ArticleThe American journal of hospice & palliative care2017
Can Playing an End-of-Life Conversation Game Motivate People to Engage in Advance Care Planning?
Article in The American journal of hospice & palliative care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06046261 (Exploring the Impact of " ACP Board Game for Life" on Death Preparation and Anxiety in Patients With Stage 4 and 5 Chronic Kidney Diseases), which is not on this map. Cited by 26 papers.
What it found
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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.
Exploring the Impact of " ACP Board Game for Life" on Death Preparation and Anxiety in Patients With Stage 4 and 5 Chronic Kidney Diseases: A Pilot Study
Who cites it
26 citing papers in PubMed.
- Community-Based Interventions for Initiating Early End-of-Life Conversations in Nonterminally Ill Adults: A Systematic Review.Campbell systematic reviews · 2026Review
- Article
- Engagement in advance care planning: effect of playing the card game Anticip'action in a community setting.BMC public health · 2025Article
- Review
- A Digital Serious Game (Anticip'action) to Support Advance Care Planning Discussions in the General Population: Usability Study.JMIR aging · 2025Article
- Let's talk about death, dying, and what matters most to you in life: Pretest and piloting of a translated and adapted conversation game.PEC innovation · 2025Article
- What Clinicians and Researchers Should Know About the Evolving Field of Advance Care Planning: a Narrative Review.Journal of general internal medicine · 2024Review
- Tools for tomorrow: a scoping review of patient-facing tools for advance care planning.Palliative care and social practice · 2024Article
- Article
- A Mobile App for Advance Care Planning and Advance Directives (Accordons-nous): Development and Usability Study.JMIR human factors · 2022Article
- The Time Moving exhibit: Exploring perceptions of time in end-of-life experiences.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- An Exploratory Digital Board Game Approach to the Review and Reinforcement of Complex Medical Subjects Like Anatomical Education: Cross-sectional and Mixed Methods Study.JMIR serious games · 2022Article
- Extending Advance Care Planning to Black Americans in the Community: A Pilot Study of the PREPARE Program.Journal of pain and symptom management · 2021Article
- Individual, interpersonal, and health care factors associated with informal and formal advance care planning in a nationally-representative sample of midlife and older adults.Patient education and counseling · 2021Article
- PROTOCOL: Community-based interventions for initiating early end-of-life conversations in nonterminally Ill adults: a systematic review.Campbell systematic reviews · 2021Article
- Tabletop Board Game Elements and Gamification Interventions for Health Behavior Change: Realist Review and Proposal of a Game Design Framework.JMIR serious games · 2021Review
- Low Skepticism and Positive Attitudes About Advance Care Planning Among African Americans: a National, Mixed Methods Cohort Study.Journal of general internal medicine · 2021Article
- Dissemination, use, and impact of a community-based, conversational advance care planning intervention: ripple effects of the Swedish DöBra cards.Palliative care and social practice · 2021Article
- Effects of Advance Care Planning on End-of-Life Decision Making: A Systematic Review and Meta-Analysis.Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care · 2020Article
- Association of Participation in an End-of-Life Conversation Game With Advance Care Planning Behavior and Perspectives Among African American Individuals.JAMA network open · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundAdvance care planning (ACP) involves several behaviors that individuals undertake to prepare for future medical care should they lose decision-making capacity. The goal of this study was to assess whether playing a conversation game could motivate participants to engage in ACP.
methodsSixty-eight English-speaking, adult volunteers (n = 17 games) from communities around Hershey, Pennsylvania, and Lexington, Kentucky, played a conversation card game about end-of-life issues. Readiness to engage in 4 ACP behaviors was measured by a validated questionnaire (based on the transtheoretical model) immediately before and 3 months postgame and a semistructured phone interview. These behaviors were (1) completing a living will; (2) completing a health-care proxy; (3) discussing end-of-life wishes with loved ones; and (4) discussing quality versus quantity of life with loved ones.
resultsParticipants' (n = 68) mean age was 51.3 years (standard deviation = 0.7, range: 22-88); 94% of the participants were caucasian and 67% were female. Seventy-eight percent of the participants engaged in ACP behaviors within 3 months of playing the game (eg, updating documents, discussing end-of-life issues). Furthermore, 73% of the participants progressed in stage of change (ie, readiness) to perform at least 1 of the 4 behaviors. Scores on measures of decisional balance and processes of change increased significantly by 3 months postintervention.
conclusionThis pilot study found that individuals who played a conversation game had high rates of performing ACP behaviors within 3 months. These findings suggest that using a game format may be a useful way to motivate people to perform important ACP behaviors.
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Registered trials
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