ReviewJournal of pain and symptom management2020
Exploring the Uptake of Advance Care Planning in Older Adults: An Integrative Review.
Review in Journal of pain and symptom management, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed.
- Effect of a Video-Assisted Advance Care Planning Intervention on End-of-Life Health Care Transitions Among Long-Stay Nursing Home Residents.Journal of the American Medical Directors Association · 2022Trial
- Advance care planning in older hospitalised patients following an emergency admission: A mixed methods study.PloS one · 2021Trial
- Factors Associated with Advance Care Planning Engagement Among Community-Dwelling Older Adults: A Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Embedding a Palliative Care Nurse Consultant Within a General Medicine Ward: A Prospective Exploratory Study.Journal of clinical nursing · 2026Article
- Empowering Older Patients in Advance Care Planning: Evaluating MyCare™ as a Decision Support Tool.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Barriers and Facilitators to the Implementation of Advance Care Planning: A Qualitative Study at National and Organizational Levels.Journal of evaluation in clinical practice · 2025Article
- Could life story work support relational autonomy in advance care planning? Stories from the EARLI project.Australasian journal on ageing · 2025Article
- Proactive end-of-life conversations in residential care homes: a qualitative interview study exploring residents' and family members' experiences.BMC geriatrics · 2025Article
- Cultural interplay in end-of-life care decisions: comparing advance directive beliefs and preferences among adults in the U.S. and Taiwan.BMC palliative care · 2025Article
- Developing archetypes for key roles in a pragmatic trial: implementing human-centered design to promote advance care planning in primary care.Implementation science communications · 2025Article
- Measuring the level of implementation of advance care planning - a fidelity-based cross-sectional study.Frontiers in health services · 2025Article
- Essential Advance Care Planning Intervention Features in Low-Income Communities: A Qualitative Study.Journal of pain and symptom management · 2025Article
- Understanding attitudes and preferences towards advance care planning in older adults: Insights from a cross-sectional study in primary care.Palliative care and social practice · 2025Article
- Barriers and facilitators in implementing advance care planning for frail older patients acutely admitted to geriatric hospital units: a nested qualitative study.Frontiers in health services · 2025Article
- The broken care chain-report from a country with a low number of hospital beds.Frontiers in health services · 2025Article
- The value of home-based advance care planning in addressing existential concerns among older Norwegian patients with cancer and their relatives: A narrative ethnographic study.Palliative care and social practice · 2025Article
- Article
- Knowledge and perception of older adults toward end of life and advanced directive in Nigeria.Palliative & supportive care · 2024Article
- Medical ethics in childbirth: a structural equation modeling approach in south of Iran.BMC medical ethics · 2024Article
- Validating care and treatment scenarios for measuring decisional conflict regarding future care preferences among older adults.Health expectations : an international journal of public participation in health care and health policy · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextAdvance care planning (ACP) is essential to elicit goals, values, and preferences of care in older adults with serious illness and on trajectories of frailty. An exploration of ACP uptake in older adults may identify barriers and facilitators.
objectiveTo conduct an integrative review of research on the uptake of ACP in older adults and create a conceptual model of the findings.
methodsUsing Whittemore and Knafl's methodology, we systematically searched four electronic databases of ACP literature in older adults from 1996 through December 2019. Critical appraisal tools were used to assess study quality, and articles were categorized according to level of evidence. Statistical and thematic analysis was then undertaken.
resultsAmong 1081 studies, 78 met inclusion criteria. Statistical analysis evaluated ACP and variables within the domains of demographics, psychosocial, disability and functioning, and miscellaneous. Thematic analysis identified a central category of enhanced communication, followed by categories of 1) provider role and preparation; 2) patient/family relationship patterns; 3) standardized processes and structured approaches; 4) contextual influences; and 5) missed opportunities. A conceptual model depicted categories and relationships.
conclusionsEnhanced communication and ACP facilitators improve uptake of ACP. Clinicians should be cognizant of these factors. This review provides a guide for clinicians who are considering implementation strategies to facilitate ACP in real-world settings.
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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.