Evidence map›Paper›PMID 42394147›Full record

ArticleThe American journal of hospice & palliative care2026

Relationships Between Advance Care Planning Engagement, Patients' Religious Practices, and Spirituality.

Robyn M Axel-Adams, Emily Fox Ludden, James E Slaven, Michelle Cohen, Patrick O Monahan, Emily S Burke, Kathleen Ziemba, Susan E Hickman, Alexia M Torke

Abstract read
In one paragraph

Article in The American journal of hospice & palliative care, 2026. 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

9 authors.

Robyn M Axel-AdamsFairbanks Center for Medical Ethics, Indiana University Health, Indianapolis, IN, USA.ORCID 0009-0000-6962-2682
Emily Fox LuddenIndiana University Center for Aging Research, Regenstrief Institute, Indianapolis, IN, USA.ORCID 0009-0007-2503-1435
James E SlavenDepartment of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN, USA.
Michelle CohenIndiana University Center for Aging Research, Regenstrief Institute, Indianapolis, IN, USA.
Patrick O MonahanDepartment of Biostatistics and Health Data Science, Indiana University School of Medicine, Indianapolis, IN, USA.
Emily S BurkeIndiana University Center for Aging Research, Regenstrief Institute, Indianapolis, IN, USA.
Kathleen ZiembaRespecting Choices®, A Program of WiserCare Inc, Oregon, WI, USA.ORCID 0009-0006-1757-4037
Susan E HickmanIndiana University Center for Aging Research, Regenstrief Institute, Indianapolis, IN, USA.
Alexia M TorkeIndiana University Center for Aging Research, Regenstrief Institute, Indianapolis, IN, USA.

Funding

POST Facilitation for Community Dwelling Older Adults with and without DementiaR01AG056618 · NIA · INDIANA UNIVERSITY INDIANAPOLIS · PI TORKE, ALEXIA MARY · 2019 to 2023
$3.3M
Understanding the needs and experiences of surrogate decision makers caring for SGM individuals with Alzheimer's Disease and Related Dementias.K24AG053794 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI TORKE, ALEXIA MARY · 2016 to 2025
$1.8M
NIA NIH HHS K24 AG053794NIA NIH HHS R01 AG056618
6 · The paper itself

Abstract

BackgroundResearch has shown that people who consider themselves religious have a lower advance directive (AD) completion rate. However, advance care planning (ACP) includes a broader range of activities that are important in determining medical treatments. Little has been published on the relationship between spirituality, religion, and engagement in ACP activities.ObjectiveWe examined whether religiosity and spirituality are associated with ACP engagement.MethodsThis is a secondary analysis of interview data collected at baseline during a randomized controlled trial of a nurse-led ACP intervention. Measures included the 5-item Duke University Religious Index (DUREL), a measure of spirituality, and the 15-question ACP Engagement Survey, which examines engagement in multiple aspects of ACP.ResultsWe found a significant association between higher scores on each domain of the DUREL and higher ACP Engagement scores. In separate multivariable models adjusting for demographic factors, the relationship between greater religiosity (higher total DUREL scores) and greater ACP Engagement scores was significant (

Indexed as

advance care planningadvance care planning engagement surveyadvance directiveDuke University religion indexreligionspirituality

Identifiers

PMID42394147
PMCPMC13435265

What OpenQuestion holds

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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.