Year: 2025
Type: article
Study design: Clinical Trial
Abstract: Introduction To support advance care planning (ACP), a conversation game – Anticip'action – and a connected 3-step ACP intervention using the game were developed. This study assesses the acceptability, feasibility and effect of the intervention with patients undergoing dialysis at a tertiary hospital. Methods Dialysis nurses received a 10-hour training in ACP and use of the card game Anticip'Action. All patients dialysed in the division of nephrology were eligible. Acceptability and feasibility were assessed with questionnaires and note taking. Effect was assessed with pre-post number of advance directives (AD), number of patients designating a surrogate, quality of written ACP documentation, patients' responses to the 9-items ACP Engagement Survey , and patients' assessment of their ACP documentation. Results 12 nurses conducted ACP interventions. 33 patients (87% of eligible patients) accepted to be included, 25 (75%) started the ACP intervention, 23 completed it, and 18 answered all questionnaires. 5 withdrawals were due to premature death. Nurses and patients rated the training, the intervention and the card game as good and highly acceptable: mean scores ranged from 2.87 to 4.17 on 5-point Likert scale questions. Organizational difficulties were reported by nurses. Significant increases were observed on uploaded AD (+30%), designated healthcare surrogates (+80%), patients reporting end-of-life planning actions (12/19), patients' engagement in ACP (+1.04 on 1-5 scale, p= <.001 ), quality of ACP documentation (+2.68 on a 1-5 scale, p= <.001 ), and patients' evaluation of their ACP documentation (3.44 ±1.04 on 1-5 scale). Conclusion The 3-step ACP intervention using Anticip'action showed good implementation potential in clinical context.
Source: Kidney International Reports
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,800
OpenAlex ID: W4416118923