Advance Care Planning Does Not Adversely Affect Hope or @entity148 Among @entity1 With XXXX .

@entity1 @entity5 @entity458 @entity1442 @entity148
CONTEXT: Many physicians avoid @entity1442 ( @entity1442 ) discussions because they worry such conversations will lead to @entity458 . OBJECTIVES: To investigate whether engaging in @entity1442 using online planning tools adversely affects hope, hopelessness, or @entity148 among @entity1 with @entity5 . METHODS: @entity1 with @entity5 and an estimated survival of two years or less (Intervention group) and a Control group were recruited at a tertiary care academic medical center (2007-2012) to engage in @entity1442 using an online decision aid ("Making Your Wishes Known"). Pre/post and between-group comparisons were made, including hope (Herth Hope Index), hopelessness (Beck Hopelessness Scale), and @entity148 (State Trait @entity148 Inventory). Secondary outcomes included @entity1442 knowledge, self-determination, and satisfaction. RESULTS: A total of 200 individuals completed the study. After engaging in @entity1442 , there was no decline in hope or increase in hopelessness in either the Control or Intervention group. @entity148 was likewise unchanged in the Control group but decreased slightly in the Intervention group. Knowledge of @entity1442 (% correct answers) increased in both the groups, but more so in the Intervention group (13% increase vs. 4%; P<0.01). Self-determination increased slightly in both groups, and satisfaction with the @entity1442 process was greater (P<0.01) in the Intervention than Control group. CONCLUSION: Engaging in @entity1442 with online planning tools increases knowledge without diminishing hope, increasing hopelessness, or inducing @entity148 in @entity1 with @entity5 . Physicians need not avoid @entity1442 out of concern for adversely affecting @entity1 ' psychological well-being.
