Adults who complete an advance directive (AD) are not consistently off ered information about the risks, benefi ts, or alternatives (RBA) of the life-sustaining medical procedures addressed on standardized forms. The current article describes a new patientcentered nurse-supported advance care planning (NSACP) intervention focused on providing information about RBA of lifesustaining procedures. Fifty participants (mean age = 50.26 years) at a Veterans Aff airs medical center were randomized to the NSACP intervention or a comparison condition. Before randomization, 78% (n = 39) expressed interest in RBA information. Of participants in the NSACP group, 94% (n = 30) completed an AD. Participants who received NSACP made more decisions to decline life-sustaining treatment than those who were randomized to the comparison group. Promising feasibility data include brevity (mean = 46 minutes), high patient satisfaction, participant retention, and treatment fi delity. The NSACP holds promise as a brief, educational intervention to support patients in completing an AD.
