Evidence map›Paper›PMID 41063207›Full record

Trial reportBMC medical ethics2025

Project DECIDE II: evaluating the efficacy of supported advance care decision making within routine care in dementia: a randomized controlled trial.

Ermioni Athanasiadi, Jochen René Thyrian, Janina Florack, Anna Theile-Schürholz, Jonas Karneboge, Tanja Müller, Kristian Kleinke, Stefanie Kremer, Charlotte Boes, Helene Böhm and 11 more

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC medical ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

Ermioni AthanasiadiDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Jochen René ThyrianDeutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Greifswald, Germany.
Janina FlorackDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Anna Theile-SchürholzDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Jonas KarnebogeDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Tanja MüllerDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Kristian KleinkeDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Stefanie KremerDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Charlotte BoesCaritasverband Siegen-Wittgenstein e.V., Siegen, Germany.
Helene BöhmCaritasverband Siegen-Wittgenstein e.V., Siegen, Germany.
Anja Herder-PeyrounetteGesundheitsregion Siegerland, Siegen, Germany.
Manuela KremerGesundheitsregion Siegerland, Siegen, Germany.
Celina SanderDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Ronja Müller-SpäthDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Heiko UllrichKlinikum Siegen, Siegen, Germany.
Melanie BoekholtDeutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Greifswald, Germany.
Marc HassenzahlUbiquitous Design, Faculty III, University of Siegen, Kohlbettstr. 15, Siegen, 57072, Germany.
Ruben AlbersUbiquitous Design, Faculty III, University of Siegen, Kohlbettstr. 15, Siegen, 57072, Germany.
Simon ForstmeierDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Philipp SchaperDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany.
Julia HaberstrohDepartment of Psychology, Faculty II, University of Siegen, Adolf-Reichwein-Str. 2a, Siegen, 57068, Germany. Julia.Haberstroh@uni-siegen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDementia is a terminal illness and places significant burden on individuals and their caregivers, especially regarding end-of-life decisions for people with dementia (PwD) who lose their decision-making capacity. Current advance healthcare planning concepts fail to consider the psychological processes of decision making. Supported Advance Care Decision-Making (ACD) is a promising approach aiming to enrich existing advance healthcare planning concepts by integrating empowering support strategies and ensuring the success of empowerment. The study aims at providing a feasible and effective approach to enhance ACD in dementia care practice with the goal to increase PwD’s autonomy in making advance care and end-of-life decisions and to reduce proxy burden. It is embedded within Dementia Care Management (DeCM), a routine care measure specifically designed for PwD who live at home.

methodsThe efficacy of supported ACD incorporated in DeCM routine care will be investigated with a single-blind randomized controlled trial. The primary endpoints are the prevalence and validity of advance healthcare planning documents (advance directives or other) and proxy burden at pre vs. post measurement. The secondary endpoints are decisional conflict, patient autonomy, and patient-proxy congruence in preferences. DISCUSSION: Depending on the results, supported ACD shall be added to the curriculum of DeCM to further increase its effectiveness.

trial registrationDRKS00036478, 17.04.2025.

Indexed as

Advance Care PlanningDecision MakingDementiaTerminal CareAdvance DirectivesCaregiversHumansPersonal AutonomyProxySingle-Blind MethodDementia careInterventionProxy burdenSupported advance care decision-making

Identifiers

PMID41063207
PMCPMC12505856

What OpenQuestion holds

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LicenceCC BY
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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.