ArticleBMC nursing2025
Motivational interviewing on engaging family members on advance care planning in residential care homes: a quasi-experimental study.
Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05901506 (Strengthen Family Members' Understanding of Advance Care Planning With a Nurse-led, Motivational Interview Educational Intervention), which is not on this map. Cited by 1 paper.
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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.
Strengthen Family Members' Understanding of Advance Care Planning With a Nurse-led, Motivational Interview Educational Intervention: A Mixed-method Feasibility Study
Who cites it
1 citing paper in PubMed.
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundIt is important to engage family caregivers strategically and earlier in the Advance Care Planning (ACP) process. However, there is a lack of supportive information and education for family members on ACP. This study aimed to evaluate the feasibility and preliminary efficacy of a nurse-led motivational interviewing ACP intervention for family caregivers of older adults in nursing homes.
methodsThis was a quasi-experimental study with a post-trial qualitative study (N = 50). Fifty family caregivers of nursing home residents in Hong Kong, China, were first recruited to the intervention group and then the control group in a 1:1 ratio. The intervention was a 3-session, nurse-led program with a motivational interviewing approach to improving their knowledge and understanding of ACP. The control group had no intervention. We evaluated feasibility outcomes with the logistics data and a semi-structured post-intervention qualitative interview and evaluated preliminary efficacy outcomes using the stages of change scale, the ACP readiness measurement, and a measurement of family caregivers' quality of life before and after the intervention.
resultsThe participation rate was 56%, and the overall attendance rate of the intervention group was up to 100%. Compared to the control group, the intervention group had significant increases in ACP knowledge, confidence, and stages of change for ACP activity score, except communication skills. Family members recognized their need for ACP information to be prepared as caregivers, and many reported the intervention improved their knowledge and attitude towards ACP and had a stronger desire to sign advance directives.
conclusionsA nurse-led motivational interviewing intervention is feasible and effective for improving ACP readiness of family caregivers. Nurses play a vital role in preparing the family caregivers for end-of-life care decision-making for their loved ones. Our data inform future ACP interventions for family caregivers of older adults living in nursing homes.
trial registrationThis trial was registered at ClinicalTrials.gov with the following registration number NCT05901506 on June 13th, 2023.
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