Evidence map›Paper›PMID 24644188›Full record

ArticleBMJ supportive & palliative care2015

What do Canadians think of advanced care planning? Findings from an online opinion poll.

Ana A Teixeira, Louise Hanvey, Carolyn Tayler, Doris Barwich, Sharon Baxter, Daren K Heyland, Canadian Researchers at End of Life Network (CARENET)

4 registry-linked trialsAbstract read
In one paragraph

Article in BMJ supportive & palliative care, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT02797444 completednot on this map

Advance Care Planning for Critical Care - A Prelude to Breaking Barriers

TypeobservationalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2015 to 2017Enrolled30ConditionsAdvance Care Planning, End of Life CareArmssemi-structured interviews
NCT03239639 nacompletednot on this mapstarted 2018, after this paper: background citation

A Randomized Control Trial of an Advance Care Planning Intervention to Engaged Substitute Decision-makers in Primary Care

TypeinterventionalSponsorMcMaster UniversityRan2018 to 2019Enrolled61ConditionsChronic IllnessArmsAdvance care planning education session, Wait list control
NCT03434626 nacompletednot on this mapstarted 2017, after this paper: background citation

A Randomized Trial of ACP/GCD Care Pathway in Primary Care in Alberta

TypeinterventionalSponsorMcMaster UniversityRan2017 to 2018Enrolled120ConditionsChronic Illness, ComorbiditiesArmsACP Education, Usual care
NCT03649191 nacompletednot on this mapstarted 2018, after this paper: background citation

Improving Advance Care Planning for Frail, Elderly Residents in Canadian Nursing Homes: A Subproject of the BABEL Study (Better tArgetting, Better Outcomes for Frail ELderly Patients)

TypeinterventionalSponsorUniversity of ManitobaRan2018 to 2020Enrolled713ConditionsNursing Homes, Aged, Frail Elderly Syndrome, DementiaArmsThe BABEL Approach to Advance Care Planning in Nursing Homes, Control group Advance Care Planning
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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 · 2023
    Trial
  3. Trial
  4. Resuscitation preference conversation typologies: a constructivist grounded theory study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2026
    Article
  5. Attitudes to earlier advance care planning: a qualitative interview study in general practice.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
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  20. Advance care directive prevalence among older Australians and associations with person-level predictors and quality indicators.Health expectations : an international journal of public participation in health care and health policy · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ana A TeixeiraDepartment of Medicine, Queen's University, Kingston, Ontario, Canada.
Louise HanveyCanadian Hospice Palliative Care Association, Ottawa, Ontario, Canada.
Carolyn TaylerFraser Health Authority, Surrey, British Columbia, Canada.
Doris BarwichFraser Health Authority, Surrey, British Columbia, Canada Division of Palliative Care, Department of Medicine UBC, Surrey, British Columbia, Canada.
Sharon BaxterCanadian Hospice Palliative Care Association, Ottawa, Ontario, Canada.
Daren K HeylandDepartment of Medicine, Queen's University, Kingston, Ontario, Canada Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, Ontario Department of Community Health and Epidemiology, Queen's University, Kingston, Ontario, Canada.
Canadian Researchers at End of Life Network (CARENET)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvance care planning (ACP) has the potential to increase patient-centred care, reduce caregiver burden, and reduce healthcare costs at the end of life. Current levels of public participation in ACP activities are unknown. The purpose of this study was to determine the level of engagement of average Canadians in ACP activities.

methodsData come from an on-line opinion poll of a national sample of respondents who were asked five questions on ACP activities along with their sociodemographic characteristics.

resultsRespondents were from all provinces of Canada, 52% were women, and 33% were between 45 years and 54 years of age. Of 1021 national sample respondents, 16% were aware of the term, ACP (95% CI 13% to 18%), 52% had discussions with their family or friends (95% CI 49% to 55%), and 10% had discussions with healthcare providers (95% CI 8% to 12%). Overall, 20% (95% CI 18% to 22%) of respondents had a written ACP and 47% (95% CI 44% to 50%) had designated a substitute decision maker. Being older was associated with significantly more engagement in ACP activities and there were significant differences in ACP engagement across Canada.

conclusionsAlthough only a small proportion of Canadians are aware of the formal term, ACP, a higher percentage of Canadians are actually engaged in ACP, through either having discussions or making decisions about end-of-life care. Older citizens are more likely to be engaged in ACP and there are geographic differences in the level of ACP engagement across Canada.

Indexed as

Health Knowledge, Attitudes, PracticePublic OpinionAdolescentAdultAdvance Care PlanningAgedAge FactorsCanadaDecision MakingFemaleHumansInternetMaleMiddle AgedPhysician-Patient RelationsSocioeconomic FactorsAdvance Care PlanningAdvance DirectivesIntervention StudiesRegional Health PlanningSocioeconomic Factors

Identifiers

PMID24644188
PMCPMC4345810

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.