Advance Care Planning Impact on Caregivers and End-of-life Care in Advanced Cancer.

ABSTRACT:

Background

Advance care planning (ACP) may improve outcomes for patients with advanced cancer and their family caregivers, but the optimal approach is not known. This study compared the impact of facilitated vs patient-directed ACP on caregiver psychological symptoms and perceptions of goal-concordant EOL care.

Methods

Adult patients with advanced solid tumors and their caregivers were recruited from 8 oncology clinics in western Pennsylvania. Participants were randomly assigned to complete facilitated ACP with a trained nurse facilitator or patient-directed ACP using written and web-based tools. Caregivers were followed through bereavement and completed surveys assessing depression and anxiety symptoms (HADS, range 0-21, scores >7 indicative of significant symptoms), PTSD s

SUBMITTER: Crowley F 

PROVIDER: S-EPMC12721225 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature