Artificial Intelligence in Advance Care Planning for Older Adults in the United States: A Scoping Review

To explore how artificial intelligence (AI) tools support advance care planning (ACP) for older adults by enabling opportunities for timely ACP conversations and improving visibility and retrievability of ACP documentation.

Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines, we searched PubMed, Scopus, and Web of Science for peer-reviewed studies published between January 2018 and August 2025, applying inclusion criteria focused on AI, ACP, and U.S. older adult populations.

Ten of 45 studies met criteria, including predictive risk models (n = 5), natural language processing/generative AI (n = 4), and ambient/wearable systems (n = 1). Outcomes included increased ACP documentation and higher rates of goals of care discussions.

AI may increase ACP timing and documentation, but equitable, transparent implementation remains essential.