Reducing barriers to completing psychiatric advance directives.
Reducing barriers to completing psychiatric advance directives.
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DOI：
10.1007/s10488-008-0187-6
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发表时间：
2008-11
影响因子：
2.6
通讯作者：
Ferron, Joelle
中科院分区：
文献类型：
--
作者：
Van Dorn, Richard A.;Swanson, Jeffrey W.;Swartz, Marvin S.;Elbogen, Eric;Ferron, Joelle
精神病学预先指示（pad）允许个人计划未来的精神健康治疗。然而，人们对PAD完成的障碍知之甚少。本文研究了一种干预措施在减少PAD完成障碍方面的效果。患者被随机分配到辅助PAD组或对照组。与(1)PAD文件和(2)PAD外部支持相关的障碍在基线（N=462）、6个月（N=380）和1年（N=362）进行评估。两组间在这两个障碍上没有显著的基线差异。然而，在随访中，实验组的这两个障碍明显较低。此外，障碍可预测PAD的完成。结构化的促进可以显著减少PAD完成的障碍。然而，干预并没有消除障碍。研究结果在可能的系统级改变的背景下进行讨论，以进一步减少PAD完成的障碍。
Psychiatric advance directives (PADs) allow individuals to plan for future mental health treatment. However, little is known about barriers to PAD completion. This paper examines an intervention's effect in reducing barriers to PAD completion. Patients were randomly assigned to a facilitated PAD session or control group. Barriers associated with (1) the PAD documents and (2) external support for PADs were assessed at baseline (N=462), six months (N=380) and one year (N=362). There were no significant baseline between-group differences on the two barriers. However, at follow-up both barriers were significantly lower in the experimental group. Further, barriers were predictive of PAD completion. Structured facilitation can significantly reduce barriers to PAD completion. However, the intervention did not eliminate barriers. Findings are discussed in the context of possible system-level changes to further reduce barriers to PAD completion.
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