{"doi":"10.1177/10499091231190776","title":"Evaluation of a Novel Hospice-Specific Patient Decision Aid","abstract":"Background: We tested a novel hospice-specific patient decision aid to determine whether the decision aid could improve hospice knowledge, opinions of hospice, and decision self-efficacy in making decisions about hospice. Methods: Two patient-level randomized studies were conducted using two different cohorts. Recruitment was completed from March 2019 through May 2020. Cohort #1 was recruited from an academic hospital and a safety-net hospital and Cohort #2 was recruited from community members. Participants were randomized to review a hospice-specific patient decision aid. The primary outcomes were change in hospice knowledge, hospice beliefs and attitudes, and decision self-efficacy Wilcoxon signed rank tests were used to evaluate differences on the primary outcomes between baseline and 1-month. Participants: Participants were at least 65 years of age. A total of 266 participants enrolled (131 in Cohort #1 and 135 in Cohort #2). Participants were randomized to the intervention group (n = 156) or control group (n = 109). The sample was 74% (n = 197) female, 58% (n = 156) African American and mean age was 74.9. Results: Improvements in hospice knowledge between baseline and 1-month were observed in both the intervention and the control groups with no differences between groups (.43 vs .275 points, P = .823). There were no observed differences between groups on Hospice Beliefs and Attitudes scale (3.29 vs 3.08, P = .076). In contrast, Decision Self-Efficacy improved in both groups and the effect of the intervention was significant (8.04 vs 2.90, P = −.027). Conclusions: The intervention demonstrated significant improvements in decision self-efficacy but not in hospice knowledge or hospice beliefs and attitudes.","journal":"American Journal of Hospice and Palliative Medicine®","year":2023,"id":367184,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":5,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.8753,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1124810,"name":"Gwendolyn Mami","orcid":null,"position":1,"is_corresponding":false},{"id":704869,"name":"Monica McNulty","orcid":"0000-0003-0531-6648","position":2,"is_corresponding":false},{"id":720495,"name":"Deborah Rinehart","orcid":"0000-0003-3002-8875","position":3,"is_corresponding":false},{"id":1124811,"name":"Robin Yasui","orcid":null,"position":4,"is_corresponding":false},{"id":1124812,"name":"Nicole Rondinelli","orcid":null,"position":5,"is_corresponding":false},{"id":1124813,"name":"Jonathan Treem","orcid":null,"position":6,"is_corresponding":false},{"id":405639,"name":"Diane L. Fairclough","orcid":null,"position":7,"is_corresponding":false},{"id":323510,"name":"Daniel D. Matlock","orcid":"0000-0001-9597-9642","position":8,"is_corresponding":false},{"id":415549,"name":"Channing E. Tate","orcid":"0000-0001-6635-9794","position":0,"is_corresponding":true}],"reference_count":39,"raw_metadata":null,"created_at":"2026-07-19T01:15:12.215513Z","pmid":"37477279","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}