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Updated: Jul 20, 2025

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Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
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The Reflection Room®: Moving from Death-Avoiding to Death-Discussing
Celina Carter1, Justine Giosa1,2, Katherine Rizzi1
1SE Research Centre, Markham, ON, Canada.
Omega
|July 29, 2023
Summary
The Reflection Room project, an arts-based initiative, successfully increased comfort discussing dying and death. It also encouraged advance care planning (ACP) conversations among participants.
Area of Science:
- Arts-based research
- Public health initiatives
- End-of-life care communication
Background:
- Discussing dying and death remains challenging.
- Advance care planning (ACP) is crucial for end-of-life care.
- Innovative approaches are needed to facilitate these conversations.
Purpose of the Study:
- To evaluate the Reflection Room project, a participatory arts-based initiative.
- To determine if the Reflection Room increases comfort discussing dying and death.
- To assess if the project supports advance care planning (ACP) conversations.
Main Methods:
- Pilot study involving 25 sites across Canada (2016-2017).
- Data collected via reflection cards (n=463) and visitor surveys (n=271, 3-month follow-up n=50).
- Analysis included theoretically driven coding, inductive content analysis, and descriptive statistics.
Main Results:
- Visitor reflections revealed emotional disclosures and reflective processing.
- Survey data showed increased comfort in thinking and talking about dying and death.
- Visiting a Reflection Room increased the likelihood of engaging in ACP.
Conclusions:
- The Reflection Room project is a promising initiative for improving end-of-life communication.
- Arts-based storytelling can facilitate difficult conversations about dying, death, and advance care planning.
- Further research will explore the project's impact on social connections and well-being.
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