ArticlePatient education and counseling2012
Promoting advance care planning as health behavior change: development of scales to assess Decisional Balance, Medical and Religious Beliefs, and Processes of Change.
Article in Patient education and counseling, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
44 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Palliative Care in Early Dementia.Journal of pain and symptom management · 2024Pooled it
- Development of a theory-based intervention to increase cognitively able frail elders' engagement with advance care planning using the behaviour change wheel.BMC health services research · 2021Pooled it
- Influence of pediatric advance care planning on the secondary outcomes of the BOOST pACP trial: determinants of communication between parents and adolescents with cancer.European journal of pediatrics · 2025Trial
- Advance care planning engagement in patients with chronic, life-limiting illness: baseline findings from a cluster-randomised controlled trial in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023Trial
- Effect of the STAMP (Sharing and Talking About My Preferences) Intervention on Completing Multiple Advance Care Planning Activities in Ambulatory Care : A Cluster Randomized Controlled Trial.Annals of internal medicine · 2021Trial
- Brief English and Spanish Survey Detects Change in Response to Advance Care Planning Interventions.Journal of pain and symptom management · 2019Trial
- Health Literacy Matters More Than Experience for Advance Care Planning Knowledge Among Older Adults.Journal of the American Geriatrics Society · 2019Trial
- Feasibility of Delivering a Tailored Intervention for Advance Care Planning in Primary Care Practice.Journal of the American Geriatrics Society · 2019Trial
- Improving a Full Range of Advance Care Planning Behavior Change and Action Domains: The PREPARE Randomized Trial.Journal of pain and symptom management · 2018Trial
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- Messaging and Chatbot-Assisted Nursing Consultation (ChatACP) to Empower Family Members of Residents of Nursing Homes on Advance Care Planning: Protocol for a Mixed Methods Pilot Study.JMIR research protocols · 2026Article
- The ACP-ASC model: A comprehensive behaviour change model for advance care planning based on the Stages of Change model.Palliative medicine · 2026Article
- Patterns of engagement in advance care planning among older people living with cancer: a cross-sectional survey.BMC palliative care · 2025Article
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- Measures of Patient and Surrogate Preparedness for End-of-Life Decision-Making.Journal of pain and symptom management · 2024Article
- The impact of elexacaftor/tezacaftor/ivacaftor on cystic fibrosis health-related quality of life and decision-making about daily treatment regimens: a mixed methods exploratory study.Therapeutic advances in chronic disease · 2024Article
- Disparities in advance care planning among older US immigrants.Journal of the American Geriatrics Society · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo develop measures representing key constructs of the Transtheoretical Model (TTM) of behavior change as applied to advance care planning (ACP) and to examine whether associations between these measures replicate the relationships posited by the TTM.
methodsSequential scale development techniques were used to develop measures for Decisional Balance (Pros and Cons of behavior change), ACP Values/Beliefs (religious beliefs and medical misconceptions serving as barriers to participation), Processes of Change (behavioral and cognitive processes used to foster participation) based on responses of 304 persons age≥65 years.
resultsItems for each scale/subscale demonstrated high factor loading (>.5) and good to excellent internal consistency (Cronbach α .76-.93). Results of MANOVA examining scores on the Pros, Cons, ACP Values/Beliefs, and POC subscales by stage of change for each of the six behaviors were significant, Wilks'λ=.555-.809, η(2)=.068-.178, p≤.001 for all models.
conclusionCore constructs of the TTM as applied to ACP can be measured with high reliability and validity. PRACTICE IMPLICATIONS: Cross-sectional relationships between these constructs and stage of behavior change support the use of TTM-tailored interventions to change perceptions of the Pros and Cons of participation in ACP and promote the use of certain Processes of Change in order to promote older persons' engagement in ACP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.