{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:58:12Z","timestamp":1792036692378,"version":"4.4.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Humanities and Social Science Research Program of The Ministry of Education of China","award":["18YJAZH074"],"award-info":[{"award-number":["18YJAZH074"]}]},{"name":"Basic Scientific Research Project of Hebei University of Chinese Medicine in Hebei Province","award":["YXTD2021006"],"award-info":[{"award-number":["YXTD2021006"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Omega (Westport)"],"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    To evaluate the feasibility, acceptability, and effects of family-centered advance care planning (ACP) in patients with breast cancer.\n                    <jats:bold>Methods:<\/jats:bold>\n                    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 \u2013 Breast (FACT-B), and a self-designed questionnaire.\n                    <jats:bold>Results:<\/jats:bold>\n                    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.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    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.\n                  <\/jats:p>","DOI":"10.1177\/00302228261421702","type":"journal-article","created":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T16:30:03Z","timestamp":1769617803000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Family-Centered Advance Care Planning in Patients With Breast Cancer: A Randomized Controlled Trial in China"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-2145-1643","authenticated-orcid":false,"given":"Ruoyan","family":"Wang","sequence":"first","affiliation":[{"name":"Hebei University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Blood Supply, Zhangjiakou City Central Blood Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saixiao","family":"Pei","sequence":"additional","affiliation":[{"name":"Hebei University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Zhang","sequence":"additional","affiliation":[{"name":"Hebei University of Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongli","family":"Li","sequence":"additional","affiliation":[{"name":"Hebei University of Chinese Medicine"},{"name":"College of Nursing, Hebei Key Laboratory of Health Care with Traditional Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongqing","family":"Shen","sequence":"additional","affiliation":[{"name":"Hebei University of Chinese Medicine"},{"name":"College of Nursing, Hebei Key Laboratory of Health Care with Traditional Chinese Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,28]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2022.08.014"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.23.00287"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314526272"},{"key":"e_1_3_8_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-022-09224-w"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-023-01230-4"},{"key":"e_1_3_8_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1993.11.3.570"},{"key":"e_1_3_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0825859718763644"},{"key":"e_1_3_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40814-016-0101-z"},{"key":"e_1_3_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31392-7"},{"key":"e_1_3_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/26323524221139879"},{"key":"e_1_3_8_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/109662101753381629"},{"key":"e_1_3_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-019-01670-8"},{"key":"e_1_3_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049909121989986"},{"key":"e_1_3_8_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000762"},{"key":"e_1_3_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.joim.2018.09.001"},{"key":"e_1_3_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/cac2.12207"},{"issue":"01","key":"e_1_3_8_18_1","first-page":"20","article-title":"Pre-planned medical care schemes for elderly patients with end-stage chronic respiratory diseases and their family members","volume":"20","author":"Lin T. 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