ArticleAnnals of family medicine2016
Advance Care Planning Meets Group Medical Visits: The Feasibility of Promoting Conversations.
Article in Annals of family medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 28 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.
Refining an Advance Care Planning Group Visit Intervention - A Novel Intervention to Engage Older Adults in Advance Care Planning.
ENgaging in Advance Care Planning Talks Group Visit Intervention (ENACT) for Individuals With Amnestic Mild Cognitive Impairment (aMCI)
Effectiveness of Engaging in Advance Care Planning Talks (ENACT) Group Visits in Primary Care for Older Adults With and Without Alzheimer's Disease
Who cites it
28 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Older Patients' Verbal Communication in Interactions With Primary Care Staff: A Qualitative Systematic Review and Meta-Ethnography.Health expectations : an international journal of public participation in health care and health policy · 2025Pooled it
- Pooled it
- Effectiveness of Advance Care Planning Group Visits Among Older Adults in Primary Care.Journal of the American Geriatrics Society · 2020Trial
- Improving a Full Range of Advance Care Planning Behavior Change and Action Domains: The PREPARE Randomized Trial.Journal of pain and symptom management · 2018Trial
- Acceptability of Group Visits for Attention-Deficit Hyperactivity Disorder in Pediatric Clinics.Journal of developmental and behavioral pediatrics : JDBP · 2017Trial
- Article
- Two-thirds of older people is interested in information meetings on end-of life care to stimulate advance care planning: a national survey.BMC geriatrics · 2025Article
- Group medicare wellness visits: A pilot exploration of an approach to wellness and preventive medicine for older adults.Preventive medicine reports · 2023Article
- Primary care providers' perceptions on the integration of community-led advance care planning activities with primary care: a cross-sectional survey.BMC primary care · 2023Article
- Using behavioral theory to adapt advance care planning for homeless-experienced older adults in permanent supportive housing.Journal of the American Geriatrics Society · 2023Article
- Key elements and checklist of shared decision-making conversation on life-sustaining treatment in emergency: a multispecialty study from China.World journal of emergency medicine · 2023Article
- Human-Centered Design of an Advance Care Planning Group Visit for Mild Cognitive Impairment.The Gerontologist · 2022Article
- Impact of group visits for older patients with heart failure on advance care planning outcomes: Preliminary data.Journal of the American Geriatrics Society · 2021Article
- Exploring the Uptake of Advance Care Planning in Older Adults: An Integrative Review.Journal of pain and symptom management · 2020Review
- When do Physicians and Nurses Start Communication about Advance Care Planning? A Qualitative Study at an Acute Care Hospital in Japan.Asian bioethics review · 2020Article
- Community-Based Conversations about Advance Care Planning for Underserved Populations Using Lay Patient Navigators.Journal of palliative medicine · 2020Article
- "Find Out What They Lack, Try to Provide": A Qualitative Investigation of Palliative Care Services Adapted to Local Need in a Low-Resource Setting.Journal of palliative medicine · 2020Article
- Effect of an Interactive Website to Engage Patients in Advance Care Planning in Outpatient Settings.Annals of family medicine · 2020Article
- Evaluation of the national implementation of the VA Diffusion of Excellence Initiative on Advance Care Planning via Group Visits: protocol for a quality improvement evaluation.Implementation science communications · 2020Article
- CPR decision-making conversations in the UK: an integrative review.BMJ supportive & palliative care · 2019Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
purposePrimary care needs new models to facilitate advance care planning conversations. These conversations focus on preferences regarding serious illness and may involve patients, decision makers, and health care providers. We describe the feasibility of the first primary care-based group visit model focused on advance care planning.
methodsWe conducted a pilot demonstration of an advance care planning group visit in a geriatrics clinic. Patients were aged at least 65 years. Groups of patients met in 2 sessions of 2 hours each facilitated by a geriatrician and a social worker. Activities included considering personal values, discussing advance care planning, choosing surrogate decision-makers, and completing advance directives. We used the RE-AIM framework to evaluate the project.
resultsTen of 11 clinicians referred patients for participation. Of 80 patients approached, 32 participated in 5 group visit cohorts (a 40% participation rate) and 27 participated in both sessions (an 84% retention rate). Mean age was 79 years; 59% of participants were female and 72% white. Most evaluated the group visit as better than usual clinic visits for discussing advance care planning. Patients reported increases in detailed advance care planning conversations after participating (19% to 41%, P = .02). Qualitative analysis found that older adults were willing to share personal values and challenges related to advance care planning and that they initiated discussions about a broad range of relevant topics.
conclusionA group visit to facilitate discussions about advance care planning and increase patient engagement is feasible. This model warrants further evaluation for effectiveness in improving advance care planning outcomes for patients, clinicians, and the system.
Indexed as
Identifiers
What OpenQuestion holds
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.