Improving Palliative Care Knowledge and Intentions Among Great Plains American Indians: Efficacy Results From a Randomized Clinical Trial Testing a Culture-Centric Palliative Care Message.
Mary J Isaacson, Kah Meng Charlie Soh, Christopher S Wichman and 5 others
PMID 41337781WHAT IT FOUND
Both a culture-centric and a general palliative care video were associated with higher knowledge than no message, but neither changed intentions to talk about palliative care.
The culture-centric video made viewers feel more engaged with the characters.
Key findings
01On the 13-item PaCKS, model-estimated correct answers were 7.5 for no message, 9.2 for culture-centric, and 9.1 for general; on the 11-item KOCO they were 6.0, 6.9, and 7.0, and both videos were detectably different from no message without differing from each other.
02None of the four communication intention queries differed by message condition or age.
03Compared with the general message, the culture-centric message had odds 3.46 times greater for agreeing about understanding main characters and 4.10 times greater for agreeing about feeling characters' emotions.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included only three Great Plains Tribal communities from one Tribal Nation, so the results may not apply to all American Indian communities. The study had no pretest, so it cannot show how much each person's knowledge changed after viewing the video. Many participants chose neutral answers, and the analysts recoded neutral as disagree; this may reflect response style and can affect results. Outcomes were self-reported immediately after the video, with no follow-up, so lasting knowledge, actual palliative care discussions, or service use were not measured. The Discussion describes significant differences in communication intentions, but the Results section reports no communication intention queries differed by message condition. The study planned 360 participants but 320 completed the survey, and two participants identifying as Two Spirit were excluded from model analyses because of small numbers.
Declared interests
The authors declared no potential conflicts of interest.
The easy way to misread this
Do not conclude that the culture-centric message increased intentions to discuss palliative care. The Results section reports that none of the four communication intention queries differed by message condition, even though the Discussion describes intention differences.