Table 1.
Characteristics Associated With Reporting ACP Engagement After Watching Video
| Respondent Characteristics | Prompted Thinking Differently About Medical Choices | Prompted a Conversation With Health Care Providers About Medical Care Choices | Prompted Completing or Making Changes to Advance Directive | |||
|---|---|---|---|---|---|---|
| Patient | Proxy | Patient | Proxy | Patient | Proxy | |
| NH system | ||||||
| 1 | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| 2 | 1.25 (0.65, 2.37) | 3.71*** (1.76, 7.84) | 1.43 (0.71, 2.87) | 4.83*** (2.20, 10.58) | 1.01 (0.55, 1.85) | 1.81 (0.93, 3.49) |
| Patient health | ||||||
| Excellent | 1.62 (0.50, 5.22) | 6.45* (1.39, 30.01) | 1.77 (0.54, 5.75) | 7.48** (1.80, 31.12) | 0.93 (0.30, 2.86) | 2.84 (0.80, 10.11) |
| Very good | 1.18 (0.50, 2.76) | 0.92 (0.31, 2.67) | 0.92 (0.37, 2.33) | 1.54 (0.51, 4.66) | 0.85 (0.38, 1.88) | 1.27 (0.47, 3.45) |
| Good | 0.78 (0.33, 1.83) | 0.75 (0.31, 1.85) | 0.52 (0.20, 1.32) | 1.11 (0.43, 2.89) | 0.82 (0.38, 1.77) | 1.09 (0.48, 2.51) |
| Fair | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Poor | 2.73 (0.70, 10.64) | 1.26 (0.31, 5.18) | 2.29 (0.56, 9.41) | 0.87 (0.18, 4.32) | 1.77 (0.45, 7.03) | 0.95 (0.24, 3.77) |
| NH length of stay | ||||||
| <12 wk | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| ≥12 wk | 1.38 (0.72, 2.66) | 1.70 (0.81, 3.58) | 1.36 (0.66, 2.78) | 0.91 (0.43, 1.92) | 0.78 (0.43, 1.41) | 1.20 (0.62, 2.34) |
| Type of video | ||||||
| Goals of care | Ref. | Ref. | Ref. | Ref. | Ref. | Ref. |
| Advance illness | 1.19 (0.49, 2.87) | 1.82 (0.81, 4.06) | 0.59 (0.19, 1.87) | 1.89 (0.82, 4.37) | 0.56 (0.22, 1.41) | 1.33 (0.64, 2.75) |
| Healthy adult | 3.36** (1.53, 7.39) | 1.79 (0.64, 4.99) | 2.68* (1.16, 6.17) | 1.74 (0.59, 5.13) | 2.59* (1.21, 5.55) | 2.15 (0.82, 5.66) |
| Don’t remember | 0.51 (0.06, 4.47) | 0.31 (0.05, 1.92) | 1.11 (0.12, 10.22) | 0.71 (0.10, 4.89) | 0.22 (0.03, 1.86) | 0.31 (0.06, 1.69) |
| Constant | 0.23 (0.11, 0.51) | 0.23 (0.11, 0.51) | 0.20 (0.09, 0.45) | 0.19 (0.09, 0.45) | 0.69 (0.35, 1.37) | 0.69 (0.35, 1.37) |
| n | 216 | 162 | 220 | 164 | 222 | 164 |
Values are AOR (95% CI), which are presented in comparison to reference groups (Ref). The Advance Illness video group includes 3 videos: (1) “Goals of Care for Patients With Advance Dementia,” (2) “Decisions About Hospitalization,” and (3) “Decisions About Hospice.” Each column represents results from 1 multivariable regression.
*
P < .05;
**
P < .01;
***
P < .001.