Publications by authors named "L Henault"

Article Synopsis
  • - The study focused on integrating a new role, Palliative Care Educators (PCEs), into hospital settings to improve advance care planning (ACP) and goals-of-care (GOC) conversations for seriously ill and older patients.
  • - Interviews with 24 clinical staff revealed four main themes: PCEs laid a foundation for ongoing palliative care, creative revisions were necessary for their implementation, strong communication ensured continuity of care, and building trust led to greater role acceptance.
  • - Despite some challenges in creating this new role, it was viewed as beneficial in reducing staff workloads and enhancing patient engagement in important care discussions.
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Article Synopsis
  • The study examined how health literacy and confidence in COVID-19 vaccines relate to self-reported vaccination rates among adults in Boston and Chicago.
  • Participants (N = 271) were predominantly around 50 years old and included diverse racial backgrounds, with 85% having received at least one COVID-19 vaccine.
  • Results indicated that while both higher health literacy and vaccine confidence were linked to vaccination, only vaccine confidence directly predicted vaccination status, suggesting it plays a crucial mediating role.
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Advance Care Planning (ACP) is a communication process about serious illness decision making designed to inform patients of possible medical options. Native Hawaiians consistently have low rates of ACP and low use of palliative and hospice care services. Our multidisciplinary community and research group partnered to create I kua na'u "Let Me Carry Out Your Last Wishes," an ACP intervention featuring culturally tailored videos and are now testing its efficacy.

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Importance: Despite the benefits of goals-of-care (GOC) communication, many hospitalized individuals never communicate their goals or preferences to clinicians.

Objective: To assess whether a GOC video intervention delivered by palliative care educators (PCEs) increased the rate of GOC documentation.

Design, Setting, And Participants: This pragmatic, stepped-wedge cluster randomized clinical trial included patients aged 65 years or older admitted to 1 of 14 units at 2 urban hospitals in New York and Boston from July 1, 2021, to October 31, 2022.

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Background: A high rate of COVID-19 vaccination is critical to reduce morbidity and mortality related to infection and to control the COVID-19 pandemic. Understanding the factors that influence vaccine confidence can inform policies and programs aimed at vaccine promotion. We examined the impact of health literacy on COVID-19 vaccine confidence among a diverse sample of adults living in two major metropolitan areas.

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