Figure 1:

a) Mean ratings reported by patients living with cognitive impairment and their family members for the 7-item End-of-Life (EOL) subscale of Quality of Communication (QOC) instrument in the pilot (using the original instrument; patient n=13, family n=13) and in the efficacy trial (patient n=37, family n=43); a rating of 0 corresponds to worst and 10 to best. In the pilot, the original EOL subscale was used and in the efficacy trial, an adapted EOL subscale was fielded that first ascertained whether an item had occurred and then asked for a rating from those responding affirmatively. b) Distribution of aggregate responses to the 7-item End-of-Life (EOL) subscale of Quality of Communication (QOC) instrument in the pilot and in the efficacy trial. Each item represents a different aspect of EOL communication. Participants are asked to rate their doctor on each item from 0 (worst) to 10 (best); responses of “don’t know” or that the doctor or primary care team “did not do” that item are recorded if offered by the respondent.