Published on Mon May 24 2021

Videogame intervention to increase advance care planning conversations by hospitalists with older adults: study protocol for a stepped-wedge clinical trial.

D Mohan, A James O'Malley, Julia Chelen, Meredith MacMartin, Megan Murphy, Mark Rudolph, Amber Barnato

Fewer than half of all people in the USA have a documented advance care plan (ACP) Hospitalisation offers an opportunity for physicians to initiate ACP conversations. Hospitalists do not routinely engage in these conversations, reserving them for the critically ill.

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Abstract

Fewer than half of all people in the USA have a documented advance care plan (ACP). Hospitalisation offers an opportunity for physicians to initiate ACP conversations. Despite expert recommendations, hospital-based physicians (hospitalists) do not routinely engage in these conversations, reserving them for the critically ill.The objective of this study is to test the effect of a novel behavioural intervention on the incidence of ACP conversations by hospitalists practicing at a stratified random sample of hospitals drawn from 220 US acute care hospitals staffed by a large, nationwide acute care physician practice with an ongoing ACP quality improvement initiative.