Effects of Advance Care Planning on Knowledge, Behavior and Well Being of Older People: A Systematic Review Protocol

2.50
Hdl Handle:
http://hdl.handle.net/10755/335394
Category:
Full-text
Type:
Presentation
Title:
Effects of Advance Care Planning on Knowledge, Behavior and Well Being of Older People: A Systematic Review Protocol
Author(s):
Ng, Mi Fun; Chan, Helen Y. L.; Leung, Doris Y. P.
Lead Author STTI Affiliation:
Non-member
Author Details:
Mi Fun Ng, RN, BN, MN, amyng@cuhk.edu.hk; Helen Y. L. Chan, RN, PhD; Doris Y. P. Leung, BSc, MPhil, PhD
Abstract:
Session presented on Saturday, July 26, 2014: Background: Advance Care Planning is a process of discussion about an individual's preferences for care in their anticipation of future deterioration. There are different formats and inconsistent approach in implementing Advance Care Planning to older people. The effectiveness of Advance Care Planning intervention will influence on the knowledge, behavior and well- being in older people. Method of review: Inclusion Criteria Types of participants: Older people who are age 60 or over, with or without chronic illness, no restriction on any disease groups and health status of participants. Types of interventions: Advance Care Planning (ACP) refers to a process of discussing on end of life care/determining/executing treatment directives/appointing a proxy decision maker, or a combination of both. Formats: Self-administered computerized program, self-administered form, video, individual or group interview, information' sharing sessions, decision making meeting, counseling, single or multiple sessions. Types of studies: Studies designed in randomized control trial (RCT) to evaluate the outcomes of ACP In absence of RCT, quasi-experimental studies will be included. Types of comparison: Comparison between usual care or practice (no ACP program) with the ACP intervention Comparison between two or more types of ACP-related interventions Comparison between different combinations of format of ACP-related interventions. Types of outcomes: 1. Knowledge: refer to the knowledge, understanding & awareness related to ACP & end of life care. Outcome measures client's knowledge in: ACP, advance directives, appoint proxy, knowledge of current & future health state, associated management 2. Behavior: Refers to client's action taken after ACP Outcome measures: identify preference of care or proxy, documentation on their preferences for CPR, artificial nutrition, intravenous antibiotic etc.; appointment of proxy, health services utilization e.g. hospitalization, length of stay, clinic attendance, A & E attendance 3. Well-being: Focus on client's psychological state after the intervention. Outcome measures: client's satisfaction, level of stress/anxiety, quality of life, communication or relationship with others (relatives & health care providers). Studies published in English and Chinese will be searched by three steps approach. Selected eligible articles will be managed by RevMan. The result will be pooled in statistical meta-analysis. Subgroup analysis will be conduct when there are heterogeneity in terms of study design, participants etc. For findings which are statistically analysis inappropriate, narrative summary will be provided.
Keywords:
Older people; Advance Care Planning
Repository Posting Date:
17-Nov-2014
Date of Publication:
11 ; 11
Other Identifiers:
INRC14PST124
Conference Date:
2014
Conference Name:
25th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Hong Kong
Description:
International Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kong

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleEffects of Advance Care Planning on Knowledge, Behavior and Well Being of Older People: A Systematic Review Protocolen
dc.contributor.authorNg, Mi Funen
dc.contributor.authorChan, Helen Y. L.en
dc.contributor.authorLeung, Doris Y. P.en
dc.contributor.departmentNon-memberen
dc.author.detailsMi Fun Ng, RN, BN, MN, amyng@cuhk.edu.hk; Helen Y. L. Chan, RN, PhD; Doris Y. P. Leung, BSc, MPhil, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/335394-
dc.description.abstractSession presented on Saturday, July 26, 2014: Background: Advance Care Planning is a process of discussion about an individual's preferences for care in their anticipation of future deterioration. There are different formats and inconsistent approach in implementing Advance Care Planning to older people. The effectiveness of Advance Care Planning intervention will influence on the knowledge, behavior and well- being in older people. Method of review: Inclusion Criteria Types of participants: Older people who are age 60 or over, with or without chronic illness, no restriction on any disease groups and health status of participants. Types of interventions: Advance Care Planning (ACP) refers to a process of discussing on end of life care/determining/executing treatment directives/appointing a proxy decision maker, or a combination of both. Formats: Self-administered computerized program, self-administered form, video, individual or group interview, information' sharing sessions, decision making meeting, counseling, single or multiple sessions. Types of studies: Studies designed in randomized control trial (RCT) to evaluate the outcomes of ACP In absence of RCT, quasi-experimental studies will be included. Types of comparison: Comparison between usual care or practice (no ACP program) with the ACP intervention Comparison between two or more types of ACP-related interventions Comparison between different combinations of format of ACP-related interventions. Types of outcomes: 1. Knowledge: refer to the knowledge, understanding & awareness related to ACP & end of life care. Outcome measures client's knowledge in: ACP, advance directives, appoint proxy, knowledge of current & future health state, associated management 2. Behavior: Refers to client's action taken after ACP Outcome measures: identify preference of care or proxy, documentation on their preferences for CPR, artificial nutrition, intravenous antibiotic etc.; appointment of proxy, health services utilization e.g. hospitalization, length of stay, clinic attendance, A & E attendance 3. Well-being: Focus on client's psychological state after the intervention. Outcome measures: client's satisfaction, level of stress/anxiety, quality of life, communication or relationship with others (relatives & health care providers). Studies published in English and Chinese will be searched by three steps approach. Selected eligible articles will be managed by RevMan. The result will be pooled in statistical meta-analysis. Subgroup analysis will be conduct when there are heterogeneity in terms of study design, participants etc. For findings which are statistically analysis inappropriate, narrative summary will be provided.en
dc.subjectOlder peopleen
dc.subjectAdvance Care Planningen
dc.date.available2014-11-17T13:51:25Z-
dc.date.issued11/17/2014-
dc.date.issued11/17/2014en
dc.date.accessioned2014-11-17T13:51:25Z-
dc.conference.date2014en
dc.conference.name25th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationHong Kongen
dc.descriptionInternational Nursing Research Congress, 2014 Theme: Engaging Colleagues: Improving Global Health Outcomes. Held at the Hong Kong Convention and Exhibition Centre, Wanchai, Hong Kongen
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