Evidence map›Paper›PMID 40520470›Full record

ArticleInnovation in aging2025

Results of a Culturally Tailored Advance Care Planning Intervention for American Indian Peoples: A Quasi-Experimental Waitlist-Controlled Trial.

April Schweinhart, R Turner Goins, Elizabeth Anderson

Registry-linked trialAbstract read
In one paragraph

Article in Innovation in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05304117 (Culturally Tailoring an Advance Care Planning Intervention for American Indians), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05304117 nacompletednot on this map

Culturally Tailoring an Advance Care Planning Intervention for American Indians

TypeinterventionalSponsorWestern Carolina UniversityRan2022 to 2024Enrolled155ConditionsAdvance Care PlanningArmsAdvance Care Planning
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

3 authors.

April SchweinhartPacific Institute for Research and Evaluation, Louisville, Kentucky, USA.ORCID https://orcid.org/0000-0003-4378-6640
R Turner GoinsDepartment of Social Work, College of Health and Human Sciences at Western Carolina University, Cullowhee, North Carolina, USA.
Elizabeth AndersonGuidance Through Grief Counseling Center, PLLC, Candler, North Carolina, USA.

Funding

Culturally tailoring an advance care planning intervention for American IndiansR21NR019910 · NINR · WESTERN CAROLINA UNIVERSITY · PI ANDERSON, ELIZABETH BAGWELL, GOINS, R. TURNER · 2021 to 2022
$375k
NINR NIH HHS R21 NR019910
6 · The paper itself

Abstract

Background and Objectives: American Indian and Alaska Native peoples have disproportionately low rates of advance care planning (ACP). To address this problem, we culturally tailored and evaluated an intervention for ACP to the needs of a specific American Indian Tribe. The goal of our study was to examine the culturally tailored Research Design and Methods: We engaged Tribal community members in a quasi-experimental, waitlist-controlled trial design to test the effects of the program. Our sample included 2, self-selected groups totaling 113 participants. Data were collected via interviewer-administered surveys with participants on 3 occasions. The intervention group completed an intervention baseline survey, postprogram survey, and a follow-up survey 6 months after the intervention, and the waitlist comparison group completed a control baseline survey, intervention baseline survey, and postprogram survey. Results: Our results showed that, on average, ACP barriers decreased, and facilitators, readiness, self-efficacy, and notarized advance care plan completion increased postintervention for participants who completed the ACP program. These changes were significantly greater for the intervention group than the waitlist comparison group and were sustained at the 6-month follow-up for the intervention group. In total, 76 more individuals completed their notarized advance care plans by the end of program participation than at intervention baseline, a 79.1% increase. Discussion and Implications: The culturally tailored program was found to increase readiness and self-efficacy for ACP and increased the likelihood of a participant having a notarized advance care plan postprogram. Our study affects clinical and public health practice by testing a program that is responsive to cultural values, beliefs, and practices and shown to increase ACP among American Indian peoples. Clinical Trial Registration: NCT05304117.

Indexed as

Advance directiveBarriers and facilitatorsEnd-of-lifeReadinessSelf-efficacy

Identifiers

PMID40520470
PMCPMC12166474

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.