Evidence map›Paper›PMID 39107758›Full record

ArticleBMC palliative care2024

Acceptance level of advance care planning and its associated factors among the public: A nationwide survey.

Xue Wang, Yibo Wu, Xinghua Bai, Qiao Qiao, Ling Yu, Lina Ge, Li Qi, Shuang Zang

Abstract read
In one paragraph

Article in BMC palliative care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

8 authors.

Xue Wang *Department of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning Province, China.ORCID http://orcid.org/0000-0002-0371-4004
Yibo Wu *School of Public Health, Peking University, No.38 Xueyuan Road, Haidian District, Beijing, 100191, China.ORCID http://orcid.org/0000-0001-9607-313X
Xinghua BaiDepartment of Radiation Oncology, The First Hospital of China Medical University, No.155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China.ORCID http://orcid.org/0000-0002-2988-9769
Qiao QiaoDepartment of Radiation Oncology, The First Hospital of China Medical University, No.155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China.ORCID http://orcid.org/0000-0002-6841-3771
Ling YuPhase I Clinical Trails Center, The First Hospital of China Medical University, No.155 Nanjing Bei Street, Heping District, Shenyang, 110001, Liaoning Province, China.ORCID http://orcid.org/0000-0002-8578-8911
Lina GeDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, No.36 Sanhao Street, Heping Area, Shenyang, 110004, Liaoning Province, China.ORCID http://orcid.org/0000-0002-8967-1964
Li QiSchool of Nursing, Qiqihar Medical University, No.333, Bukui North Street, Jianhua District, Qiqihar City, 161006, Heilongjiang Province, China.ORCID http://orcid.org/0000-0002-7224-1327
Shuang ZangDepartment of Community Nursing, School of Nursing, China Medical University, No.77 Puhe Road, Shenyang North New Area, Shenyang, 110122, Liaoning Province, China. zangshuang@cmu.edu.cn.ORCID http://orcid.org/0000-0001-7814-8011

Funding

Heilongjiang Higher Education Teaching Reform Research Project SJGY20200810
6 · The paper itself

Abstract

backgroundAdvance care planning (ACP) can contribute to individuals making decisions about their healthcare preferences in advance of serious illness. Up to now, the acceptance level and associated factors of ACP among the public in China remain unclear. This study aims to investigate the acceptance level of ACP in China and identify factors associated with it based on the socioecological model.

methodsA total of 19,738 participants were included in this survey. We employed a random forest regression analysis to select factors derived from the socioecological model. Multivariate generalized linear model analysis was then conducted to explore the factors that were associated with the acceptance level of ACP.

resultsOn a scale ranging from 0 to 100, the median score for acceptance level of ACP was 64.00 (IQR: 48.00-83.00) points. The results of the multivariate generalized linear model analysis revealed that participants who scored higher on measures of openness and neuroticism personality traits, as well as those who had greater perceptions of social support, higher levels of health literacy, better neighborly relationships, family health, and family social status, were more likely to accept ACP. Conversely, participants who reported higher levels of subjective well-being and greater family communication levels demonstrated a lower likelihood of accepting ACP.

conclusionsThis study identified multiple factors associated with the acceptance level of ACP. The findings offer valuable insights that can inform the design and implementation of targeted interventions aimed at facilitating a good death and may have significant implications for the formulation of end-of-life care policies and practices in other countries facing similar challenges.

Indexed as

Advance Care PlanningAdolescentAdultAgedChinaFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareSurveys and QuestionnairesAdultsAdvance care planningChinaNational surveySocioecological model

Identifiers

PMID39107758
PMCPMC11301855

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.