ArticleBMJ open2022
Knowledge, attitude and practice of community-dwelling adults regarding advance care planning in Malaysia: a cross-sectional study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- The general public's perceptions of advance care planning (ACP) in the Asia-Pacific region: a systematic review.BMC palliative care · 2026Pooled it
- Patient perceptions of advance care planning within primary care: a systematic review of facilitators and barriers.BMC primary care · 2025Pooled it
- Identification and synthesis of end-of-life decision-making measures: a scoping review.Frontiers in medicine · 2025Pooled it
- Willingness to participate in advance care planning among older adults with relatively high educational attainment in a continuing care retirement community of the Beijing-Tianjin-Hebei region: a qualitative study.BMC palliative care · 2026Article
- The Role of Advance Care Planning on Community Dwelling Adults' Coping Abilities and Death Attitudes: A Sequential Mixed-Methods Study.Journal of clinical nursing · 2026Article
- Knowledge, attitudes, and practices of healthcare professionals regarding palliative care family meetings: a multicenter cross-sectional study.Frontiers in public health · 2026Article
- A feasibility trial of advance care planning for patients with terminal cancer in primary hospitals.BMC palliative care · 2025Article
- Community health workers' knowledge and attitudes toward advance directives in China: a cross-sectional study.Frontiers in public health · 2025Article
- Associated factors of home hospice care utilization by the terminally ill older adults: a mixed-methods study.Frontiers in public health · 2025Article
- Knowledge and perception of older adults toward end of life and advanced directive in Nigeria.Palliative & supportive care · 2024Article
- Attitudes of the Portuguese population towards advance directives: an online survey.BMC medical ethics · 2024Article
- Advance Directives in Portugal: A Qualitative Survey.Healthcare (Basel, Switzerland) · 2024Article
- Public awareness of advance care planning and hospice palliative care: a nationwide cross-sectional study in Korea.BMC palliative care · 2023Article
- Perceptions, Attitudes, and Knowledge toward Advance Directives: A Scoping Review.Healthcare (Basel, Switzerland) · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study aimed to assess the knowledge, attitude and practice (KAP) among community-dwelling adults in Malaysia regarding advance care planning (ACP), and its associated factors.
designThis cross-sectional study was conducted from July-September 2018.
settingThis study was conducted at the University Malaya Medical Centre, Kuala Lumpur, Malaysia.
participantsWe recruited community-dwelling adults (ambulatory care patients or their accompanying persons) who were ≥21 years old and able to understand English or Malay. A 1:10 systematic sampling procedure was used. Excluded were community-dwelling adults with intellectual disabilities or non-Malaysian accompanying persons. A trained researcher administered the validated English or Malay Advance Care Planning Questionnaire at baseline and 2 weeks later. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the KAP regarding ACP. The secondary outcomes were factors associated with KAP.
resultsA total of 385/393 community-dwelling adults agreed to participate (response rate 98%). Only 3.1% of the community-dwelling adults have heard about ACP and 85.7% of them felt that discussion on ACP was necessary after explanation of the term. The desire to maintain their decision-making ability when seriously ill (94.9%) and reducing family burden (91.6%) were the main motivating factors for ACP. In contrast, resorting to fate (86.5%) and perceived healthy condition (77.0%) were the main reasons against ACP. Overall, 84.4% would consider discussing ACP in the future. Community-dwelling adults who were employed were less likely to know about ACP (OR=0.167, 95% CI 0.050 to 0.559, p=0.004) whereas those with comorbidities were more likely to favour ACP (OR=2.460, 95% CI 1.161 to 5.213, p=0.019). No factor was found to be associated with the practice of ACP.
conclusionsDespite the lack of awareness regarding ACP, majority of community-dwelling adults in Malaysia had a positive attitude towards ACP and were willing to engage in a discussion regarding ACP after the term 'ACP' has been explained to them.
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