Evidence map›Paper›PMID 39773395›Full record

SynthesisBMC public health2025

Factors related to patients' readiness for advance care planning: a systematic review.

Milad Asghardoust Rezaei, Ali Zahiri, Toktam Kianian, Elahe Hashemi, Ali Askari, Mobina Golmohammadi, Amir Mirsadeghi, Salman Barasteh

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. A Noddings' caring theory-based intervention to enhance coping with death competence in advanced lung cancer patients: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  5. Article
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  8. To intubate, or not to intubate, that is the question.Internal and emergency medicine · 2026
    Article
  9. Article
  10. Advanced cancer patients' knowledge and opinions regarding the French law on advance directives: a multicenter cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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  12. Article
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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.

Milad Asghardoust RezaeiStudent Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Ali ZahiriStudent Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Toktam KianianDepartmentof Community Health and Geriatrics Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Elahe HashemiSemnan University of Medical Sciences, Semnan, Iran.
Ali AskariStudent Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Mobina GolmohammadiStudent Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Amir MirsadeghiNursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Salman BarastehNursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran. s.barasteh@gmail.com.ORCID 0000-0003-2042-599X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvance care planning can help to align the care provided with the values, goals and preferences of patients at the end of life. Therefore, readiness for advanced care planning is considered a prerequisite and predictor of the patient's willingness to participate in the end of life conversation. The present study was conducted with the aim of investigating the factors affecting patients' readiness for advance care planning (RACP).

methodsThis systematic review was searched in 4 databases: PubMed, Scopus, Web of science, ProQuest using relevant keywords. No time limit was considered. The quality of the articles was assessed using Joanna Briggs Institute tool for qualitative studies and the Appraisal Tool for cross-sectional Studies. The data was analyzed based on the directed content analysis approach guided by the theory of planned behavior (TPB).

results3227 primary article titles were identified. After removing duplicates, screening and final selection, 22 relevant articles remained for analysis. Factors affecting RACP were extracted based on the TPB. Attitude factors include "ACP training", "perceived experiences of health status", "Socio-demographic factors", and "psycho-spiritual readiness". Subjective norms include "social support and family participation" and "accessibility to health services". The perceived behavioral control includes "dialogue about ACP", "readiness actions", and "determining a proxy decision maker."

conclusionIn this study, according to the theory of planning behavior, various factors have an effect on the RACP. Therefore, according to the collaborative and multifactorial nature of the factors affecting preparation for ACP, it is suggested that different effective dimensions should be considered according to the specific conditions of each patient and the stage of the disease. Therefore, health service providers should first measure the level of readiness of patients and families, and by understanding the factors affecting their readiness, they should conduct training or dialogue in the field of ACP.

Indexed as

Advance Care PlanningHumansAdvance care planningAdvance directivesDecision makingPalliative careReadinessTheory of planned behavior

Identifiers

PMID39773395
PMCPMC11707947

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.