Systematic review of readiness assessment tools for advance care planning in older adults
10.3761/j.issn.0254-1769.2025.09.020
- VernacularTitle:老年人预立医疗照护计划准备度评估工具的系统评价
- Author:
Yingjie PENG
1
;
Aihong LIU
;
Wenli ZHU
;
Yuxin MEI
;
Meng ZHOU
;
Wenjing GUAN
Author Information
1. 430056 武汉市 华中科技大学同济医学院附属协和医院综合科
- Publication Type:Journal Article
- Keywords:
Aged;
Advance Care Planning;
Readiness;
Evaluation Tools;
Systematic Review;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(9):1146-1152,后插1
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the advance care planning readiness assessment tools applicable to the elderly and to provide a reliable assessment tool for the development of advance care planning.Methods PubMed,Web of Science,Cochrane Library,Embase,CINAHL,Yimaitong,Wanfang Database,China National Know-ledge Network,VIP Database,and China Biomedical Literature Database were systematically searched.The search time limit is from database establishment to April 30,2024.Pre-established medical care plan readiness assessment tools that meet the inclusion criteria were screened,and the"consensus based standards for the selection of health measurement instruments"was used to evaluate the methodological quality and measurement attributes of the inclusion assessment tools.The improved version of the evidence quality evaluation and recommendation strength grading method is used to grade the evidence of the assessment tool and form the final recommendation opinion.Results A total of 14 articles were included,including 10 advance care planning readiness assessment tools suitable for the elderly.None of the articles reported cross-cultural validity,measurement error,and responsiveness.The content validity and internal consistency of the Chinese Advance Care Planning Readiness Scale and the Advance Care Planning Readiness Scale for Chronic Disease Patients were both"adequate",with A-level recommendations,and the remaining assessment tools were all B-level recommendations.Conclusion There are various types of advance care planning readiness assessment tools for the elderly,but the methodological quality needs to be improved and the measurement properties need to be further evaluated.It is temporarily recommended to use the Chinese Advance Care Planning Readiness Scale and the Advance Care Planning Readiness Scale for Chronic Disease Patients.
