Optimizing Advance Care Planning in Dementia: Recommendations From a 33-Country Delphi Study.

ABSTRACT:

Context

Advance care planning (ACP) is relevant yet challenging with cognitive decline.

Objective

To provide evidence and consensus-based clinical recommendations for how to conduct ACP in dementia.

Methods

International Delphi study conducted by the European Association for Palliative Care 'ACP in dementia' taskforce with four online surveys (September 2021-June 2022). A panel of 107 experts from 33 countries and seven individuals with dementia contributed. The recommendations specific for dementia were initially based on two earlier Delphi studies and literature searches addressing guidance including the right timing and how to personalize ACP. We used conservative preregistered criteria for consensus.

Results

Thirty constitutive elements of ACP were identifi

SUBMITTER: van der Steen JT 

PROVIDER: S-EPMC12551429 | biostudies-literature | 2025 Jun

REPOSITORIES: biostudies-literature