Multi Components in the Implementation of Advanced Care Planning for Patients with Cancer: A Scoping Review

Area of Science:

• Oncology
• Palliative Care
• Health Services Research

Background:

• Advance care planning (ACP) is vital for aligning future medical treatments with patient preferences, enhancing end-of-life care quality.
• While ACP's benefits are recognized, specific implementation components remain underexplored, particularly for cancer patients and their families.

Purpose of the Study:

• To conduct a scoping review identifying and exploring the multifaceted components of advance care planning.
• To investigate factors such as knowledge, attitudes, values, beliefs, and cultural/ethnic considerations in ACP for cancer patients.

Main Methods:

• Adherence to the PRISMA-ScR 2020 checklist for systematic reviews.
• Comprehensive literature search across PubMed, Scopus, and Science Direct databases up to December 2023.
• Critical appraisal of 42 included studies using the Joanna Briggs Institute's Mixed Methods Appraisal Tool (MMAT).

Main Results:

• Identified key ACP components across 42 studies (12 quantitative, 15 qualitative, 15 mixed-methods).
• Prominent components included knowledge and perceptions (28 studies), attitudes and behaviors (33 studies), values and beliefs (26 studies), and cultural/ethnic aspects (13 studies).

Conclusions:

• This review synthesizes essential components for implementing ACP in oncology.
• Highlights the importance of considering patient knowledge, perceptions, attitudes, behaviors, values, beliefs, and cultural contexts for effective ACP.