What influences individuals to engage in advance care planning?
- PMID: 20103783
- PMCID: PMC3766750
- DOI: 10.1177/1049909109355280
What influences individuals to engage in advance care planning?
Abstract
Background: Advance care planning (ACP) is an underutilized process that involves thinking about what kind of life-prolonging medical care one would want should the need arise, identifying a spokesperson, and then communicating these wishes.
Objective: To better understand what influences individuals to engage in ACP.
Design: Three focus groups using semistructured interactive interviews were conducted with 23 older individuals from 3 diverse populations in central Pennsylvania.
Results: Four categories of influences for engaging in ACP were identified: (1) concern for self; (2) concern for others; (3) expectations about the impact of ACP; and (4) anecdotes, stories, and experiences.
Conclusions: The motivations for undertaking ACP that we have identified offer health care providers insight into effective strategies for facilitating the process of ACP with their patients.
Conflict of interest statement
Conflict of Interest:
The authors have no conflict of interest to declare with regard to this research.
Figures
Similar articles
-
Characteristics of Patients With Existing Advance Directives: Evaluating Motivations Around Advance Care Planning.Am J Hosp Palliat Care. 2018 Apr;35(4):664-668. doi: 10.1177/1049909117731738. Epub 2017 Sep 19. Am J Hosp Palliat Care. 2018. PMID: 28925295
-
Can Playing an End-of-Life Conversation Game Motivate People to Engage in Advance Care Planning?Am J Hosp Palliat Care. 2017 Sep;34(8):754-761. doi: 10.1177/1049909116656353. Epub 2016 Jul 12. Am J Hosp Palliat Care. 2017. PMID: 27406696 Free PMC article.
-
The advance care planning PREPARE study among older Veterans with serious and chronic illness: study protocol for a randomized controlled trial.Trials. 2015 Dec 12;16:570. doi: 10.1186/s13063-015-1055-9. Trials. 2015. PMID: 26654250 Free PMC article. Clinical Trial.
-
Advance care planning in the elderly.Med Clin North Am. 2015 Mar;99(2):391-403. doi: 10.1016/j.mcna.2014.11.010. Epub 2014 Dec 23. Med Clin North Am. 2015. PMID: 25700590 Review.
-
An integrative review of stakeholder views on Advance Care Directives (ACD): Barriers and facilitators to initiation, documentation, storage, and implementation.Patient Educ Couns. 2019 Jun;102(6):1067-1079. doi: 10.1016/j.pec.2019.01.007. Epub 2019 Jan 11. Patient Educ Couns. 2019. PMID: 30799141 Review.
Cited by
-
Readiness for advance care planning and related factors in the general population: a cross sectional study in Iran.BMC Palliat Care. 2024 Jul 9;23(1):167. doi: 10.1186/s12904-024-01496-2. BMC Palliat Care. 2024. PMID: 38982407 Free PMC article.
-
Advance care planning engagement in patients with chronic, life-limiting illness: baseline findings from a cluster-randomised controlled trial in primary care.Br J Gen Pract. 2023 Apr 27;73(730):e384-e391. doi: 10.3399/BJGP.2022.0100. Print 2023 May. Br J Gen Pract. 2023. PMID: 37012079 Free PMC article. Clinical Trial.
-
The impacts of the scope of benefits expansion on hospice care among adult decedents: a nationwide longitudinal observational study.BMC Palliat Care. 2023 Mar 29;22(1):29. doi: 10.1186/s12904-023-01146-z. BMC Palliat Care. 2023. PMID: 36978057 Free PMC article.
-
Advance Care Planning With Black Women with Breast Cancer: A Community Health Worker Model.Cancer Control. 2023 Jan-Dec;30:10732748231162479. doi: 10.1177/10732748231162479. Cancer Control. 2023. PMID: 36916318 Free PMC article.
-
Perspectives on Aging-Related Preparation.J Elder Policy. 2021 Spring;1(2):10.18278/jep.1.2.7. doi: 10.18278/jep.1.2.7. J Elder Policy. 2021. PMID: 35169787 Free PMC article.
References
-
- Doukas DJ, McCullough LB. The values history. The evaluation of the patient’s values and advance directives. J Fam Pract. 1991 Feb;32(2):145–153. - PubMed
-
- Lo B, Steinbrook R. Resuscitating advance directives. Arch Intern Med. 2004 Jul 26;164(14):1501–1506. - PubMed
-
- Miles SH, Koepp R, Weber EP. Advance end-of-life treatment planning. A research review. Arch Intern Med. 1996 May 27;156(10):1062–1068. - PubMed
-
- Prendergast TJ. Advance care planning: pitfalls, progress, promise. Crit Care Med. 2001 Feb;29(2 Suppl):N34–39. - PubMed
-
- Schwartz CE, Wheeler HB, Hammes B, et al. Early intervention in planning end-oflife care with ambulatory geriatric patients: results of a pilot trial. Arch Intern Med. 2002 Jul 22;162(14):1611–1618. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
