Mi-Kyung Song, Amita Manatunga, Laura Plantinga, Maureen Metzger, Abhijit V Kshirsagar, Janice Lea, Emaad M Abdel-Rahman, Manisha Jhamb, Emily Wu, Jacob Englert, Sandra E Ward
IMPORTANCE: Evidence of effectiveness of advance care planning (ACP) strategies for patients receiving dialysis and their families is needed. OBJECTIVES: To test the effectiveness of an ACP intervention to prepare patients and their surrogates for end-of-life (EOL) decision-making and to improve surrogate bereavement outcomes. DESIGN, SETTING, AND PARTICIPANTS: This cluster randomized clinical trial, An Effectiveness-Implementation Trial of SPIRIT (Sharing Patients' Illness Representations to Increase Trust) in ESRD, was conducted from December 2017 to March 2023 and included 42 dialysis clinics in 5 US states (Georgia, New Mexico, North Carolina, Pennsylvania, and Virginia) randomized to provide intervention or usual care...
January 2, 2024: JAMA Network Open