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- W2320081870 abstract "The fluctuating clinical course of congestive heart failure involves recurrent medical crises and readmission rates of ∼50% within 6 months following hospital discharge. The consequent focus on acute care measures often results in insufficient emphasis on advance care planning (ACP). This pilot study examined whether an interactive computer-based decision aid can effectively address this need by helping individuals with advanced CHF engage in ACP. Adults with advanced congestive heart failure (i.e., Stage 3 or 4) were recruited from a single cardiovascular clinic; screened for cognitive ability, moderate/severe depression, and ≥8 th grade reading level; and asked to complete a computer program, pre-/post-questionnaires, and a follow-up telephone interview. The 24 study participants (mean age = 65 years, 83% male) reported minimal decisional conflict in making ACP decisions (mean=30, 16=least conflict, 80=greatest conflict) and high satisfaction with the computer program (mean=9.3, 1=least satisfied, 10=most satisfied), decisions they made (mean=27, 6=least satisfied, 30=most satisfied), and the accuracy of the computer-generated advance directive (6.6, 1=not at all accurate, 7=extremely accurate). Additionally, participants9 knowledge regarding ACP increased significantly (43% → 62%, p" @default.
- W2320081870 created "2016-06-24" @default.
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- W2320081870 date "2012-06-01" @default.
- W2320081870 modified "2023-10-16" @default.
- W2320081870 title "Patients with CHF find decision aid for ACP helpful and computer-generated advance directive accurate" @default.
- W2320081870 doi "https://doi.org/10.1136/bmjspcare-2012-000250.16" @default.
- W2320081870 hasPublicationYear "2012" @default.
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