| Title | Effects of an intervention to improve communication about end-of-life care among African Americans with chronic kidney disease |
| Publication Type | Journal Article |
| Year of Publication | 2010 |
| Authors | Song, MK, Donovan, HS, Piraino, BM, Choi, J, Bernardini, J, Verosky, D, Ward, SE |
| Journal | Appl Nurs ResAppl Nurs Res |
| Volume | 23 |
| Pagination | 65-72 |
| Date Published | May |
| ISBN Number | 1532-8201 (Electronic)<br/>0897-1897 (Linking) |
| Accession Number | 20420992 |
| Keywords | Advance Care Planning/ organization & administration, African Americans/education/ethnology/statistics & numerical data, Attitude to Health/ethnology, Chi-Square Distribution, Choice Behavior, Communication, Cultural Competency, Feasibility Studies, Female, Humans, Kidney Failure, Chronic/ ethnology/therapy, Male, Middle Aged, Nursing Evaluation Research, Patient Education as Topic/organization & administration, Patient-Centered Care/ organization & administration, Pennsylvania, Pilot Projects, Proxy/psychology, Renal Dialysis/psychology, Statistics, Nonparametric, Terminal Care/ psychology |
| Abstract | The prevalence of and mortality from chronic kidney disease (CKD) are high among African Americans. Interventions to improve knowledge of the likely illness course and the benefits and risks of life-sustaining treatment at the end-of-life are needed for African Americans with CKD and their surrogate decision makers. Nineteen African Americans with stage 5 CKD and their surrogates were randomized to either patient-centered advance care planning (PC-ACP) or usual care. PC-ACP dyads showed greater improvement in congruence in end-of-life treatment preferences (p |
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