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Interventions aiming to improve advance care planning uptake in oncology: a scoping review of recent randomized controlled trials

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Title: Interventions aiming to improve advance care planning uptake in oncology: a scoping review of recent randomized controlled trials
Authors: Libert, Yves, Langhendries, Caroline, Choucroun, Lisa, Merckaert, Isabelle
Source: Curr Opin Oncol
Publisher Information: Ovid Technologies (Wolters Kluwer Health), 2024.
Publication Year: 2024
Subject Terms: Cancérologie, Advance Care Planning, 03 medical and health sciences, 0302 clinical medicine, Caregivers, Neoplasms, SUPPORTIVE CARE: Edited by Jean A. Klastersky, Humans, Patient Preference, Psychologie de la santé, Medical Oncology, Randomized Controlled Trials as Topic
Description: Purpose of review The evidence regarding the effectiveness of interventions aiming to improve ACP uptake appears mixed. The purpose of this scoping review is to summarize findings from recent RCTs assessing the efficacy of interventions designed to increase ACP uptake in cancer care. Recent findings The PubMed database was searched for studies published between 2021 and 2023. Ten RCTs were identified that evaluated a wide range of interventions aimed at encouraging or facilitating ACP communication among patients with advanced cancer, caregivers, and HCPs. Three RCTs developed ACP facilitation tools for patients and sometimes caregivers. Six RCTs involved integrating trained ACP facilitators into patient care, and one RCT used nudges to encourage oncologists trained in ACP discussions to initiate discussions with patients at highest risk of short-term mortality. Most of the reviewed interventions were based on previously tested intervention approaches or tools. Summary The key effects identified in this review are the facilitation of ACP discussions among patients, caregivers, and HCPs, and the documentation of patient preferences in the medical record. The direct involvement of facilitators in ACP document drafting and inclusion in patient files, as well as interventions prompting end-of-life discussions, contributed to this effect.
Document Type: Article
Other literature type
File Description: 1 full-text file(s): application/pdf
Language: English
ISSN: 1531-703X
1040-8746
DOI: 10.1097/cco.0000000000001045
Access URL: https://pubmed.ncbi.nlm.nih.gov/38742390
Rights: CC BY NC ND
URL: http://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Accession Number: edsair.doi.dedup.....ebc775c4e44b828fcde773822fd65d67
Database: OpenAIRE
Description
Abstract:Purpose of review The evidence regarding the effectiveness of interventions aiming to improve ACP uptake appears mixed. The purpose of this scoping review is to summarize findings from recent RCTs assessing the efficacy of interventions designed to increase ACP uptake in cancer care. Recent findings The PubMed database was searched for studies published between 2021 and 2023. Ten RCTs were identified that evaluated a wide range of interventions aimed at encouraging or facilitating ACP communication among patients with advanced cancer, caregivers, and HCPs. Three RCTs developed ACP facilitation tools for patients and sometimes caregivers. Six RCTs involved integrating trained ACP facilitators into patient care, and one RCT used nudges to encourage oncologists trained in ACP discussions to initiate discussions with patients at highest risk of short-term mortality. Most of the reviewed interventions were based on previously tested intervention approaches or tools. Summary The key effects identified in this review are the facilitation of ACP discussions among patients, caregivers, and HCPs, and the documentation of patient preferences in the medical record. The direct involvement of facilitators in ACP document drafting and inclusion in patient files, as well as interventions prompting end-of-life discussions, contributed to this effect.
ISSN:1531703X
10408746
DOI:10.1097/cco.0000000000001045