ArticleJournal of pain and symptom management2019
Preparing Older Patients With Serious Illness for Advance Care Planning Discussions in Primary Care.
Article in Journal of pain and symptom management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient perceptions of advance care planning within primary care: a systematic review of facilitators and barriers.BMC primary care · 2025Pooled 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
- Qualitative evaluation of the SHARING Choices trial of primary care advance care planning for adults with and without dementia.Journal of the American Geriatrics Society · 2024Trial
- The ACP-ASC model: A comprehensive behaviour change model for advance care planning based on the Stages of Change model.Palliative medicine · 2026Article
- 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 · 2026Article
- Enhancing Advance Directive Completion Among Older Adults in the Geriatrics Clinic in Indiana, USA: A Quality Improvement Initiative.Healthcare (Basel, Switzerland) · 2025Article
- Multi Components in the Implementation of Advanced Care Planning for Patients with Cancer: A Scoping Review.Journal of caring sciences · 2025Review
- 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
- Co-production in practice: A qualitative study of the development of advance care planning workshops for South Asian elders.Palliative medicine · 2025Article
- Article
- SHARING Choices: Design and rationale for a pragmatic trial of an advance care planning intervention for older adults with and without dementia in primary care.Contemporary clinical trials · 2022Article
- The patient's relationship with the General Practitioner before and after Advance Care Planning: pre/post-implementation study.BMC geriatrics · 2022Article
- Advance Care Planning Needs in Idiopathic Pulmonary Fibrosis: A Qualitative Study.The American journal of hospice & palliative care · 2022Article
- Information meetings on end-of-life care for older people by the general practitioner to stimulate advance care planning: a pre-post evaluation study.BMC family practice · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
contextLittle is known about how to prepare older patients for advance care planning (ACP) discussions in primary care.
objectivesThe objective of the study was to explore older patients' perspectives and experiences on ACP discussions with family members and/or primary care clinicians.
methodsWe conducted a qualitative interview study with 20 older patients who were involved in the clinic's ACP quality improvement initiative. We used an inductive approach to generate a coding scheme and used thematic analysis alongside a constant comparative methodology to iteratively refine emergent themes after coding the data. We used the transtheoretical behavior change model to conceptualize the process of ACP discussions, focusing on the contemplation, preparation, and action stages.
resultsFour key themes emerged from our analyses: 1) the relevance/importance of ACP as a whole; 2) independently conceptualizing wishes and preferences for the future; 3) the process of engagement in ACP discussions; and 4) different outcomes of ACP discussions. While patients contemplated having an ACP discussion, they needed time to conceptualize their wishes on their own before documenting wishes or engaging with others. Moving to the preparation stage, patients shared their perspectives about how to engage family members and primary care clinicians in ACP discussions and reported different outcomes of these discussions, which varied according to patients' goals for ACP.
conclusionUnderstanding how to best prepare patients for ACP discussions from patients enrolled in an ACP primary clinic quality improvement initiative may assist primary care practices in developing interventions to improve the occurrence and effectiveness of such discussions.
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