MARC details
| 000 -LEADER |
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| fixed length control field |
03437nam a22004457a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
220926s20222022 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
1551-7144 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1016/j.cct.2022.106818 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
S1551-7144(22)00144-6 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
35690262 |
| 245 ## - TITLE STATEMENT |
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| Title |
SHARING Choices: Design and rationale for a pragmatic trial of an advance care planning intervention for older adults with and without dementia in primary care. |
| 251 ## - Source |
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| Source |
Contemporary Clinical Trials. 119:106818, 2022 Jun 08. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
Contemp Clin Trials. 119:106818, 2022 Jun 08. |
| 253 ## - Journal Name |
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| Journal name |
Contemporary clinical trials |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Manufacturer |
FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Publication date |
2022 Jun 08 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2022-09-26 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Advance care planning (ACP) and involving family are particularly important in dementia, and primary care is a key setting. The purpose of this trial is to examine the impact and implementation of SHARING Choices, an intervention to improve communication for older adults with and without dementia through proactively supporting ACP and family engagement in primary care. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
CLINICALTRIALS: gov Identifier: NCT04819191. Copyright © 2022 Elsevier Inc. All rights reserved. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
CONCLUSIONS: This cluster-randomized pragmatic trial examines ACP with a focus on the key population of those with dementia, implementation in diverse settings and innovative approaches to trial design and outcome abstraction. Mixed-methods approaches enable understanding of intervention delivery and facilitators and barriers to implementation in rapidly changing health care systems. |
| 520 ## - SUMMARY, ETC. |
|---|
| Abstract |
METHODS: We cluster-randomized 55 diverse primary care practices across two health systems to the intervention or usual care. SHARING Choices is a multicomponent intervention that aims to improve communication through patient and family engagement in ACP, agenda setting, and shared access to the patient portal for all patients over 65 years of age. The primary outcomes include documentation of an advance directive or medical orders for life-sustaining treatment in the electronic health record (EHR) at 12 months for all patients and receipt of potentially burdensome care within 6 months of death for the subgroup of patients with serious illness. We plan a priori sub-analysis for patients with dementia. Data sources include the health system EHRs and the Maryland health information exchange. We use a mixed-methods approach to evaluate uptake, fidelity and adaptation of the intervention and implementation facilitators and barriers. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Health Research Institute |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
AVP, Palliative Care |
| 656 ## - INDEX TERM--OCCUPATION |
|---|
| Department |
MedStar Health |
| 656 ## - INDEX TERM--OCCUPATION |
|---|
| Department |
MedStar Institute for Quality and Safety |
| 657 ## - INDEX TERM--FUNCTION |
|---|
| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Cockey, Kimberley |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Giovannetti, Erin Rand |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Sharma, Neha |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Smith, Kelly M |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Local Authors |
Walker, Kathryn A |
| 790 ## - Authors |
|---|
| All authors |
Boyd CM, Cockey K, Colburn J, Cotter V, Dy SM, Giovannetti ER, Hussain N, McGuire M, Roth DL, Saylor MA, Scerpella DL, SHARING Choices investigators, Sharma N, Sloan DH, Smith KM, Walker KA, Wolff JL |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| DOI |
<a href="https://dx.doi.org/10.1016/j.cct.2022.106818">https://dx.doi.org/10.1016/j.cct.2022.106818</a> |
| Public note |
https://dx.doi.org/10.1016/j.cct.2022.106818 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Journal Article |
| Item type description |
Article |
