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Published on: August 1, 2019

Development of an interactive computer program for advance care planning.

Michael J Green1, Benjamin H Levi

  • 1Departments of Humanities and Medicine, Penn State College of Medicine, Hershey, PA 17033, USA. mjg15@psu.edu

Health Expectations : an International Journal of Public Participation in Health Care and Health Policy
|October 1, 2008
PubMed
Summary
This summary is machine-generated.

A new multimedia decision aid for advance care planning was developed to address limitations of traditional advance directives. Pilot testing showed high user satisfaction and accuracy in reflecting patient wishes.

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Area of Science:

  • Medical Informatics
  • Health Communication
  • Bioethics

Background:

  • Advance care planning (ACP) is crucial for individuals to express medical wishes when incapacitated.
  • Traditional advance directives (e.g., living wills) are often vague, difficult to interpret, and misaligned with personal values.
  • Limitations of standard advance directives necessitate innovative solutions for effective ACP.

Purpose of the Study:

  • To describe the development of a novel, multimedia decision aid for advance care planning (ACP).
  • To create a tool that overcomes the vagueness and interpretational challenges of conventional advance directives.
  • To enhance the alignment of medical plans with individuals' core beliefs and values.

Main Methods:

  • Development of a computer-based, multimedia decision aid named 'Making Your Wishes Known: Planning Your Medical Future'.
  • Incorporation of tailored education, values clarification exercises, and a decision-making tool within the program.
  • Pilot testing with adult volunteers and cancer patients to assess user satisfaction and accuracy.

Main Results:

  • The multimedia decision aid was developed to address limitations of standard advance directive forms.
  • Pilot testing with 50 volunteers showed high satisfaction with the program.
  • Further testing with 34 cancer patients indicated the program accurately represented their wishes.

Conclusions:

  • An innovative multimedia decision aid for advance care planning has been developed.
  • Preliminary testing indicates the decision aid is user-acceptable and accurately reflects patient preferences.
  • This tool offers a promising alternative to traditional advance directives for effective ACP.