{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T21:46:15Z","timestamp":1784151975778,"version":"3.55.0"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T00:00:00Z","timestamp":1721606400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to assess the impact of a physician\u2010led intervention on advance care planning (ACP) introduction among older outpatients using a model discussion video.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective interventional study included Japanese general practice outpatients aged \u226565\u2009years. All participants received an ACP leaflet. Co\u2010researchers were trained using a model discussion video based on the \u201cSerious Illness Conversation Guide,\u201d and provided ACP introduction explanations to the intervention group to ensure intervention content consistency. The control group received the ACP leaflet only, with no standardized explanations. The primary outcome was ACP discussion occurrence. Secondary outcomes included ACP engagement (assessed through the 4\u2010item ACP Engagement Survey), engagement score for advance directives acquisition and score for surrogate decision\u2010maker identification, and anxiety incidence (assessed through Generalized Anxiety Disorder\u20107).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      This study included 48 participants: 25 (52.1%) in the intervention group and 23 (47.9%) in the control group. Regarding primary outcome, the intervention group had significantly more ACP discussions compared with the control group (92.0%\n                      <jats:italic>vs<\/jats:italic>\n                      26.1%, adjusted odds ratio 50.2,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.0012). Regarding secondary outcomes, the intervention group showed greater readiness (mean scores for the 4\u2010item Engagement Survey [\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.0001], engagement score for advance directives acquisition [\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.01] and score for surrogate decision\u2010maker determination [\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.03]) than the control group, without increasing anxiety.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      This physician\u2010led ACP introduction for older patients in a Japanese general practice setting enhanced ACP readiness and stimulated discussions, without increasing anxiety. The model discussion video for ACP introduction might effectively train physicians in general practice settings.\n                      <jats:bold>Geriatr Gerontol Int 2024; 24: 859\u2013866<\/jats:bold>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.14932","type":"journal-article","created":{"date-parts":[[2024,7,22]],"date-time":"2024-07-22T08:10:16Z","timestamp":1721635816000},"page":"859-866","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of initiating advance care planning among older outpatients through intervention by physicians trained in a model discussion video: A randomized controlled trial"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6339-0779","authenticated-orcid":false,"given":"Hanako","family":"Yoshihara\u2010Kurihara","sequence":"first","affiliation":[{"name":"Division of General Medicine, Department of Comprehensive Medicine Jichi Medical University, Saitama Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9466-2125","authenticated-orcid":false,"given":"Hiroshi","family":"Hori","sequence":"additional","affiliation":[{"name":"Minamiuonuma City Hospital  Niigata Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aya","family":"Fuse","sequence":"additional","affiliation":[{"name":"Kyosai Hospital  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ibuki","family":"Kurihara","sequence":"additional","affiliation":[{"name":"Division of General Medicine, Department of Comprehensive Medicine Jichi Medical University, Saitama Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keishiro","family":"Sueda","sequence":"additional","affiliation":[{"name":"Division of General Medicine, Department of Comprehensive Medicine Jichi Medical University, Saitama Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiko","family":"Fukuchi","sequence":"additional","affiliation":[{"name":"Division of General Medicine, Department of Comprehensive Medicine Jichi Medical University, Saitama Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masanori","family":"Mori","sequence":"additional","affiliation":[{"name":"Palliative and Supportive Care Division, Seirei Mikatahara General Hospital  Shizuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5060-9020","authenticated-orcid":false,"given":"Hitoshi","family":"Sugawara","sequence":"additional","affiliation":[{"name":"Division of General Medicine, Department of Comprehensive Medicine Jichi Medical University, Saitama Medical Center  Saitama Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.12.331"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/jjco\/hyaa131"},{"key":"e_1_2_11_4_1","unstructured":"Ministry of Health Labour and Welfare.Survey of Attitudes Towards End\u2010of\u2010Life Care for FY 2017 [in Japanese] 2018.https:\/\/www.mhlw.go.jp\/toukei\/list\/dl\/saisyuiryo_a_h29.pdf."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000001573"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692163211068282"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2020.12.018"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1634\/theoncologist.2015-0147"},{"key":"e_1_2_11_9_1","unstructured":"Ministry of Health Labour and Welfare.Life Planning Conference (Leaflet) Available fromhttps:\/\/www.mhlw.go.jp\/content\/10802000\/000536088.pdf."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009032"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.0077"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2019.0292"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.367"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951520001108"},{"key":"e_1_2_11_15_1","unstructured":"Ministry of Health Labour and Welfare.Discussion about Future Treatment and Care Advance Care Planning 2017. 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