Opinions of Older Individuals on Advance Care Planning and Factors Affecting Their Views: A Systematic Review

Nilufer Korkmaz Yaylagul, Fatma Banu Demirdas (), Pedro Melo and Rosa Silva
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Nilufer Korkmaz Yaylagul: Department of Gerontology, Faculty of Health Sciences, University of Akdeniz, Antalya 07070, Turkey
Fatma Banu Demirdas: Department of Gerontology, Faculty of Health Sciences, University of Turgut Ozal, Malatya 44210, Turkey
Pedro Melo: Institute of Health Sciences, Universidade Católica Portuguesa, 4200-450 Porto, Portugal
Rosa Silva: Center for Health Technology and Services Research (CINTESIS), 4200-450 Porto, Portugal

IJERPH, 2023, vol. 20, issue 10, 1-18

Abstract: The objective of this systematic review is to present older individuals’ views on the advance care planning (ACP) process and the factors affecting those opinions. The review contains search terms predetermined in the databases of CINAHL, MEDLINE (via PubMed), Academic Search Ultimate, Web of Science, Master FILE, and TR Dizin over the last 10 years (1 January 2012–31 December 2021) in English and Turkish. The studies were included in the research using inclusion (sample age ≥ 50, focusing on individuals’ opinions on ACP) and exclusion (articles whose samples consisted of individuals with a specific disease, non-research articles) criteria. Quality assessment was conducted using the Mixed Methods Appraisal Tool. A narrative synthesis was used to collate findings. The most striking results are the positive perspectives increasing in parallel with the individuals’ level of knowledge and experience about ACP. Variables affecting their views are advanced age, marital status, socioeconomic status, perception of remaining life expectancy, self-perceived health, number and stage of chronic diseases, religion, and cultural characteristics. This study offers guidance on the application and dissemination of ACP, empowering the use of this practice given the perspectives of older adults on ACP and the factors that affect them that the data show.

Keywords: supportive care; terminal care; end-of-life care; education and training; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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