Effect of advance care planning on knowledge, behaviour, and wellbeing of older adults: A systematic review

A.M.F. Ng, Yin Ping Leung, H.Y.L. Chan

Research output: Journal article publicationLiterature reviewAcademic researchpeer-review

3 Citations (Scopus)


� 2016, Hong Kong Academy of Medicine Press. All rights reserved.We conducted a systematic review on the effect of advance care planning (ACP) on older adults in terms of (1) knowledge (of end-oflife care, treatment choices, and advanced directive [AD]), (2) behaviour (identification of the goal of care, utilisation of health services, and completion of AD), and (3) psychological well-being (levels of stress and depression, care satisfaction, and quality of life). Major databases for Chinese and English studies were searched; 6 randomised controlled trials were included for methodological quality assessment and metaanalysis. The overall effectiveness of ACP in older adults was limited because of insufficient outcome data for analysis. The evidence only shows that ACP increases the likelihood of older adults to opt for comfort care in the end of life. The effect of ACP on knowledge about end-of-life care issues and psychological well-being among older adults remains uncertain.
Original languageEnglish
Pages (from-to)27-30
Number of pages4
JournalAsian Journal of Gerontology and Geriatrics
Issue number1
Publication statusPublished - 1 Jun 2016
Externally publishedYes


  • Advance care planning
  • Frail elderly
  • Review
  • Terminal care

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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