Cheng?Pei Lin|Catherine Evans|Jonathan Koffman|Jo Armes|Fliss E.M. Murtagh|Richard Harding
The conceptual models and mechanisms of action that underpin advance care planning for cancer patients: A systematic review of randomised controlled trials
Cicely Saunders International|King's College London|Cicely Saunders International|King's College London|Sussex Community NHS Foundation Trust|Cicely Saunders International|King's College London|University of Surrey|Cicely Saunders International|King's College London|Hull York Medical School|University of Hull|Cicely Saunders International|King's College London
background systematic review focused conceptual models underpinning advance care planning patients advanced cancer mechanisms action relation intended outcomes aim appraise conceptual models develop logic model advance care planning advanced cancer patients examining components processes theoretical underpinning mechanisms action linkage intended outcomes design systematic review randomised controlled trials conducted prospectively registered prospero narrative synthesis used data analysis data sources data sources medline cinahl psycinfo embase central prospero caresearch opengrey reference chaining handsearching inception 31 march 2017 including randomised controlled trials advance care planning cancer patients last 12 months life cochrane quality assessment tool used quality appraisal results nine randomised controlled trials included four articulated conceptual models mechanisms advance care planning improved outcomes comprised 1 increasing patients knowledge endoflife care 2 strengthening patients autonomous motivation 3 building patients competence undertake endoflife discussions 4 enhancing shared decisionmaking trustful relationship samples largely highly educated caucasian conclusion use conceptual models underpinning development advance care planning uncommon used identify individual behavioural change strengthening patients motivation competence participating advance care planning discussions key mechanisms change understanding cultural feasibility logic model different educational levels ethnicities nonwestern countries research priority