{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T06:46:06Z","timestamp":1792478766636,"version":"4.5.0"},"reference-count":46,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T00:00:00Z","timestamp":1766793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:00:00Z","timestamp":1769558400000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100003065","name":"University of Vienna","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003065","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int J Equity Health"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Advance care planning (ACP) is a critical process for ensuring person-centred end-of-life care, yet it remains underutilized among people with intellectual disabilities (ID). Understanding caregivers\u2019 perspectives is essential to identify barriers and facilitators to ACP implementation and improve practice. This study aimed to examine how professional caregivers in Austria perceive and experience ACP for people with ID, including its current use, barriers, facilitators, and strategies to improve uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted using a structured online form comprising multiple-choice and open-ended questions. Data were collected from 125 professional caregivers across Austria who were primary caregivers of at least one adult with ID and proficient in German. Quantitative data were analysed descriptively, while qualitative responses to open-ended questions were subjected to content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 33.6% of caregivers reported engaging in ACP discussions, with considerable barriers including cognitive and communicative challenges, emotional discomfort, and structural constraints. Facilitators included person-centred communication, interdisciplinary collaboration, and targeted training. Notably, 83.2% of caregivers expressed interest in ACP training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ACP is rarely practiced in the care of people with ID in Austria. However, caregivers identified clear pathways to improve implementation, particularly through training, use of tailored communication methods, and systemic support within care institutions. Promoting inclusive ACP practices is essential to uphold the autonomy and health equity of people with ID, ensuring their voices are heard in decisions about their future and end-of-life care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12939-025-02747-1","type":"journal-article","created":{"date-parts":[[2025,12,27]],"date-time":"2025-12-27T15:44:17Z","timestamp":1766850257000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Barriers and facilitators to advance care planning for people with intellectual disabilities: a cross-sectional survey study of professional caregiver perspectives"],"prefix":"10.1186","volume":"25","author":[{"given":"Elisabeth Lucia","family":"Zeilinger","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lena","family":"Simeoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Wagner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamina-Laetitia","family":"Vielgrader","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelie","family":"Fuchs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias","family":"Fragner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor","family":"Grabovac","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva Katharina","family":"Masel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Unseld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,12,27]]},"reference":[{"issue":"1","key":"2747_CR1","doi-asserted-by":"publisher","first-page":"177","DOI":"10.1186\/s12904-021-00873-5","volume":"20","author":"H Voss","year":"2021","unstructured":"Voss H, Loxton A, Anderson J, Watson J. It was one of those complicated cases: health practitioners\u2019 perspectives and practices of providing end-of-life care for people with profound intellectual and multiple disability. BMC Palliat Care. 2021;20(1):177.","journal-title":"BMC Palliat Care"},{"issue":"6","key":"2747_CR2","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1352\/1944-7558-126.6.439","volume":"126","author":"RL Schalock","year":"2021","unstructured":"Schalock RL, Luckasson R, Tass\u00e9 MJ. An overview of Intellectual disability: Definition, Diagnosis, Classification, and systems of supports. Am J Intellect Dev Disabil. 2021;126(6):439\u201342. 12th ed.","journal-title":"Am J Intellect Dev Disabil"},{"issue":"1","key":"2747_CR3","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1186\/s12875-015-0329-3","volume":"16","author":"SA Cooper","year":"2015","unstructured":"Cooper SA, McLean G, Guthrie B, McConnachie A, Mercer S, Sullivan F, et al. Multiple physical and mental health comorbidity in adults with intellectual disabilities: population-based cross-sectional analysis. BMC Fam Pract. 