2020 SACAD Entrants

Document Type




Entry Category

Empirical- Graduate


Most patients want to maintain complete control of their choice in their healthcare decisions to the very end of life. However, according to Bern-Klug and Byram’s (2017) study, less than 25% of Americans complete advanced directives. Despite legislation that mandates healthcare providers ask patients if they have an advanced directive, most healthcare providers do not have advanced directive discussions with their patients (Spoelhof & Elliott, 2012). The purpose of this project was to develop multifocal interventions that would increase the number of conversations healthcare providers have with their patients over the age of 18 in the primary care setting and the number of patients that complete an advanced directive. The ultimate goal of this project was for patients to have a voice in their end-of-life healthcare decisions, followed by an advanced directive process replication across clinics in the state and nation.