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E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
A PA-led telemedicine advance care planning intervention in a life-limiting illness
Christa S Cooper1, Jessica A Karl
1Christa S. Cooper and Jessica A. Karl practice neurology at Northwestern Medicine in Chicago, Ill. The authors have disclosed no potential conflicts of interest, financial or otherwise.
Objective:
To explore if a physician associate/assistant (PA)-led advance care planning (ACP) intervention would be successful and if patients and caregivers are comfortable having these discussions with PAs.
Methods:
We conducted a randomized controlled trial with optional open-label crossover to assess the feasibility, acceptability, and effect on ACP engagement of a PA-led telemedicine-facilitated ACP (tele-ACP) intervention in a Huntington disease (HD) clinic.
Results:
All participants felt they could effectively express themselves to the PA during the tele-ACP visit, and 95.8% felt comfortable communicating with the PA about ACP. The PA-led tele-ACP intervention significantly increased ACP engagement.
Conclusions:
Our PA-led tele-ACP intervention was feasible, acceptable, and it increased ACP engagement.
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