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Medline ® Abstract for Reference 42

of 'Palliative care: End-stage renal disease'

Randomized controlled trial of SPIRIT: an effective approach to preparing African-American dialysis patients and families for end of life.
Song MK, Ward SE, Happ MB, Piraino B, Donovan HS, Shields AM, Connolly MC
Res Nurs Health. 2009;32(3):260.
This randomized controlled trial tested an intervention, Sharing Patients' Illness Representations to Increase Trust (SPIRIT), designed to enhance communication regarding end-of-life care between African Americans with end-stage renal disease (ESRD) and their chosen surrogate decision makers (N = 58 dyads). We used surveys and semi-structured interviews to determine the feasibility, acceptability, and preliminary effects of SPIRIT on patient and surrogate outcomes at 1 week and 3 months post-intervention. We also evaluated patients' deaths and surrogates' end-of-life decision making to assess surrogates' perceptions of benefits and limitations of the SPIRIT while facing end-of-life decisions. We found that SPIRIT promoted communication between patients and their surrogates and was effective and well received by the participants.
School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599-7460, USA.