%0 Journal Article
%T Measuring engagement in advance care planning: a cross-sectional multicentre feasibility study
%A Aaron J Bonham
%A Carole A Robinson
%A Daren K Heyland
%A Dawn Elston
%A John J You
%A Konrad Fassbender
%A Michael McKenzie
%A Michelle Howard
%A Rebecca Sudore
%J -
%D 2016
%R 10.1136/bmjopen-2015-010375
%X Objectives To assess the feasibility, acceptability and clinical sensibility of a novel survey, the advance care planning (ACP) Engagement Survey, in various healthcare settings.

Setting A target sample of 50 patients from each of primary care, hospital, cancer care and dialysis care settings.

Participants A convenience sample of patients without cognitive impairment who could speak and read English was recruited. Patients 50 and older were eligible in primary care; patients 80 and older or 55 and older with clinical markers of advanced chronic disease were recruited in hospital; patients aged 19 and older were recruited in cancer and renal dialysis centres.

Outcomes We assessed feasibility, acceptability and clinical sensibility of the ACP Engagement Survey using a 6-point scale. The ACP Engagement Survey measures ACP processes (knowledge, contemplation, self-efficacy and readiness) on 5-point Likert scales and actions (yes/no).

Results 196 patients (38¨C96£¿years old, 50.5% women) participated. Mean (¡ÀSD) time to administer was 48.8¡À19.6£¿min. Mean acceptability scores ranged from 3.2¡À1.3 in hospital to 4.7¡À0.9 in primary care, and mean relevance ranged from 3.5¡À1.0 in hospital to 4.9¡À0.9 in dialysis centres (p<0.001 for both). The mean process score was 3.1¡À0.6 and the mean action score was 11.2¡À5.6 (of a possible 25).

Conclusions The ACP Engagement Survey demonstrated feasibility and acceptability in outpatient settings but was less feasible and acceptable among hospitalised patients due to length. A shorter version may improve feasibility. Engagement in ACP was low to moderate
%U https://bmjopen.bmj.com/content/6/6/e010375