Cargando…
Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study
OBJECTIVES: To assess the feasibility and acceptability of facilitated advance care planning (ACP) discussions in elderly Italian and Greek-speaking inpatients compared to English-speaking inpatients. DESIGN, SETTING AND PARTICIPANTS: This cross-sectional study with convenience sampling was conducte...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554907/ https://www.ncbi.nlm.nih.gov/pubmed/26319775 http://dx.doi.org/10.1136/bmjopen-2015-008800 |
_version_ | 1782388100719181824 |
---|---|
author | Detering, Karen Sutton, Elizabeth Fraser, Scott Wallis, Kasey Silvester, William Mawren, Daveena Whiteside, Kathryn |
author_facet | Detering, Karen Sutton, Elizabeth Fraser, Scott Wallis, Kasey Silvester, William Mawren, Daveena Whiteside, Kathryn |
author_sort | Detering, Karen |
collection | PubMed |
description | OBJECTIVES: To assess the feasibility and acceptability of facilitated advance care planning (ACP) discussions in elderly Italian and Greek-speaking inpatients compared to English-speaking inpatients. DESIGN, SETTING AND PARTICIPANTS: This cross-sectional study with convenience sampling was conducted in Melbourne, Australia, and recruited hospital inpatients with medical decision-making capacity, aged 65 years or above, who spoke Greek (25 patients), Italian (24 patients) or English (63 patients). INTERVENTION: Facilitated ACP was offered, aiming to assists patients to consider and discuss their goals, values, beliefs and future treatment wishes with their family and doctor; to help them consider how they would like healthcare decisions made in the future if they become unable to do this for themselves; and to complete advance care directives. MAIN OUTCOME MEASURES: The completion of ACP discussions, their duration, advance care directive completion and utilisation of interpreters. RESULTS: Of 112 patients, 109 (97%) had at least one discussion, 63 (54%) completed advance care directives, either nominating a substitute decision-maker, documenting their wishes or both, and 76 (68%) included family in discussions. The median duration of discussions for all patients was slightly more than 1 h, over two visits. There were no differences between the Greek-speaking and the Italian-speaking patients, or between the Non-English speaking and the English-speaking patients in any of these measures. Only 14 non-English speaking patients, (30%) utilised interpreters, but when utilised, patients were much more likely (p<0.005) to complete advance care directives. CONCLUSIONS: Facilitated ACP in elderly Italian and Greek-speaking patients is feasible, acceptable and is similar to that for English-speaking patients. |
format | Online Article Text |
id | pubmed-4554907 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-45549072015-09-03 Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study Detering, Karen Sutton, Elizabeth Fraser, Scott Wallis, Kasey Silvester, William Mawren, Daveena Whiteside, Kathryn BMJ Open Patient-Centred Medicine OBJECTIVES: To assess the feasibility and acceptability of facilitated advance care planning (ACP) discussions in elderly Italian and Greek-speaking inpatients compared to English-speaking inpatients. DESIGN, SETTING AND PARTICIPANTS: This cross-sectional study with convenience sampling was conducted in Melbourne, Australia, and recruited hospital inpatients with medical decision-making capacity, aged 65 years or above, who spoke Greek (25 patients), Italian (24 patients) or English (63 patients). INTERVENTION: Facilitated ACP was offered, aiming to assists patients to consider and discuss their goals, values, beliefs and future treatment wishes with their family and doctor; to help them consider how they would like healthcare decisions made in the future if they become unable to do this for themselves; and to complete advance care directives. MAIN OUTCOME MEASURES: The completion of ACP discussions, their duration, advance care directive completion and utilisation of interpreters. RESULTS: Of 112 patients, 109 (97%) had at least one discussion, 63 (54%) completed advance care directives, either nominating a substitute decision-maker, documenting their wishes or both, and 76 (68%) included family in discussions. The median duration of discussions for all patients was slightly more than 1 h, over two visits. There were no differences between the Greek-speaking and the Italian-speaking patients, or between the Non-English speaking and the English-speaking patients in any of these measures. Only 14 non-English speaking patients, (30%) utilised interpreters, but when utilised, patients were much more likely (p<0.005) to complete advance care directives. CONCLUSIONS: Facilitated ACP in elderly Italian and Greek-speaking patients is feasible, acceptable and is similar to that for English-speaking patients. BMJ Publishing Group 2015-08-28 /pmc/articles/PMC4554907/ /pubmed/26319775 http://dx.doi.org/10.1136/bmjopen-2015-008800 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
spellingShingle | Patient-Centred Medicine Detering, Karen Sutton, Elizabeth Fraser, Scott Wallis, Kasey Silvester, William Mawren, Daveena Whiteside, Kathryn Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study |
title | Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study |
title_full | Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study |
title_fullStr | Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study |
title_full_unstemmed | Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study |
title_short | Feasibility and acceptability of advance care planning in elderly Italian and Greek speaking patients as compared to English-speaking patients: an Australian cross-sectional study |
title_sort | feasibility and acceptability of advance care planning in elderly italian and greek speaking patients as compared to english-speaking patients: an australian cross-sectional study |
topic | Patient-Centred Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4554907/ https://www.ncbi.nlm.nih.gov/pubmed/26319775 http://dx.doi.org/10.1136/bmjopen-2015-008800 |
work_keys_str_mv | AT deteringkaren feasibilityandacceptabilityofadvancecareplanninginelderlyitalianandgreekspeakingpatientsascomparedtoenglishspeakingpatientsanaustraliancrosssectionalstudy AT suttonelizabeth feasibilityandacceptabilityofadvancecareplanninginelderlyitalianandgreekspeakingpatientsascomparedtoenglishspeakingpatientsanaustraliancrosssectionalstudy AT fraserscott feasibilityandacceptabilityofadvancecareplanninginelderlyitalianandgreekspeakingpatientsascomparedtoenglishspeakingpatientsanaustraliancrosssectionalstudy AT walliskasey feasibilityandacceptabilityofadvancecareplanninginelderlyitalianandgreekspeakingpatientsascomparedtoenglishspeakingpatientsanaustraliancrosssectionalstudy AT silvesterwilliam feasibilityandacceptabilityofadvancecareplanninginelderlyitalianandgreekspeakingpatientsascomparedtoenglishspeakingpatientsanaustraliancrosssectionalstudy AT mawrendaveena feasibilityandacceptabilityofadvancecareplanninginelderlyitalianandgreekspeakingpatientsascomparedtoenglishspeakingpatientsanaustraliancrosssectionalstudy AT whitesidekathryn feasibilityandacceptabilityofadvancecareplanninginelderlyitalianandgreekspeakingpatientsascomparedtoenglishspeakingpatientsanaustraliancrosssectionalstudy |