Evidence map›Paper›PMID 29124502›Full record

SynthesisJournal of immigrant and minority health2018

Facilitators and Barriers for Advance Care Planning Among Ethnic and Racial Minorities in the U.S.: A Systematic Review of the Current Literature.

Michin Hong, Eun-Hye Yi, Kimberly J Johnson, Margaret E Adamek

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of immigrant and minority health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 9 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  8. Advance care planning for adults with heart failure.The Cochrane database of systematic reviews · 2020
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  20. Disparities in Advance Care Planning: Did COVID-19 Change Anything?Journal of the American Geriatrics Society · 2026
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28 more citing papers are in PubMed but not listed here.

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

4 authors.

Michin HongIndiana University School of Social Work, 902 West New York Street, Indianapolis, IN, 46202, USA. hongmi@iupui.edu.
Eun-Hye YiIndiana University School of Social Work, 902 West New York Street, Indianapolis, IN, 46202, USA.
Kimberly J JohnsonIndiana University School of Social Work, 902 West New York Street, Indianapolis, IN, 46202, USA.
Margaret E AdamekIndiana University School of Social Work, 902 West New York Street, Indianapolis, IN, 46202, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Growing evidence suggests a low engagement in advance care planning (ACP) among ethnic minorities in the U.S. The purpose of this study was to synthesize findings from prior research about ACP among ethnic minorities. An extensive literature search was conducted using multiple electronic databases. After applying inclusion criteria, 26 studies were included. Four categories of facilitators and barriers to ACP were identified: (1) Socio-demographic factors, (2) health status, literacy and experiences, (3) cultural values, and (4) spirituality. Socio-demographic factors showed inconsistent findings regarding their association with ACP engagement. Worse health status and knowledge about ACP are common facilitators across ethnic minority groups, whereas mistrust toward the health care system was a barrier only for Blacks. Collectivistic cultural values influenced ACP engagement among Latinos and Asian Americans; however, spirituality/religion played an important role among Blacks. The implications for culturally competent approaches to promote ACP and future research directions are discussed.

Indexed as

Advance Care PlanningCultural CharacteristicsEthnicityHealth Knowledge, Attitudes, PracticeHealth LiteracyHealth StatusHumansMinority GroupsRacial GroupsSocioeconomic FactorsSpiritualityAdvance care planningAdvance directivesCultural competenceEnd-of-life careEthnic minoritiesRacial minorities

Identifiers

PMID29124502

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.