Development of an interactive computer program for advance care planning.
Development of an interactive computer program for advance care planning.
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DOI：
10.1111/j.1369-7625.2008.00517.x
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发表时间：
2009-03
期刊：
影响因子：
--
通讯作者：
Levi BH
中科院分区：
文献类型：
--
作者：
Green MJ;Levi BH
描述一个创新的，多媒体决策辅助先进的护理计划的发展。预先护理计划是人们在无法为自己说话时表达他们对医疗护理的愿望的重要方式。生前遗嘱和其他类型的预先指示是预先护理计划最常用的工具，但因模糊、难以解释以及与个人的核心信仰和价值观不一致而受到批评。我们开发了一个多媒体，基于计算机的决策辅助提前护理计划（“让你的愿望知道：规划你的医疗未来”），以克服许多标准的预先指示形式的限制。该计算机程序引导个人通过预先护理计划的过程，并且与标准的预先指示不同，提供量身定制的教育，价值澄清练习，以及将个人的价值观和偏好转化为可以由医疗保健团队实施的特定医疗计划的决策工具。从一家初级保健门诊招募的50名成年志愿者进行的试点测试显示，他们对该计划的满意度很高。对34名癌症患者的进一步试点测试表明，该程序被认为在代表患者的愿望方面非常准确。本文介绍了一种创新的决策援助的发展，旨在克服常见的问题与标准的预先指示的预先护理计划。初步测试表明，它是用户可以接受的，是准确的。
To describe the development of an innovative, multimedia decision aid for advance care planning. Advance care planning is an important way for people to articulate their wishes for medical care when they are not able to speak for themselves. Living wills and other types of advance directives are the most commonly used tools for advance care planning, but have been criticized for being vague, difficult to interpret, and inconsistent with individuals’ core beliefs and values. We developed a multimedia, computer-based decision aid for advance care planning (‘Making Your Wishes Known: Planning Your Medical Future’) to overcome many of the limitations of standard advance directive forms. This computer program guides individuals through the process of advance care planning, and unlike standard advance directives, provides tailored education, values clarification exercises, and a decision-making tool that translates an individual’s values and preferences into a specific medical plan that can be implemented by a health-care team. Pilot testing with 50 adult volunteers recruited from an outpatient primary care clinic showed high levels of satisfaction with the program. Further pilot testing with 34 cancer patients indicated that the program was perceived to be highly accurate at representing patients’ wishes. This paper describes the development of an innovative decision aid for advance care planning that was designed to overcome common problems with standard advance directives. Preliminary testing suggests that it is acceptable to users and is accurate.
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影响因子：
0.5
作者：
GHOSH, A;GREIST, JH
通讯作者：
GREIST, JH
影响因子：
--
作者：
Hammes, BJ;Rooney, BL
通讯作者：
Rooney, BL
影响因子：
120.7
作者：
Green, MJ;Peterson, SK;Manger, DT
通讯作者：
Manger, DT
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--
作者：
Ditto, PH;Danks, JH;Zyzanski, S
通讯作者：
Zyzanski, S
影响因子：
3.6
作者：
Holmes-Rovner, Margaret;Nelson, Wndy L.;Correa-de-Araujo, Rosaly
通讯作者：
Correa-de-Araujo, Rosaly