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An educational intervention for advance directives.

C P Murphy1, M A Sweeney, D Chiriboga

  • 1School of Nursing, Boston College, Chestnut Hill, MA 02167, USA.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|February 5, 2000
PubMed
Summary
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Interactive educational software significantly improved advance directive knowledge among seniors. This pilot study shows promise for technology-enhanced health education in older adults, boosting engagement and understanding.

Area of Science:

  • Gerontology
  • Health Informatics
  • Patient Education

Background:

  • The Patient Self-Determination Act (1991) has not significantly increased advance directive (AD) completion rates.
  • Information provision alone is insufficient for improving AD document completion.

Purpose of the Study:

  • To design, implement, and evaluate an interactive multimedia CD-ROM educational program on advance directives (AD).
  • To assess the effectiveness of a computer-based AD program for senior citizens.

Main Methods:

  • A pilot study involving 31 elderly volunteers at a senior citizens center.
  • Development of an interactive multimedia CD-ROM program for AD education.
  • Online pretests and posttests to measure changes in AD knowledge and attitudes, alongside a program satisfaction scale and observational ratings of computer use.

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Main Results:

  • Statistically significant improvement in posttest knowledge scores regarding advance directives.
  • High levels of participant satisfaction and ease of use with the computer program.
  • Positive user experience with the touch-sensitive monitor interface.

Conclusions:

  • Interactive multimedia CD-ROM programs show promise for educating senior citizens about advance directives.
  • Technology-based interventions can effectively enhance health knowledge and attitudes in older adults.
  • This approach offers a potential solution to improve AD completion rates in the elderly population.