively and it more readily facilitated patient-clinician conversations.</p>
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<div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Author/s: </div>
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<div class="field-item even">Wickersham, Elizabeth, Gowin, Mary, Deen, Munim H., Nagykaldi, Zsolt</div>
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Tue, 12 Mar 2019 20:12:15 +0000Jeffrey Wilson437 at https://www.rpr.lib.ok.us