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Hope and advance care planning in advanced cancer: Is there a relationship?


ABSTRACT:

Background

Clinicians often cite a fear of giving up hope as a reason they defer advance care planning (ACP) among patients with advanced cancer. The objective of this study was to determine whether engagement in ACP affects hope in these patients.

Methods

This was a secondary analysis of a randomized controlled trial of primary palliative care in advanced cancer. Patients who had not completed ACP at baseline were included in the analysis. ACP was assessed in the forms of an end-of-life (EOL) conversation with one's oncologist and completion of a living will or advance directive (AD). Measurements were obtained at baseline and at 3 months. Hope was measured using the Herth Hope Index (HHI) (range, 12-48; higher scores indicate higher hope). Multivariate regression was perfo

SUBMITTER: Cohen MG 

PROVIDER: S-EPMC8882158 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature