Randomized Controlled Trial Clinical Trial
Official title:
Effectiveness of a Brief Information About Advanced Directives in Primary Care: A Randomized Clinical Trial
The knowledge and completion of advanced directives (ADs) by the population is generally low.
Primary care could develop a very important role to inform and assist in the preparation of
this document because of its accessibility.
Objective: To evaluate the effectiveness of an oral brief information and a brochure
administered in primary care to improve the proportion of ADs records.
Design: Randomized clinical trial. Ambit: 7 offices from a urban health center which serves
about 25,000 users older than 18 years.
Material and methods It will be administered randomly triptych and oral brief information
about the existence of advance directives for people over 18 to attend the appointment of
their family doctor for any reason (intervention group). It will be given the possibility of
more extensive information if they wish and collaboration will be offered for the advance
directive according to patient preferences. The control group will not receive any
information. Follow-up: 3 months. Variables will be: number of people interested in ADs,
number of ADs made and demographic data (gender, age, education level, race, comorbidities,
religion, testament) in both groups. Statistical analysis: multiple linear regression,
Poisson and Cox as response analyzed, with the intervention/control group as the main
variable adjusting for potential confounders. Bivariate comparison using Student t test or
Mann-Whitney test (continuous variables) and chi-square or Fisher's exact test (categorical
variables). 165 subjects were required in the control group and 165 in the intervention
group.
Conclusion: positive results of this study will bring out the brief information managed by
family physicians increases the number of ADs thus facilitating the right to autonomy of the
patient.
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