{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:09:37Z","timestamp":1777882177301,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliat\ufffdCare"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Patients with advanced non-small-cell lung cancer (NSCLC) frequently experience severe symptoms and functional decline, underscoring the need for early end-of-life (EOL) care discussions to improve care quality. Additionally, enhancing patients\u2019 death literacy may strengthen these discussions. However, how patient characteristics influence death literacy in this population is largely unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This cross-sectional study explored baseline levels of death literacy and examined associated patient characteristics in advanced NSCLC.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A total of 103 patients aged \u2a7e18\u2009years with stage IIIB or higher NSCLC who had completed at least first-line cancer treatment were recruited using convenience sampling. Data were collected between June 2024 and June 2025 using structured questionnaires assessing sociodemographic, medical conditions, prior EOL care experience, and death literacy (using the traditional Chinese version of the Death Literacy Index, score range\u2009=\u200929\u2013145). Descriptive statistics, Pearson\u2019s correlation, independent\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      test, and stepwise regression were used to analyse associations between patient characteristics and death literacy.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>\n                      The mean participant age was 61.62\u2009\u00b1\u200910.86\u2009years, and the mean Karnofsky Performance Score was 67.57\u2009\u00b1\u200912.48. Many had prior experience of EOL care provision (58%) and had lost a relative (90%), but few had discussed EOL care with a physician (29%). Overall, death literacy was moderate (94.08\u2009\u00b1\u200916.45). Higher death literacy was significantly associated with experience of EOL care (\u03b2\u2009=\u200913.390,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), having had an EOL care discussion with a physician (\u03b2\u2009=\u200910.901,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and being a women (\u03b2\u2009=\u2009\u20128.671,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.001). These factors explained 37.1% of the variance in death literacy (\n                      <jats:italic toggle=\"yes\">F<\/jats:italic>\n                      \u2009=\u200921.030, Adjusted\n                      <jats:italic toggle=\"yes\">R<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u20090.371).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Healthcare providers should recognize patients\u2019 lived experiences as important contributors to fostering open conversations around EOL care preferences. Interventions such as the Life Journey Tea House or broader public health strategies may help stimulate reflection and encourage dialogue.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26323524251408892","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T10:44:47Z","timestamp":1767609887000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient characteristics associated with death literacy in advanced non-small-cell lung cancer: A preliminary single-centre cross-sectional study"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-2663-8739","authenticated-orcid":false,"given":"Gong-Fu","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi-Ling","family":"Yeh","sequence":"additional","affiliation":[{"name":"Department of Social Work, Tunghai University, Taichung, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9883-4446","authenticated-orcid":false,"given":"Shiow-Ching","family":"Shun","sequence":"additional","affiliation":[{"name":"Institute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4927-4814","authenticated-orcid":false,"given":"Ching-Yao","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5810-8776","authenticated-orcid":false,"given":"Cheng-Pei","family":"Lin","sequence":"additional","affiliation":[{"name":"Institute of Community Health Care, College of Nursing, National Yang Ming Chiao Tung University, Taipei, Taiwan"},{"name":"Cicely Saunders Institute, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King\u2019s College London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.canep.2024.102693"},{"key":"e_1_3_3_3_2","unstructured":"Health Promotion Administration. 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