The effect of a social work intervention to enhance advance care planning documentation in the nursing home
Abstract
Objectives To assess the effect of a multicomponent advance care planning intervention directed at nursing home social workers on identification and documentation of preferences for medical treatments and on patient outcomes. Design Controlled clinical trial. Setting New York City nursing home. Participants One hundred thirty-nine newly admitted long-term care residents. Intervention Nursing home social workers were randomized to the intervention or control groups. The intervention consisted of baseline education in advance care planning that incorporated small-group workshops and role play/practice sessions for intervention social workers; structured advance care planning discussions with residents and their proxies at admission, after any change in clinical status, and at yearly intervals; formal structured review of residents' goals of care at preexisting regular team meetings; "flagging" of advance directives on nursing home charts; and feedback to individual healthcare providers of the congruence of care they provided and the preferences specified in the advance care planning process. Control social workers received an educational training session on New York State law regarding advance directives but no additional training or interventions. Subjects were enrolled from January 9, 2001 through May 25, 2003 and followed for 6 months after enrollment. Measurements Nursing home chart documentation of advance directives (healthcare proxies, living wills) and do-not-resuscitat…
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
To date, few cardiac arrest interventions have been subjected to a health economic evaluation.
“To date, few cardiac arrest interventions have been subjected to a health economic evaluation. 287 289”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [289]
Cited by
Sorted by citations
The effects of advance care planning on end-of-life care: A systematic review
Brinkman-Stoppelenburg, A., Rietjens, J. A., & van der Heide, A. (2014) · Palliative Medicine · doi:10.1177/0269216314526272 · Cited by 1,480 · see citing works
Rietjens, J. A. C., Sudore, R. L., Connolly, M., van Delden, J. J., Drickamer, M. A., Droger, M., van der Heide, A., Heyland, D. K., Houttekier, D., Janssen, D. J. A., et al. (2017) · The Lancet Oncology · doi:10.1016/s1470-2045(17)30582-x · Cited by 1,371 · see citing works
Efficacy of advance care planning: a systematic review and meta-analysis.
Houben, C. H. M., Spruit, M. A., Groenen, M. T. J., Wouters, E. F. M., & Janssen, D. J. A. (2014) · Journal of the American Medical Directors Association · doi:10.1016/j.jamda.2014.01.008 · Cited by 765 · see citing works
European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions
Mentzelopoulos, S. D., Couper, K., Voorde, P. V. D., Druwé, P., Blom, M., Perkins, G. D., Lulic, I., Djakow, J., Raffay, V., Lilja, G., et al. (2021) · Resuscitation · doi:10.1016/j.resuscitation.2021.02.017 · Cited by 246 · see citing works
“information of the primary physician all improved the consensus about care between patients, their families and the healthcare professionals.(37,265,267,280)”
BackgroundPreconditions for successful advance care planning in nursing homes: A systematic review.
Gilissen, J., Pivodic, L., Smets, T., Gastmans, C., Vander Stichele, R., Deliens, L., & Van den Block, L. (2017) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2016.12.003 · Cited by 156 · see citing works
Oczkowski, S. J., Chung, H.-O., Hanvey, L., Mbuagbaw, L., & You, J. J. (2016) · PLOS ONE · doi:10.1371/journal.pone.0150671 · Cited by 99 · see citing works
Do-not-attempt-cardiopulmonary-resuscitation decisions: an evidence synthesis
Perkins, G. D., Griffiths, F., Slowther, A.-M., George, R., Fritz, Z., Satherley, P., Williams, B., Waugh, N., Cooke, M. W., Chambers, S., et al. (2016) · Health Services and Delivery Research · doi:10.3310/hsdr04110 · Cited by 91 · see citing works
Lindner, S. A., Ben Davoren, J., Vollmer, A., Williams, B., & Seth Landefeld, C. (2007) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2007.01214.x · Cited by 61 · see citing works
Tang, S. T., Chen, J.-S., Wen, F.-H., Chou, W.-C., Chang, J. W.-C., Hsieh, C.-H., & Chen, C. H. (2019) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.7106 · Cited by 58 · see citing works
Cost-Effectiveness of Social Work Services in Aging: An Updated Systematic Review
Rizzo, V. M., & Rowe, J. M. (2016) · Research on Social Work Practice · doi:10.1177/1049731514563578 · Cited by 34 · see citing works
Wen, F.-H., Chen, J.-S., Chou, W.-C., Chang, W.-C., Hsieh, C.-H., & Tang, S. T. (2019) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2019.04.010 · Cited by 17 · see citing works
- Authors
- Morrison, R. S., Chichin, E., Carter, J., Burack, O., Lantz, M., & Meier, D. E.
- Affiliations
- Mount Sinai Hospital (US)
- Corresponding author
- Morrison, R. Sean
- Venue
- Journal of the American Geriatrics Society
- Publisher
- Wiley
- Published
- 2005-01-26
- Volume
- 53
- Issue
- 2
- Pages
- 290-294
- ISSN
- 0002-8614 (ISSN-L)
- 1532-5415
- OpenAlex
- W1540773875
- Cited by
- 206
- References
- 0
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 4 · 2023: 6 · 2022: 16 · 2021: 21 · 2020: 7 · 2019: 20 · 2018: 15 · 2017: 10 · 2016: 22 · 2015: 8 · 2014: 12 · 2013: 6 · 2012: 7
- FWCI
- 7.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Geriatrics Society (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k07ag000903-04)
- National Institute on Aging (K07-AG00903, K24AG022345)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- advance care planning, advance directives, advance care planning documentation, goals of care, treatment preferences, do-not-resuscitate orders, artificial nutrition and hydration, treatment concordance, long-term care residents, nursing home admission, health care proxy, living wills, life-sustaining treatment, social work intervention, provider feedback
- MeSH terms
- Aged, Aged, 80 and over, Documentation, Female, Health Status, Humans, Male, Medical Records, Pilot Projects, Skilled Nursing Facilities, Social Work, Patient Satisfaction, Advance Care Planning, Directive Counseling
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
