Evidence map›Paper›PMID 39511666›Full record

ArticleBMC palliative care2024

Effects of a structured, family-supported, and patient-centred advance care planning on end-of-life decision making among palliative care patients and their family members: protocol of a randomised controlled trial.

Doris Y P Leung, Joyce O K Chung, Helen Y L Chan, Raymond S K Lo, Kevin Li, Po Tin Lam, Nancy H Y Ng

Registry-linked trialAbstract readClinical Trial Protocol
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. It is linked to trial NCT05935540 (Effects of a Structured, Family-supported, Patient-centred Advance Care Planning for End-of-life Decision Among Palliative Care Patients and Their Family Members), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

NCT05935540 narecruitingnot on this map

Effects of a Structured, Family-supported, Patient-centred Advance Care Planning for End-of-life Decision Among Palliative Care Patients and Their Family Members: a Randomized Controlled Trial

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2023 to 2025Enrolled170ConditionsPalliative CareArmsACP-Family
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. 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

7 authors.

Doris Y P LeungSchool of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong. doris.yp.leung@polyu.edu.hk.ORCID https://orcid.org/0000-0003-0138-8839
Joyce O K ChungSchool of Nursing, The Hong Kong Polytechnic University, Hung Hom, Hong Kong.
Helen Y L ChanNethersole School of Nursing, The Chinese University of Hong Kong, Shatin, Hong Kong.
Raymond S K LoDepartment of Geriatrics & Palliative Medicine, Shatin Hospital, Shatin, Hong Kong.
Kevin LiDepartment of Geriatrics & Palliative Medicine, Shatin Hospital, Shatin, Hong Kong.
Po Tin LamDepartment of Medicine & Geriatrics, United Christian Hospital, Kwun Tong, Hong Kong.
Nancy H Y NgDepartment of Medicine & Geriatrics, United Christian Hospital, Kwun Tong, Hong Kong.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvance care planning (ACP) is a well-recognized quality indicator for palliative care. Despite two decades of effort, previous studies showed that ACP-related documentation and end-of-life discussion rates remain low for palliative care patients. Although ACP is about self-determination and autonomy, studies consistently show the importance of family involvement in adult patient's medical decision-making. Yet, research on ACP interventions with structured components targeting family member remained limited. The current study aims to evaluate the effectiveness of a structured, family-supported, patient-centred ACP programme for adult palliative care patients and their families.

methodsThis is a 2-arm parallel group randomized controlled trial with follow-ups at 6 and 12 months. One hundred and seventy eligible palliative care patients and their families are planned to be recruited from three hospitals, and randomized to either a structured, family-supported, patient-centred ACP programme (ACP-Family) or usual ACP care (ACP-UC) arm. The ACP-Family intervention consists of 2 sessions. The primary outcome is family's prediction accuracy of patient's treatment preferences at 6 months. Secondary outcomes include proportions of new ACP documentations and family-reported perception of whether the patient's end-of-life (EOL) care preference was respected; patient's decisional conflict; quality of communication; family's decision-making confidence; family's anxiety and depression; and patients' and family members' satisfaction of the intervention. Outcomes of the two groups will be compared using regressions and linear mixed-effects models. DISCUSSION: This study will provide rigorous scientific evidence on the effectiveness of a structured and well-design family-supported, patient-centred ACP programme for adult palliative care patients and their family members in the hospital setting. If the ACP-Family proves to be effective, it will provide a structured and systematic approach to facilitate ACP discussions involving family members. This will respond to local needs and inform international ACP practice.

trial registrationClinicalTrials.gov Identifier: NCT05935540.

Indexed as

Advance Care PlanningDecision MakingFamilyPalliative CarePatient-Centered CareAdultFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicTerminal CareAdvance care planningEnd of life careFamilyPalliative care

Identifiers

PMID39511666
PMCPMC11542196

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.