Knowledge regarding advance care planning: A systematic review

Ile Kermel-Schiffman, Perla Werner

Research output: Contribution to journalReview articlepeer-review

Abstract

Background Lack of knowledge is one of the main reasons for the low rates of completion of Advance Care Planning (ACP). Objective The purpose of this study was to systematically review the existing literature on knowledge regarding Advance Care Planning. Methods A systematic search of the literature was made in CINHAL, AgeLine, PubMed, PsyINFO and SocINDEX, from 1994 till May 2016. Results We 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. Conclusions More 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.

Original languageEnglish
Pages (from-to)133-142
Number of pages10
JournalArchives of Gerontology and Geriatrics
Volume73
DOIs
StatePublished - Nov 2017

Bibliographical note

Publisher Copyright:
© 2017 Elsevier B.V.

Keywords

  • Advance care planning
  • Advance directives
  • End of life
  • Knowledge

ASJC Scopus subject areas

  • Health(social science)
  • Geriatrics and Gerontology
  • Gerontology
  • Aging

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