biostudies-literatureMori Mjapan hospice palliative care foundationjapan society for the promotion of science99-112https://www.ebi.ac.uk/biostudies/studies/S-EPMC11673296biostudies-literatureUnknown39(1)<h4>Background</h4>In Confucian-influenced Asian societies, explicit end-of-life conversations are uncommon and family involvement in decision-making is crucial, which complicates the adoption of culturally sensitive advance care planning.<h4>Aim</h4>To develop a consensus definition of advance care planning and provide recommendations for patient-centered and family-based initiatives in Asia.<h4>Design</h4>A five-round Delphi study was performed. The rating of a definition and 84 recommendations developed based on systematic reviews was performed by experts with clinical or research expertise using a 7-point Likert scale. A median = 1 and an inter-quartile range = 0-1 were considered very strong agreement and very strong consensus, respectively.<h4>Setting/participants</h4>The Delphi studPalliative medicineDefinition and recommendations of advance care planning: A Delphi study in five Asian sectors.PMC11673296JP18H0273620K20618Grant-in-AidCheng SYSuh SYIwata FHuang HLYuen KKTakenouchi SRietjens JACKim JKorfage IJKizawa YMorita TMori MMartina DKim SHMenon SLin CPChan HYLChen PJKwok OLAPeng JKNg Han Lip RTashiro SfalseDefinition and recommendations of advance care planning: A Delphi study in five Asian sectors.<h4>Background</h4>In Confucian-influenced Asian societies, explicit end-of-life conversations are uncommon and family involvement in decision-making is crucial, which complicates the adoption of culturally sensitive advance care planning.<h4>Aim</h4>To develop a consensus definition of advance care planning and provide recommendations for patient-centered and family-based initiatives in Asia.<h4>Design</h4>A five-round Delphi study was performed. The rating of a definition and 84 recommendations developed based on systematic reviews was performed by experts with clinical or research expertise using a 7-point Likert scale. A median = 1 and an inter-quartile range = 0-1 were considered very strong agreement and very strong consensus, respectively.<h4>Setting/participants</h4>The Delphi stud2025-01-01T00:00:00Z2025 Jan2025-04-18T22:00:14.558Z2025-04-07T09:55:35.19ZS-EPMC116732963939078410.1177/02692163241284088