Evidence map›Paper›PMID 41218994›Full record

ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2026

Attitudes to earlier advance care planning: a qualitative interview study in general practice.

Sonya Bushell, Ishbel Winter-Luke, Elizabeth Dennis, Fliss Em Murtagh

Abstract read
In one paragraph

Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. Closing the gap in health care for older people.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026
    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

4 authors.

Sonya BushellWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK sonyaheatherb@gmail.com.ORCID 0000-0002-5972-0833
Ishbel Winter-LukeWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID 0009-0007-5134-4830
Elizabeth DennisWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID 0009-0009-8810-1076
Fliss Em MurtaghWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.ORCID 0000-0003-1289-3726

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvance care planning (ACP) research has often focused on those experiencing deteriorating health. There is limited research regarding attitudes to early ACP among people living with long-term conditions without advanced illness or severe frailty.

aimTo explore how people living with a non-cancer long-term condition understand ACP; and their preferences for how, if at all, these discussions should be undertaken, including within annual health reviews. DESIGN AND

settingQualitative interviews undertaken with participants from general practices in village, market town, coastal town, and city settings within England, UK.

methodThe interviews were semi-structured and in depth. The inclusion criteria were: >18 years old; registered at a participating practice; living with cardiovascular disease, diabetes mellitus, kidney disease, or chronic obstructive pulmonary disease. Thematic analysis used a critical realist approach. Participants contributed to a member checking process. This study had NHS ethics approval (23/PR/0078).

resultsIn total, 21 participants were recruited who were aged 61-91 years, eight were men, and 17 participants were living with multimorbidity. Participants discussed three forms of ACP: proactive planning, preparing for change, and discussing the end of life. Participants described early ACP as less distressing. Participants perceived ACP as an ongoing process, with early consultations encouraging discussion of existing preferences and preparing people for future decision making. Participants discussed how ACP could facilitate proactive and person-centred health care. Participants described the importance of normalising ACP.

conclusionThis study suggests that ACP may be well received and could be discussed earlier with adults living with long-term conditions, before onset of advanced illness or severe frailty.

Indexed as

Advance Care PlanningGeneral PracticeTerminal CareAgedAged, 80 and overChronic DiseaseDecision MakingEnglandFemaleHumansInterviews as TopicMaleMiddle AgedPatient PreferenceQualitative Researchadvance care planningchronic diseasegeneral practicepalliative medicinepublic healthqualitative research

Identifiers

PMID41218994
PMCPMC13044208

What OpenQuestion holds

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LicenceCC BY
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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.