{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T06:00:09Z","timestamp":1790834409546,"version":"4.1.0"},"reference-count":35,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T00:00:00Z","timestamp":1765152000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76AG064434"],"award-info":[{"award-number":["K76AG064434"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG065254"],"award-info":[{"award-number":["R01AG065254"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Hosp Palliat Care"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Most older adults in the U.S. visit the emergency department (ED) in their final 6 months of life, providing an opportunity to engage patients in advance care planning (ACP) conversations (ie, a process to formulate and communicate preferences for end-of-life care). While many report ACP engagement, the link between self-reported engagement and pre-existing ACP documentation in the ED, where ACP documentation is especially critical, remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study is a secondary analysis of the VIDEO-ED trial, a multi-site randomized controlled study evaluating a video-supported ACP intervention in the ED. Patients aged \u226565 years and adults with serious illness (ie, illnesses with a 1-year prognosis) were prospectively enrolled. ACP engagement was measured using the validated ACP Engagement Survey. Medical records were reviewed for ACP documentation, including clinician-documented ACP and advance directives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 570 participants (median age: 73.0 years, IQR: 68.0-79.0), higher ACP engagement scores were associated with greater clinician-documented ACP (OR: 1.47, 95% CI: 1.09-1.98,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01) and advance directives (OR: 1.40, 95% CI: 1.15-1.71,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). Readiness to sign official documents naming a medical decision-maker was particularly predictive of ACP documentation (OR: 1.42, 95% CI: 1.03-1.97,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>On ED presentation, patient-reported ACP engagement correlated with the presence of pre-existing ACP documentation in the EHR. The ACP Engagement Survey may help identify older adults less likely to have documented ACP, guiding targeted interventions in the ED.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091251404877","type":"journal-article","created":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T11:46:15Z","timestamp":1765194375000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Association Between Patient-Reported Engagement and Medical Record of Advance Care Planning Among Older Adults in the ED: A Cross Sectional Study"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7793-8561","authenticated-orcid":false,"given":"Nanako","family":"Shirai","sequence":"first","affiliation":[{"name":"Harvard Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadayuki","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital"},{"name":"Osaka Medical and Pharmaceutical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sho","family":"Fukui","sequence":"additional","affiliation":[{"name":"Brigham and Women\u2019s Hospital and Harvard Medical School"},{"name":"Kyorin University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Upeka","family":"Samarakoon","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Paasche-Orlow","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seth N.","family":"Randa","sequence":"additional","affiliation":[{"name":"School of Medicine"},{"name":"University of California San Francisco"},{"name":"Dana-Farber Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuchiao","family":"Chang","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotta","family":"Lindvall","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Dana-Farber Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katren R.","family":"Tyler","sequence":"additional","affiliation":[{"name":"Davis School of Medicine"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hacho B.","family":"Bohossian","sequence":"additional","affiliation":[{"name":"Newton-Wellesley Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate R.","family":"Sciacca","sequence":"additional","affiliation":[{"name":"Dana-Farber Cancer Institute"},{"name":"Brigham and Women\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina","family":"Klein","sequence":"additional","affiliation":[{"name":"Davis School of Medicine"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allyson C.","family":"Sage","sequence":"additional","affiliation":[{"name":"Davis School of Medicine"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donovan","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Davis School of Medicine"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Hanson","sequence":"additional","affiliation":[{"name":"Davis School of Medicine"},{"name":"University of California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Milton","family":"Joel","sequence":"additional","affiliation":[{"name":"Massachusetts General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy F.","family":"Platts-Mills","sequence":"additional","affiliation":[{"name":"Ophirex, Inc"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Volandes","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Massachusetts General Hospital"},{"name":"ACP Decisions"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kei","family":"Ouchi","sequence":"additional","affiliation":[{"name":"Harvard Medical School"},{"name":"Brigham and Women\u2019s Hospital"},{"name":"Dana-Farber Cancer Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,8]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0922"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa0907901"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c1345"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-082766"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2024.1221"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jgo.2024.101839"},{"key":"e_1_3_7_8_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2016.0243"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0368"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2016.09.018"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16801"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.16430"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01701.x"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.10398"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010375"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2016.10.367"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0548"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.285.23.2987"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2006.09.021"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-118-3-199302010-00011"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2005.08.012"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-005-5458-x"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-010-1543-2"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.24.6.796"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.str.31.9.2080"},{"key":"e_1_3_7_26_2","unstructured":"POLST. Portable medical orders for seriously ill or frail individuals. https:\/\/polst.org\/. Accessed March 2 2025."},{"key":"e_1_3_7_27_2","unstructured":"Welcome to Massachusetts Medical Orders for Life-Sustaining Treatment. Massachusetts medical orders for life-sustaining treatment. https:\/\/www.molst-ma.org\/. Accessed March 2 2025."},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0072465"},{"key":"e_1_3_7_29_2","unstructured":"Prepare. https:\/\/prepareforyourcare.org\/en\/welcome. Accessed March 2 2025."},{"key":"e_1_3_7_30_2","first-page":"1","article-title":"Health checks for people aged 75 and over","volume":"59","author":"Williams EI","year":"1993","unstructured":"Williams EI, Wallace P. Health checks for people aged 75 and over. Occas Pap R Coll Gen Pract. 1993;59:1-30.","journal-title":"Occas Pap R Coll Gen Pract"},{"key":"e_1_3_7_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0196-0644(96)70264-0"},{"key":"e_1_3_7_32_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.6751"},{"key":"e_1_3_7_33_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.180"},{"key":"e_1_3_7_34_2","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2023.230187R2"},{"key":"e_1_3_7_35_2","doi-asserted-by":"publisher","DOI":"10.1177\/10499091241233687"},{"key":"e_1_3_7_36_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951524001548"}],"container-title":["American Journal of Hospice and Palliative Medicine\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091251404877","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10499091251404877","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10499091251404877","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:31:36Z","timestamp":1777368696000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10499091251404877"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,8]]},"references-count":35,"alternative-id":["10.1177\/10499091251404877"],"URL":"https:\/\/doi.org\/10.1177\/10499091251404877","relation":{},"ISSN":["1049-9091","1938-2715"],"issn-type":[{"value":"1049-9091","type":"print"},{"value":"1938-2715","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,8]]},"article-number":"10499091251404877"}}