Trial reportFrontiers in public health2025
Feasibility and acceptability of the Trans-theoretical Model-based advance care planning for community-dwelling older adults with chronic diseases in China: a randomized controlled trial.
Trial report in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
2 citing papers in PubMed.
- Willingness to participate in advance care planning among older adults with relatively high educational attainment in a continuing care retirement community of the Beijing-Tianjin-Hebei region: a qualitative study.BMC palliative care · 2026Article
- Ritualized relational autonomy in Chinese end-of-life care: balancing Confucian benevolence and individual rights.Frontiers in public health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Advance care planning (ACP) has emerged as a structured process to honor participants' autonomy in medical decision-making. Evidence indicates that participation in ACP among community-dwelling older adults with chronic conditions is associated with enhanced medical autonomy, improved quality of life, and reduced decisional burden for family caregivers. However, given cultural nuances specific to China, ACP implementation remains limited and underinvestigated, underscoring the necessity of feasibility studies to guide subsequent research and practice. Design: A 6-week feasibility randomized controlled trial was conducted in community settings, with 44 older adults enrolled in Zhengzhou, China. Methods: A randomized controlled design was employed. A total of 44 community-dwelling older adults with chronic diseases meeting the inclusion criteria were recruited and randomly assigned to either the intervention group ( Results: Of the 44 enrolled participants, 4 were lost to follow-up, resulting in an attrition rate of 9.1% and a final sample size of 40. At baseline, all participants were in the precontemplation stage of ACP engagement. Immediately post-intervention, behavioral changes toward ACP participation were demonstrated by 17 participants (85%) in the intervention group. The intervention group exhibited significantly higher scores in ACP knowledge, attitudes, and participation at T1, T2, and T3 (all Conclusion: The TTM-based ACP intervention shows promise in potentially improving ACP knowledge, attitudes, self-efficacy, and readiness among community-dwelling older adults with chronic diseases in this feasibility trial. Further research is warranted to highlight the need for larger-scale, multi-center trials with follow-up to further validate the intervention's efficacy.
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