title: Factors associated with advance care planning discussions by area agency on aging care managers.
abstract: BACKGROUND
  Initiating advance care planning (ACP) discussions in the home may prevent avoidable hospitalizations by elucidating goals of care. Area agencies on aging care managers (AAACMs) work in the home with high-risk consumers.
  
  
  OBJECTIVE
  To determine which AAACM characteristics contribute to an increased frequency of ACP discussions.
  
  
  METHODS
  Cross-sectional investigator-generated surveys administered to AAACMs at 3 AAAs in Ohio.
  
  
  RESULTS
  Of 289 AAACMs, 182 (63%) responded. The more experience and comfort AAACMs felt with ACP discussions, the more likely they were to initiate ACP discussions.
  
  
  CONCLUSIONS
  It may be necessary to build interactive educational experiences where, for example, AAACMs are asked to fill out their own advance directives and/or facilitate others in ACP discussions to improve experience and comfort with ACP discussions.
authors: 1Summa Health System, Akron, OH, USA.
authors: Susan
authors: S
authors: Hazelett
authors: Kristin R
authors: KR
authors: Baughman
authors: Barbara R
authors: BR
authors: Palmisano
authors: Margaret
authors: M
authors: Sanders
authors: Ruth E
authors: RE
authors: Ludwick
mesh_terms: D032722:Advance Care Planning; D016223:Advance Directives; D003430:Cross-Sectional Studies; D006801:Humans; D009820:Ohio
keywords: advance care planning discussions; area agency on aging; avoidable hospitalizations; care manager attitudes; care manager characteristics; survey