Медицинская библиотека · JAAPA : official journal of the American Academy of Physician Assistants · 2025

A PA-led telemedicine advance care planning intervention in a life-limiting illness.

Cooper Christa S, Karl Jessica A

СтатьяРандомизированное исследованиеПеревод в очереди

Аннотация

OBJECTIVE

To explore if a physician associate/assistant (PA)-led advance care planning (ACP) intervention would be successful and if patients and caregivers are comfortable having these discussions with PAs.

METHODS

We conducted a randomized controlled trial with optional open-label crossover to assess the feasibility, acceptability, and effect on ACP engagement of a PA-led telemedicine-facilitated ACP (tele-ACP) intervention in a Huntington disease (HD) clinic.

RESULTS

All participants felt they could effectively express themselves to the PA during the tele-ACP visit, and 95.8% felt comfortable communicating with the PA about ACP. The PA-led tele-ACP intervention significantly increased ACP engagement.

CONCLUSIONS

Our PA-led tele-ACP intervention was feasible, acceptable, and it increased ACP engagement.

Для цитирования: Cooper Christa S, Karl Jessica A. A PA-led telemedicine advance care planning intervention in a life-limiting illness.. JAAPA : official journal of the American Academy of Physician Assistants. 2025. DOI: 10.1097/01.jaa.0000000000000091.

Предметные рубрики MeSH

Humans Advance Care Planning Telemedicine Female Male Middle Aged Huntington Disease Physician Assistants Adult Aged Cross-Over Studies Feasibility Studies

Подготовка и перевод публикации

Обработка статьи · этапы, ошибки и управление

Загрузка состояния…

История · было → стало

Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.