Family-Centered Advance Care Planning in Patients With Breast Cancer
A Randomized Controlled Trial in China
Bibliographic Data
| ID | 13629477 |
|---|---|
| Authors | Ruoyan Wang (0009-0000-6690-8343, Hebei University of Chinese Medicine), Rui Gao (0009-0008-3744-0604, New York Blood Center), Saixiao Pei (Hebei University of Chinese Medicine), Chao Zhang (0000-0003-3686-4743, Hebei University of Chinese Medicine), Dongli Li (0000-0002-4430-2268, Hebei University of Chinese Medicine, corresponding author), Yongqing Shen (Hebei University of Chinese Medicine, corresponding author) |
| Year | 2026 |
| Pages | 302228261421702-302228261421702 |
| Publication date | 2026-01-28 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | OMEGA - Journal of Death and Dying (JOURNAL) |
| Journal identifiers | ISSN: 0030-2228 • E-ISSN: 1541-3764 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/00302228261421702 |
| PMID | 41604160 |
| OpenAlex | W7125955247 |
| Language | EN |
| References cited | 28 |
Objective: To evaluate the feasibility, acceptability, and effects of family-centered advance care planning (ACP) in patients with breast cancer. Methods: In this randomized controlled trial, 80 breast cancer patients were assigned to either a family-centered ACP group or a standard care group. Outcomes were measured at baseline and one month after the intervention using the Advance Care Planning Acceptance Questionnaire (ACPQ), Templer Death Anxiety Scale (T-DAS), Functional Assessment of Cancer Therapy - Breast (FACT-B), and a self-designed questionnaire. Results: Compared to controls, the intervention group showed higher ACP acceptance and improved quality of life (excluding physical well-being and additional concerns), along with lower death anxiety and reduced preference for life-sustaining treatments and aggressive end-of-life care. Conclusion: Family-centered ACP is feasible and acceptable for breast cancer patients. It enhances ACP engagement, improves quality of life, and reduces death anxiety. This study was prospectively registered in a publicly accessible clinical trial registry
Advance care planning · Anxiety · Breast cancer · Clinical trial · Death anxiety · Intervention (counseling · Quality of life (healthcare · Randomized controlled trial · Cancer survivorship and care · Family Support in Illness · Palliative Care and End-of-Life Issues
| Citation velocity | historical |
|---|---|
| Highly cited | No |