ArticleBMC palliative care2024
Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in Japan.
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 6 papers.
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.
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Who cites it
6 citing papers in PubMed.
- Diverging Trends in Home Respiratory Care in an Aging Society: National Data from Japan.JMA journal · 2026Article
- Differences in Perspectives and Policies Regarding End-of-Life Care Between Hematologists and Gastroenterologists.Cancer medicine · 2026Article
- Advance care planning in older adults presenting to a secondary-level emergency department in a Japanese regional city: a single-center retrospective cross-sectional study comparing home-dwelling vs. nursing-home residents.Journal of rural medicine : JRM · 2026Article
- Perspectives of Japanese Citizens on Advance Care Planning in Clinical Settings: Findings From a Focus Group Study.Journal of general and family medicine · 2026Article
- Age-related epidemiology and outcomes of sepsis in Japanese critical care units: a nationwide administrative claims database study.Journal of intensive care · 2025Article
- Development and validation of the Japanese version of the Death Literacy Index (DLI-J) and its short form (DLI-J-9).PCN reports : psychiatry and clinical neurosciences · 2025Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundJapan is implementing awareness-raising of advance care planning for older adults; however, only 451 out of 1 741 municipalities were engaged in advance care planning awareness-raising activities among residents, according to a 2017 survey. This study examined advance care planning awareness-raising activities among community residents by local governments after the 2018 revision of the government guidelines, as well as utilization of the revised guidelines, issues in awareness-raising activities, and directions for future activities.
methodsThis cross-sectional questionnaire survey was conducted in prefectures and municipalities nationwide in 2022. Questions included the status, content, and issues of advance care planning awareness-raising activities for community residents. A multi-level logistic regression analysis was used to examine the characteristics of municipalities engaged in activities.
resultsResponses were received from 43 prefectures (response rate: 91.5%) and 912 municipalities (response rate: 53.1%). Of the municipalities, 63.6% (n = 580) reported "active" advance care planning awareness-raising. A high financial capability index and implementation of awareness-raising activities in the prefecture where the municipality was located were significantly associated with its awareness-raising activities. Municipalities engaged in awareness-raising activities reported experiencing issues related to the objectives, methods, and outcome evaluation of the activities.
conclusionsFive-hundred eighty municipalities engaged in awareness-raising activities-a number that had increased significantly since the 2017 survey. Municipalities that could not engage in awareness-raising activities should receive financial support and other forms of support from prefectures. Furthermore, to ensure that municipalities clarify the purpose of awareness-raising and the desired outcomes, indices for quantitatively measuring results and achievements should be developed.
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