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This version was published on November 1, 2007
Research on Social Work Practice, Vol. 17, No. 6, 686-696 (2007)
DOI: 10.1177/1049731506299011

Completion of Advance Directives: Do Social Work Preadmission Interviews Make a Difference?

Yvonne M. Johnson

Rutgers University, New Brunswick, New Jersey, ymj{at}rci.rutgers.edu

Vivian L. Stadel

Eldercare Management Solutions, New York City

Objectives: This study tests the efficacy of a preadmission, educational interview on advance directives, in this case, health care proxies (HCPs) offered to elective, orthopedic patients. Method: Using a quasi-experimental design, participants (n = 54) are assigned to either treatment group (who received the educational interview, conducted by a social worker, over and above the federally mandated written information on HCPs) or comparison group (who received the written information only). Results: Logistic regression analysis indicates there is a statistically significantly higher probability that a patient would sign an HCP if assigned to the treatment group than if assigned to the comparison condition. Conclusion: Benefits of educating patients about HCPs as part of routine social work practice are outlined.

Key Words: advance directives • health care proxies • durable power of attorney for health care • health care education • end of life


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