Evidence map›Paper›PMID 37310014›Full record

Trial reportPalliative medicine2023

Effects of advance care planning in care dependent community-dwelling older persons (STADPLAN): A cluster-randomised controlled trial.

Falk Hoffmann, Rieke Schnakenberg, Katharina Silies, Almuth Berg, Änne Kirchner, Julia Jaschke, Burkhard Haastert, Birgitt Wiese, Juliane Köberlein-Neu, Gabriele Meyer and 1 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Palliative medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
4.6field-weighted citation impact, top 5% of its field
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

5 citing papers in PubMed, 16 citations in OpenAlex.

  1. Effects of advance care planning on hope, anxiety, attitudes, and behavioral intentions in older adults with cancer: A randomized controlled study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  2. Trial
  3. Trial
  4. 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 · 2024
    Trial
  5. Article
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

11 authors at 6 institutions in 1 country.

Falk HoffmannDepartment of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.ORCID 0000-0003-0182-5373
Rieke SchnakenbergDepartment of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University Oldenburg, Oldenburg, Germany.
Katharina SiliesInstitute for Social Medicine and Epidemiology, Nursing Research Unit, University of Lübeck, Germany.
Almuth BergMedical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.ORCID 0000-0001-7953-5400
Änne KirchnerMedical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
Julia JaschkeCenter for Health Economics and Health Services Research, Schumpeter School of Business and Economics, University of Wuppertal, Wuppertal, Germany.
Burkhard HaastertmediStatistica, Wuppertal, Germany.
Birgitt WieseInstitute for General Practice, Hannover Medical School, Hannover, Germany.
Juliane Köberlein-NeuCenter for Health Economics and Health Services Research, Schumpeter School of Business and Economics, University of Wuppertal, Wuppertal, Germany.
Gabriele MeyerMedical Faculty, Institute for Health and Nursing Science, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.
Sascha KöpkeInstitute of Nursing Sciences, University of Cologne, Medical Faculty and University Hospital Cologne, Cologne, Germany.
Martin Luther University Halle-Wittenberg · DECarl von Ossietzky Universität Oldenburg · DEUniversity of Wuppertal · DEMedizinische Hochschule Hannover · DEUniversity of Cologne · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost randomised controlled trials on advance care planning were conducted in people with advanced, life-limiting illnesses or in institutional settings. There are few studies on its effect in older people living in the community.

aimTo determine the effects of advance care planning in older community dwelling people.

designThe STADPLAN study was a cluster-randomised trial with 12 months follow-up. The complex intervention comprised a 2-days training for nurse facilitators that delivered a formal advance care planning counselling and a written information brochure. Patients in the control group received optimised usual care, that is, provision of a short information brochure. SETTING/

participantsHome care services in three regions of Germany were randomised using concealed allocation. Care dependent clients of participating home care services, aged 60 years or older, and rated to have a life-expectancy of at least 4 weeks were included. Primary outcome was active participation in care at 12 months, assessed by blinded investigators using the Patient Activation Measure (PAM-13).

resultsTwenty-seven home care services and 380 patients took part. Three hundred seventy-three patients were included in the primary analysis (

conclusionsThe intervention showed no relevant effects on patient activation or quality of life in community dwelling older persons, possibly indicating the need for more tailored interventions. However, results are limited by a lack of statistical power.

trial registrationGerman Clinical Trials Register: DRKS00016886.

Indexed as

Advance Care PlanningHome Care ServicesAdvance DirectivesAgedAged, 80 and overHumansIndependent LivingQuality of Lifeadvance care planningend-of-life carehome care servicesnursesRandomised controlled trial

Identifiers

PMID37310014
PMCPMC10503242
OpenAlexW4380423070

What OpenQuestion holds

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LicenceCC BY
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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.