Evidence map›Paper›PMID 40128714›Full record

Trial reportBMC palliative care2025

The influence of an interactive educational approach on advance care planning counseling in individuals with psychiatric disorders.

Yi-Chien Chen, Fang-Ying Chu, Ling-Yu Chang, Ming-Yuan Hsieh, Chao-Hsien Lee

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC palliative care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Yi-Chien ChenDepartment of Nursing, Taipei Veterans General Hospital, Yuli Branch, Hualien, Taiwan.
Fang-Ying ChuDepartment of Nursing, Tzu Chi University, Hualien, Taiwan.
Ling-Yu ChangDepartment of Social Work, Meiho University, No. 23, Pingguang Rd., Neipu, Pingtung County, Pingtung, 91202, Taiwan.
Ming-Yuan HsiehDepartment of Social Work, Meiho University, No. 23, Pingguang Rd., Neipu, Pingtung County, Pingtung, 91202, Taiwan.
Chao-Hsien LeeDepartment of Social Work, Meiho University, No. 23, Pingguang Rd., Neipu, Pingtung County, Pingtung, 91202, Taiwan. x00002167@meiho.edu.tw.ORCID http://orcid.org/0000-0001-9316-5098

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Taiwan, psychiatric patients often face premature judgments regarding cognitive impairment, emotional instability, communication barriers, or issues related to guardianship rights due to their psychiatric diagnosis. This leads to a reduction in their autonomy in healthcare decision-making. Advocacy for and experiential understanding of Advance Care Planning (ACP) among individuals with psychiatric disorders are significantly lacking. This research explores the influence of an interactive educational approach on the ACP process for psychiatric patients and whether this approach can enhance their comprehension, attitudes, and intentions regarding Advance Decisions (AD).

methodsTo accommodate potential variances and ensure robustness in our findings, we ultimately elected to recruit 90 participants. Using a computer-generated random number generator, we conducted a randomized trial, assigning 45 individuals to the control group and an equal number to the intervention group. The control group continued with the routine self-care educational curriculum, while the intervention group, in addition to the standard curriculum, participated in bi-weekly intervention sessions for three months. This resulted in six group health education sessions, each lasting one hour. To evaluate participants' knowledge, attitudes, and intent to sign regarding ACP, the effects of group, time, and their interactions were assessed using Generalized Estimating Equations.

resultsBoth groups were homogeneous at baseline. Post-intervention, Knowledge improved by 3.31 points (p < 0.001) and Attitude by 4.91 points (p < 0.001). However, the increase in Intent to Sign (0.73 points, p = 0.222) was not statistically significant. The overarching findings indicate that the application of an interactive educational model significantly enhances psychiatric patients' knowledge and attitudes toward ACP, although it does not substantially impact their intention to sign.

conclusionsInteractive education effectively enhances psychiatric patients' knowledge and attitudes toward ACP but does not significantly influence their intent to sign AD. We advocate for their empowerment in ACP discussions. This study highlights the feasibility of integrating ACP promotion into routine psychiatric care.

Indexed as

Advance Care PlanningCounselingMental DisordersPatient Education as TopicAdultAgedFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedSurveys and QuestionnairesTaiwanAdvance care planningAdvance decisionsPalliative carePatient autonomy actPsychiatric disorders

Identifiers

PMID40128714
PMCPMC11931846

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Registered trials

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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.