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June 8, 2026BMC Palliative CareOpen Access

Effects of online advance care planning (ACP) decision aid programmes on adults with cancer: a systematic review and meta-analysis

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Authors

ZHZhihao HanZhejiang Chinese Medical UniversityYFYong FangChangsha Medical UniversityJYJianjian YangJinhua Polytechnic

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Implication

Systematic review demonstrates online ACP decision aids enhance documentation and engagement in adults with cancer, suggesting effectiveness.

Key Points

  • Evaluate the impact of online advance care planning decision aid programmes on adults with cancer.
  • Systematic search in multiple databases up to March 2026.
  • Meta-analyses conducted on twelve eligible studies, including ten randomized controlled trials.
  • Risk of bias assessed with appropriate tools based on study design.
  • Online ACP decision aid programmes significantly improved ACP documentation (OR = 2.06, 95% CI 1.29 to 3.27, p = 0.002).
  • Improved ACP engagement was noted (MD = 0.28, 95% CI 0.15 to 0.40, p < 0.0001).
  • No significant effects were found for advance directive completion (OR = 1.37, p = 0.50) or satisfaction (p = 0.47).

Cite This Study

Han et al. (2026) studied this question.

synapsesocial.com/papers/6a265ca8ad53cfb9357c5e73https://doi.org/10.1186/s12904-026-02184-z
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