Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021
Unraveling patients' readiness in advance care planning conversations: a qualitative study as part of the ACTION Study.
Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis 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
35 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Factors related to patients' readiness for advance care planning: a systematic review.BMC public health · 2025Pooled it
- Effect of motivational interviewing to promote advance care planning among palliative care patients in ambulatory care setting: a randomized controlled trial.BMC palliative care · 2025Trial
- Assessing Advance Care Planning Fidelity within the Context of Cognitive Impairment: The SHARE Trial.Journal of pain and symptom management · 2024Trial
- Complex advance care planning intervention in general practice (ACP-GP): a cluster-randomised controlled trial.The British journal of general practice : the journal of the Royal College of General Practitioners · 2024Trial
- Experiences of Older Adults with Frailty Not Completing an Advance Directive: A Qualitative Study of ACP Conversations.International journal of environmental research and public health · 2022Trial
- Advance care planning with patients of Islamic migration background: a qualitative study identifying the need for relational autonomy and hope-sustaining communication.BMC palliative care · 2026Article
- Influencing factors and mediating effects of advanced medical care plan readiness in young and middle-aged patients with advanced cancer based on machine learning.BMC palliative care · 2026Article
- Assessment of advance care planning readiness and its determinants among peritoneal dialysis patients in China.Scientific reports · 2026Article
- Factors influencing readiness for advance care planning in dementia: a qualitative interview study.BMC palliative care · 2026Article
- Tree of peaches: exploring what matters most at the end-of-life among healthy older adults in Taiwan: a qualitative study.BMC palliative care · 2026Article
- Promising Concept, Challenging Implementation of a Minimally Invasive Intervention (MINI) to Identify Patients in Their Last Year of Life-A Multi-Methods Feasibility Study at a German University Hospital.Healthcare (Basel, Switzerland) · 2025Article
- Desired dementia care towards end of life: Development and experiences of implementing a new approach to improve person-centred dementia care.Journal of advanced nursing · 2025Article
- Perceived acceptability of a prototype toolkit to support patients and informal caregivers to express their perspectives in palliative care conversations.PEC innovation · 2025Article
- Exploring readiness for advance care planning in Japan: A qualitative interview study with older adults with frailty, family caregivers, and health and social care practitioners in the homecare setting.Palliative care and social practice · 2025Article
- Article
- Advance care planning readiness among community-dwelling older adults and the influencing factors: a scoping review.BMC palliative care · 2024Article
- Perspectives of Chronic Kidney Disease Patients on Readiness for Advance Care Planning at Komfo Anokye Teaching Hospital, Ghana.The Yale journal of biology and medicine · 2024Article
- The trajectory of prognostic cognition in patients with advanced cancer: is the traditional advance care planning approach desirable for patients?Japanese journal of clinical oncology · 2024Review
- Article
- Implementing advance care planning in palliative and end of life care: a scoping review of community nursing perspectives.BMC geriatrics · 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
8 authors.
Funding
Abstract
purposePatients' readiness for advance care planning (ACP) is often considered a prerequisite for starting ACP conversations. Healthcare professionals' uncertainty about patients' readiness hampers the uptake of ACP in clinical practice. This study aims To determine how patients' readiness is expressed and develops throughout an ACP conversation.
methodsA qualitative sub-study into the ACTION ACP conversations collected as part of the international Phase III multicenter cluster-randomized clinical trial. A purposeful sample was taken of ACP conversations of patients with advanced lung or colorectal cancer who participated in the ACTION study between May 2015 and December 2018 (n = 15). A content analysis of the ACP conversations was conducted.
resultsAll patients (n = 15) expressed both signs of not being ready and of being ready. Signs of being ready included anticipating possible future scenarios or demonstrating an understanding of one's disease. Signs of not being ready included limiting one's perspective to the here and now or indicating a preference not to talk about an ACP topic. Signs of not being ready occurred more often when future-oriented topics were discussed. Despite showing signs of not being ready, patients were able to continue the conversation when a new topic was introduced.
conclusionHealthcare professionals should be aware that patients do not have to be ready for all ACP topics to be able to participate in an ACP conversation. They should be sensitive to signs of not being ready and develop the ability to adapt the conversation accordingly.
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