Yudai Yonezawa, Tomoka Okame, Nozomi Tobiishi, Yume Tetsuno, Miho Sakurai, Shigenori Suzuki, Yuji Wada
Clusters in Infant Environmental Factors Influence School-Age Children's Vegetable Preferences in Japan
Nutrients
despite increasing interest advance care planning acp previous acp descriptions consensus definition yet exist guide clinical research policy initiativesthe aim study develop consensus definition acp adultswe convened delphi panel multidisciplinary international acp experts consisting 52 clinicians researchers policy leaders four countries patientsurrogate advisory committee conducted 10 rounds using modified delphi method qualitatively analyzed panelists input panelists identified several themes lacking consensus iteratively discussed developed final consensus definitionpanelists identified several tensions concerning acp concepts whether definition focus conversations vs written advance directives patients values vs treatment preferences current shared decision making vs future medical decisions included process panel achieved final consensus onesentence definition accompanying goals statement advance care planning process supports adults age stage health understanding sharing personal values life goals preferences regarding future medical care goal advance care planning help ensure people receive medical care consistent values goals preferences serious chronic illness panel also described strategies best support adults acpa multidisciplinary delphi panel developed consensus definition acp adults used inform implementation measurement acp clinical research policy initiatives