{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T17:46:34Z","timestamp":1782755194514,"version":"3.54.5"},"reference-count":34,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"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":["R01AG056618"],"award-info":[{"award-number":["R01AG056618"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Midcareer Investigator Awards in Participant-Oriented Research","award":["K24AG053794"],"award-info":[{"award-number":["K24AG053794"]}]}],"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>Older adults living with serious illnesses face challenging decisions with illness progression. Advance Care Planning (ACP) presents an opportunity to explore values and goals, absent the pressure of time-sensitive decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Community-dwelling adults \u226565 with an estimated 33% mortality risk, and if invited by the participant, the person who would serve as their surrogate decision maker (SDM).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Primary care practices in a Midwest metro area. Interviews occurred in the patient\u2019s home or other preferred location.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Qualitative, descriptive study analyzing ACP conversations that used the Respecting Choices Advanced Steps (RCAS) framework, which includes the opportunity to complete an Indiana POST form. Interviews were conducted at baseline and 1\u00a0year later. Interviews were digitally recorded, transcribed, and then analyzed using an inductive content analysis approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Participants included 22 patients and 8 potential surrogates. Themes included reasons for ACP, living well, and impact of serious illness. When expressing preferences for future treatment, many participants selected limited interventions until they realized this did not include cardiopulmonary resuscitation. After learning this, participants often selected full intervention and full code because they wanted a chance to re-establish an acceptable quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Some older adults with a high mortality risk desire resuscitation and ICU care because they want a chance at getting back to a preferred state of living well. If a patient survives these interventions, SDMs are likely to encounter decisions about whether further life-sustaining treatment can achieve a patient\u2019s goals and values and their perspectives on what living well means.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10499091261464954","type":"journal-article","created":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T07:03:32Z","timestamp":1782543812000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Qualitative Analysis of Community Dwelling Older Adults\u2019 Advance Care Planning Interviews: Patients Want a Chance"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4701-0794","authenticated-orcid":false,"given":"Lucia D.","family":"Wocial","sequence":"first","affiliation":[{"name":"Indiana University Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan E.","family":"Hickman","sequence":"additional","affiliation":[{"name":"Regenstrief Institute, Inc."},{"name":"Community Nursing, Indiana University School of Nursing"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen","family":"Ziemba","sequence":"additional","affiliation":[{"name":"Respecting Choices, Respecting Choices\u00ae, A Program of WiserCare, Inc."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Koch","sequence":"additional","affiliation":[{"name":"Palliative Care, Indiana University Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Cavanaugh","sequence":"additional","affiliation":[{"name":"Palliative Care, Eskenazi Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2503-1435","authenticated-orcid":false,"given":"Emily Fox","family":"Ludden","sequence":"additional","affiliation":[{"name":"Regenstrief Institute, Inc."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexia M.","family":"Torke","sequence":"additional","affiliation":[{"name":"Regenstrief Institute, Inc."},{"name":"Palliative Care, Indiana University Health"},{"name":"Palliative Care, Eskenazi Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,27]]},"reference":[{"issue":"10","key":"e_1_3_7_2_2","first-page":"E1","article-title":"Expert Panel on the Care of Older Adults with Multimorbidity. 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