Factors influencing the engagement of cancer patients with advance care planning: A scoping review
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INTRODUCTION: Advance care planning (ACP) is increasingly regarded as the best way to optimise end-of-life (EOL) care. Studies have examined a multitude of factors impacting on the lagging uptake of ACP. In the current study, we specifically focused on patient factors related to the uptake of ACP in adult cancer patients. METHODS: A scoping review was conducted, for which we searched the CINAHL, Cochrane, MEDLINE and PsycINFO databases (January 2013-December 2018). Studies exploring patient-related factors influencing the uptake of ACP in cancer patients were eligible for inclusion. RESULTS: Eleven papers and two overarching themes: person-related (e.g. socio-demographic) factors and "comprehension and awareness," were identified. White, well-educated patients with a support network were more likely to be involved in ACP. However, there is limited comprehension and awareness among cancer patients regarding ACP. CONCLUSIONS: The identified themes warrant a tailored approach to ACP. With regard to person-related factors, the existing body of knowledge on health literacy, disparities and shared decision-making should be used when designing strategies to improve ACP uptake. Further, our findings regarding "comprehension and awareness" suggest that ACP should not be limited to a narrow process without acknowledging the complexity surrounding personalised cancer care near the EOL.
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The relationship between prognostic understanding and engagement in advance care planning exists.
“Particularly given the relationship between prognostic understanding and engagement in advance care planning,22”
From Measuring a Patient's understanding of their prognosis: An exploratory analysis (2022) · cites this paper as [22]
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- Authors
- Spelten, E. R., Geerse, O., Vuuren, J., Timmis, J., Blanch, B., Duijts, S., & MacDermott, S.
- Affiliations
- La Trobe University (AU)
- University Medical Center Groningen (NL)
- Monash University (AU)
- Corresponding author
- Spelten, Evelien R.
- Venue
- European Journal of Cancer Care
- Publisher
- Wiley
- Published
- 2019-05
- Volume
- 28
- Issue
- 3
- Pages
- e13091-e13091
- ISSN
- 0961-5423 (ISSN-L)
- 1365-2354
- OpenAlex
- W2944095806
- Cited by
- 53
- References
- 46
- Citations by year
- 2025: 8 · 2024: 15 · 2023: 9 · 2022: 4 · 2021: 11 · 2020: 3 · 2019: 3
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- European Journal of Cancer Care (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (publishedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Griffith Research Online (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- advance care planning, cancer patients, end-of-life care, patient engagement, sociodemographic factors, health literacy, shared decision-making, disparity, social support networks
- MeSH terms
- Ethnicity, Humans, Health Knowledge, Attitudes, Practice, Neoplasms, Patient Participation, Physician-Patient Relations, Socioeconomic Factors, Terminal Care, Cost of Illness, Marital Status, Advance Care Planning
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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