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September 23, 2025

Communicative practices used by health and social care professionals, older adults and informal carers during advance care planning conversations: systematic review of qualitative evidence and narrative synthesis.

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Authors

ESEmily SpencerUniversity College LondonSGSarah GriffithsStockport NHS Foundation TrustPNPushpa NairPrimary Health Care

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Overview

Systematic review identifies communication strategies important for advance care planning among older adults, informal carers, and health professionals.

Key Points

  • Effective advance care planning (ACP) conversations can greatly enhance decision-making for older adults and their informal carers.
  • The review revealed that inadequate communication skills hinder the successful implementation of ACP meetings among healthcare practitioners.
  • This systematic review synthesised findings from 25 studies to explore the intricate communication practices in ACP, emphasizing the need for clear dialogue.
  • Improved communication with personalized information can foster better participation in ACP discussions and enhance continuity of care.

Cite This Study

Spencer et al. (2025) studied this question.

synapsesocial.com/papers/68d4759031b076d99fa6d426https://doi.org/10.1093/ageing/afaf253
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Experiences and perspectives of older adults in nursing homes and their families participating in advance care planning: a meta-synthesis of qualitative studies2025 · 1 citations
  2. 2Communication strategies for improving readiness for advance care planning in dementia: A systematic review2026
  3. 3Healthcare professionals’ experiences of advance care planning conversations with frail older adults admitted to acute geriatric hospital units: a nested qualitative study2026
  4. 4Advance Care Planning: including Persons with Dementia and their Caregivers (GP105)2024
  5. 5A Rapid Review of Advance Care Planning Interventions, Strategies, and Communication Approaches in Dementia Care2025