An Educational Video Intervention to Increase Advance Care Planning in A Geriatric Clinic: A Randomized Controlled Trial

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Basmon Manomaipiboon
Surin Assawawitoontip
Sudsri Kokaewichain
Bhorn-ake Manasvanich


Introduction: Advance care planning should ideally be discussed with every geriatric patient in the ambulatory settings. However, only a small percentage of geriatric patients have had the discussion with their providers. We hypothesized that an educational video intervention would better promote interest compared to verbal advice alone.

Objectives: To compare the levels of interest in advance care planning between the educational video interventional group and the control group at the geriatric clinic.

Methods: Older adults aged 60 years and older who visited the clinic between November and December 2018 were enrolled and randomized into 2 groups. The intervention group was shown an 8-min video with verbal advice while the control group received standardized verbal advice. Participants were administered a Likert scale questionnaire after the intervention. The primary outcome was the proportion of participants who expressed interests in completing an advance directive.

Results: Of the 110 enrolled participants [55 in intervention group and 55 in controls: mean age was 67 years, and most of them were female (83%)]. There was no difference in the baseline characteristics between the two groups including age, sex, education, marital status, income, and health status. Ninety eight percent of the participants in video group expressed interests to complete an advance care plan, whereas only 67% of the control group did (P<0.001).

Conclusion: An educational video significantly increased awareness and interests among geriatric clinic patients compared to verbal education alone.


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Manomaipiboon, B., Assawawitoontip, S., Kokaewichain, S., & Manasvanich, B.- ake. (2020). An Educational Video Intervention to Increase Advance Care Planning in A Geriatric Clinic: A Randomized Controlled Trial. Vajira Medical Journal : Journal of Urban Medicine, 64(4), 235–242.
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