{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,26]],"date-time":"2025-02-26T19:10:14Z","timestamp":1740597014129,"version":"3.38.0"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n          <jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>To explore if a physician associate\/assistant (PA)-led advance care planning (ACP) intervention would be successful and if patients and caregivers are comfortable having these discussions with PAs.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>We conducted a randomized controlled trial with optional open-label crossover to assess the feasibility, acceptability, and effect on ACP engagement of a PA-led telemedicine-facilitated ACP (tele-ACP) intervention in a Huntington disease (HD) clinic.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>All participants felt they could effectively express themselves to the PA during the tele-ACP visit, and 95.8% felt comfortable communicating with the PA about ACP. The PA-led tele-ACP intervention significantly increased ACP engagement.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Our PA-led tele-ACP intervention was feasible, acceptable, and it increased ACP engagement.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/01.jaa.0000000000000091","type":"journal-article","created":{"date-parts":[[2025,2,4]],"date-time":"2025-02-04T16:07:39Z","timestamp":1738685259000},"page":"e10-e15","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["A PA-led telemedicine advance care planning intervention in a life-limiting illness"],"prefix":"10.1097","volume":"38","author":[{"given":"Christa S.","family":"Cooper","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica A.","family":"Karl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2025,2,25]]},"reference":[{"issue":"7","key":"R1-20250225","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1377\/hlthaff.2017.0175","article-title":"Approximately one in three US adults completes any type of advance directive for end-of-life care","volume":"36","author":"Yadav","year":"2017","journal-title":"Health Aff (Millwood)"},{"issue":"2","key":"R2-20250225","doi-asserted-by":"crossref","first-page":"33","DOI":"10.21307\/ajon-2017-020","article-title":"Barriers and facilitators to end of life care in Huntington's disease: a review of the literature","volume":"29","author":"Hosken","year":"2019","journal-title":"Australas J Neurosci"},{"issue":"8","key":"R3-20250225","doi-asserted-by":"crossref","first-page":"1305","DOI":"10.1177\/0269216318784474","article-title":"Advance care planning: a systematic review about experiences of patients with a life-threatening or life-limiting illness","volume":"32","author":"Zwakman","year":"2018","journal-title":"Palliat Med"},{"issue":"7","key":"R4-20250225","doi-asserted-by":"crossref","first-page":"a024240","DOI":"10.1101\/cshperspect.a024240","article-title":"Huntington's disease: mechanisms of pathogenesis and therapeutic strategies","volume":"7","author":"Jimenez-Sanchez","year":"2017","journal-title":"Cold Spring Harb Perspect Med"},{"issue":"4","key":"R5-20250225","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/JNN.0b013e3182212a52","article-title":"Promoting excellence in end-of-life care: lessons learned from a cohort of nursing home residents with advanced Huntington disease","volume":"43","author":"Dellefield","year":"2011","journal-title":"J Neurosci Nurs"},{"issue":"11","key":"R6-20250225","doi-asserted-by":"crossref","first-page":"2184","DOI":"10.1007\/s00415-014-7479-4","article-title":"Thinking about the end of life: a common issue for patients with Huntington's disease","volume":"261","author":"Booij","year":"2014","journal-title":"J Neurol"},{"issue":"3","key":"R7-20250225","doi-asserted-by":"crossref","first-page":"440","DOI":"10.1177\/1049909117708195","article-title":"Factors associated with end-of-life planning in Huntington disease","volume":"35","author":"Downing","year":"2018","journal-title":"Am J Hosp Palliat Care"},{"issue":"1","key":"R9-20250225","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12904-018-0333-1","article-title":"Whose job? 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