Knowledge regarding advance care planning: A systematic review |
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| Affiliation: | 1. Department of Neurology, Singapore General Hospital, Singapore;2. Department of Psychology, National University of Singapore, Singapore;3. Department of Geriatric Medicine, Khoo Teck Puat Hospital, Singapore;1. Department of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Victoria, Australia;2. Department of Advance Care Planning, Northern Health, Epping, Victoria, Australia;1. Palliative Care Service, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;2. Division of Pulmonary, Allergy and Critical Care, Department of Medicine, and Department of Medical Ethics and Health Policy, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;1. Geriatrics Department, Peking Union Medical College Hospital, Beijing, China;2. Geriatrics Department, Dalian Friendship Hospital, Dalian, China;3. Geriatrics Department, Qilu Hospital, Shandong University, Jinan, China;4. Geriatrics Department, Fuxing Hospital, Capital Medical University, Beijing, China;5. Geriatrics Department, Sichuan Academy of Medical Sciences & Sichuan Provincial People''s Hospital, Chengdu, China;6. Geriatrics Department, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China;7. Geriatrics Department, First Hospital of Shanxi Medical University, Taiyuan, China;8. Geriatrics Department, Bethune International Peace Hospital, Shijiazhuang, China;9. VIP Ward, First Affiliated Hospital of Harbin Medical University, Harbin, China;10. Geriatrics Department, Guang Zhou First People''s Hospital, Guangzhou, China;11. Department No.1 Cadre Ward, Shenyang Military Command General Hospital, China;12. Geriatrics Department, Zhejiang Hospital, Hangzhou, China;13. Geriatrics Department, Fujian Provincial Hospital, Fuzhou, China;14. Geriatrics Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, China;15. Geriatrics Department, First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China;p. Geriatric Intensive Care Unit, Sichuan Academy of Medical Sciences & Sichuan Provincial People''s Hospital, Chengdu, China;q. Geriatrics Department, Zhangzhou Municipal Hospital of Fujian Province, Zhangzhou, China;r. Geriatrics Department, Xijing Hospital, Fourth Military Medical University, Xian, China;s. Geriatrics Department, Peking University Shougang Hospital, Beijing, China;t. Geriatrics Department, Hunan Provincial People''s Hospital, Changsha, China;u. Geriatrics Department, Shaanxi Provincial People''s Hospital, Xian, China;v. Geriatrics Department, Ninth People''s Hospital, Zhengzhou, China;w. Geriatrics Department No. 3, First Hospital of Shijiazhuang, Shijiazhuang, China;x. Geriatrics Department, Chengdu Fifth People''s Hospital, Chengdu, China;y. Cadre Ward Department, The PLA 401 Hospital, Qingdao, Shandong, China;z. Center for Geriatrics and Gerontology, Taipei Veterans General Hospital, Taipei, Taiwan;11. Department of Healthcare Management, Yuanpei University of Medical Technology, Hsinchu, Taiwan;22. Institute of Public Health, School of Medicine, National Yang-Ming University, Taipei, Taiwan;33. Aging and Health Research Center, National Yang-Ming University, Taipei, Taiwan;1. Division of Geriatrics, Department of Medicine, University of California, San Francisco, San Francisco, California, USA;2. San Francisco Veterans Affairs Medical Center, San Francisco, California, USA;3. Clinical Evaluation Research Unit, Kingston General Hospital, Kingston, Ontario, Canada;4. Department of Public Health, Queen''s University, Kingston, Ontario, Canada;5. Department of Psychiatry, University of California, San Francisco, San Francisco, California, USA;6. Department of Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, California, USA;7. Tideswell at UCSF, San Francisco, California, USA;8. Department of Family Medicine, McMaster University, Hamilton, Ontario, Canada;9. Covenant Health Palliative Institute, Edmonton, Alberta, Canada;10. School of Nursing, University of British Columbia, Kelowna, British Columbia, Canada;11. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario, Canada;12. Department of Medicine, McMaster University, Hamilton, Ontario, Canada;1. Division of Geriatrics, Department of Medicine, University of California, San Francisco, California, USA;2. Veteran Affairs Medical Center, San Francisco, California, USA;3. Department of Critical Care Medicine, Queen''s University, Clinical Evaluation Research Unit, Kingston General Hospital, Ontario, Canada;4. Veteran Affairs Eastern Colorado Geriatrics Research Education and Clinical Center (GRECC), Denver, Colorado, USA;5. Department of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA;6. Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands;7. Division of Geriatric Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA;8. Brookdale Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA;9. Palliative Care Program, Division of Hospital Medicine, Department of Medicine, University of California, San Francisco, California, USA;10. Veteran Affairs Medical Center, Palo Alto, California, USA;11. Stanford University, Palo Alto, California, USA;12. Department of Medicine, McMaster University, Hamilton, Ontario, Canada;13. Department of Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, Ontario, Canada;14. Departments of Humanities and Medicine, Penn State College of Medicine, Hershey, Pennsylvania;15. Departments of Oncology, Community Health Sciences and Medicine, University of Calgary, Calgary, Alberta, Canada |
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| Abstract: | BackgroundLack of knowledge is one of the main reasons for the low rates of completion of Advance Care Planning (ACP).ObjectiveThe purpose of this study was to systematically review the existing literature on knowledge regarding Advance Care Planning.MethodsA systematic search of the literature was made in CINHAL, AgeLine, PubMed, PsyINFO and SocINDEX, from 1994 till May 2016.ResultsWe identified 37 articles that satisfied the inclusion criteria: 35 were quantitative, one was qualitative and one used mixed methods. Most of the studies (n = 23) were conducted in the United States and participants in most of the studies (n = 22) were professionals. A variety of aspects of ACP were examined, regarding subjective and objective knowledge. Seventeen studies found that participants knew some aspects of ACP, but didn’t know others. Inconsistencies were found in the types of instruments and the number of items used to assess knowledge.ConclusionsMore effort should be invested in increasing knowledge regarding ACP among professionals and lay people. Developing validated tools to measure objective and subjective knowledge in both populations might be a first step in this direction. |
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| Keywords: | Advance care planning Advance directives End of life Knowledge |
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