TY  - BOOK
AU  - Scott, Rachel K
AU  - Tanjutco, Patricia
TI  - FAmily-CEntered (FACE) Advance Care Planning Among African-American and Non-African-American Adults Living With HIV in Washington, DC: A Randomized Controlled Trial to Increase Documentation and Health Equity
SN  - 0885-3924
PY  - 2019///
KW  - *Advance Care Planning
KW  - *Documentation
KW  - *Health Equity
KW  - *HIV Infections
KW  - Adolescent
KW  - Adult
KW  - Advance Directives
KW  - African Americans
KW  - Aged
KW  - Aged, 80 and over
KW  - Female
KW  - Humans
KW  - Longitudinal Studies
KW  - Male
KW  - Middle Aged
KW  - Young Adult
KW  - MedStar Health Research Institute
KW  - Journal Article
N1  - Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007
N2  - CONCLUSIONS: The FACE ACP intervention significantly improved ACP completion and advance directive documentation in the medical record among both African-American and non-African-American adults living with HIV in Washington, D.C., providing health equity in ACP which can inform best practices; CONTEXT: No prospective studies address disease-specific Advance Care Planning (ACP) for adults living with HIV/AIDS; Copyright (c) 2018. Published by Elsevier Inc; METHODS: Longitudinal, two-arm, randomized controlled trial with intent-to-treat design recruited from 5 hospital-based outpatient HIV clinics in Washington, DC. Adults living with HIV and their surrogate decision makers (N=233 dyads) were randomized to either an intensive facilitated two-session FACE ACP (Next Steps: Respecting Choices goals of care conversation and Five Wishes advance directive) or Healthy Living Control (conversations about developmental/relationship history and nutrition); OBJECTIVE: To examine the efficacy of FAmily-CEntered (FACE) ACP in increasing advance care planning and advance directive documentation in the medical record; RESULTS: Patients (n=223) mean age: 51 years, 56% male, 86% African-American. One hundred ninety-nine dyads participated in the intervention. At baseline, only 13% of patients had an advance directive. Three months post-intervention, this increased to 59% for the FACE ACP group versus 17% in the control group (p<0.0001). Controlling for race, the odds of having an advance directive in the medical record in the FACE ACP group was approximately 7 times greater than controls (Adjusted Odds Ratio=6.58, 95% C.I: 3.21-13.51, p<0.0001). Among African-Americans randomized to FACE, 58% had completed/documented advance directives versus 20% of controls (p<0.0001)
UR  - https://dx.doi.org/10.1016/j.jpainsymman.2018.11.014
ER  -