2015;16(1):110.","journal-title":"BMC Fam Pract"},{"issue":"2","key":"2747_CR4","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1108\/TLDR-01-2014-0003","volume":"19","author":"E Emerson","year":"2014","unstructured":"Emerson E, Glover G, Hatton C, Wolstenholme J. Trends in age-standardised mortality rates and life expectancy of people with learning disabilities in Sheffield over a 33-year period. Tizard Learn Disabil Rev. 2014;19(2):90\u20135.","journal-title":"Tizard Learn Disabil Rev"},{"issue":"8","key":"2747_CR5","doi-asserted-by":"publisher","first-page":"e0256294","DOI":"10.1371\/journal.pone.0256294","volume":"16","author":"P Liao","year":"2021","unstructured":"Liao P, Vajdic C, Trollor J, Reppermund S. Prevalence and incidence of physical health conditions in people with intellectual disability \u2013 a systematic review. PLoS ONE. 2021;16(8):e0256294.","journal-title":"PLoS ONE"},{"issue":"1","key":"2747_CR6","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1186\/s12905-021-01189-5","volume":"21","author":"BK Matin","year":"2021","unstructured":"Matin BK, Williamson HJ, Karyani AK, Rezaei S, Soofi M, Soltani S. Barriers in access to healthcare for women with disabilities: a systematic review in qualitative studies. BMC Women\u2019s Health. 2021;21(1):44.","journal-title":"BMC Women\u2019s Health"},{"issue":"8","key":"2747_CR7","doi-asserted-by":"publisher","first-page":"e70855","DOI":"10.1371\/journal.pone.0070855","volume":"8","author":"A Ali","year":"2013","unstructured":"Ali A, Scior K, Ratti V, Strydom A, King M, Hassiotis A. Discrimination and other barriers to accessing health care: perspectives of patients with mild and moderate intellectual disability and their carers. PLoS ONE. 2013;8(8):e70855.","journal-title":"PLoS ONE"},{"key":"2747_CR8","doi-asserted-by":"crossref","unstructured":"Breuer MEJ, Bakker-van Gijssel EJ, Vlot-van Anrooij K, Tobi H, Leusink GL, Naaldenberg J. Exploring views on medical care for people with intellectual disabilities: an international concept mapping study. Int J Equity Health. 2022 July 19;21(1):99.","DOI":"10.1186\/s12939-022-01700-w"},{"issue":"1","key":"2747_CR9","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1186\/s12939-024-02321-1","volume":"23","author":"G S\u00edtima","year":"2024","unstructured":"S\u00edtima G, Galhardo-Branco C, Reis-Pina P. Equity of access to palliative care: a scoping review. Int J Equity Health. 2024;23(1):248.","journal-title":"Int J Equity Health"},{"key":"2747_CR10","doi-asserted-by":"crossref","unstructured":"Adamidis F, Baumgartner NS, Kitta A, Kum L, Ecker F, B\u00e4r J, et al. Timely integration of palliative care: the reality check. A retrospective analysis. Support Care Cancer. 2024 Jul 17;32(8):518.","DOI":"10.1007\/s00520-024-08721-x"},{"key":"2747_CR11","doi-asserted-by":"crossref","unstructured":"Rietjens JAC, Sudore RL, Connolly M, van Delden JJ, Drickamer MA, Droger M, et al. Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care. Lancet Oncol. 2017 Sept 1;18(9):e543\u201351.","DOI":"10.1016\/S1470-2045(17)30582-X"},{"key":"2747_CR12","doi-asserted-by":"crossref","unstructured":"Malhotra C, Shafiq M, Batcagan-Abueg APM. What is the evidence for efficacy of advance care planning in improving patient outcomes? A systematic review of randomised controlled trials. BMJ Open. 2022 July;12(7):e060201.","DOI":"10.1136\/bmjopen-2021-060201"},{"issue":"2","key":"2747_CR13","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1016\/j.jpainsymman.2017.08.025","volume":"55","author":"RL Sudore","year":"2018","unstructured":"Sudore RL, Heyland DK, Lum HD, Rietjens JAC, Korfage IJ, Ritchie CS, et al. Outcomes that define successful advance care planning: A Delphi panel consensus. J Pain Symptom Manag. 2018;55(2):245\u2013e2558.","journal-title":"J Pain Symptom Manag"},{"issue":"6","key":"2747_CR14","first-page":"e13720","volume":"31","author":"A van der Padt-Pruijsten","year":"2022","unstructured":"van der Padt-Pruijsten A, Oostergo T, Leys MBL, van der Rijt CCD, van der Heide A. Hospitalisations of patients with cancer in the last stage of life. Reason to improve advance care planning? Eur J Cancer Care. 2022;31(6):e13720.","journal-title":"Eur J Cancer Care"},{"key":"2747_CR15","doi-asserted-by":"crossref","unstructured":"Brinkman-Stoppelenburg A, Rietjens JA, van der Heide A. The effects of advance care planning on end-of-life care: a systematic review. Palliat Med. 2014 Sept 1;28(8):1000\u201325.","DOI":"10.1177\/0269216314526272"},{"issue":"1","key":"2747_CR16","doi-asserted-by":"publisher","first-page":"234","DOI":"10.1111\/jgs.16801","volume":"69","author":"RD McMahan","year":"2021","unstructured":"McMahan RD, Tellez I, Sudore RL. Deconstructing the complexities of advance care planning outcomes: what do we know and where do we go? A scoping review. J Am Geriatr Soc. 2021;69(1):234\u201344.","journal-title":"J Am Geriatr Soc"},{"issue":"6","key":"2747_CR17","doi-asserted-by":"publisher","first-page":"938","DOI":"10.1016\/j.jpainsymman.2017.04.016","volume":"54","author":"H Voss","year":"2017","unstructured":"Voss H, Vogel A, Wagemans AMA, Francke AL, Metsemakers JFM, Courtens AM, et al. Advance care planning in palliative care for people with intellectual disabilities: A systematic review. J Pain Symptom Manage. 2017;54(6):938\u2013e9601.","journal-title":"J Pain Symptom Manage"},{"key":"2747_CR18","doi-asserted-by":"crossref","unstructured":"Adam E, Sleeman KE, Brearley S, Hunt K, Tuffrey-Wijne I. The palliative care needs of adults with intellectual disabilities and their access to palliative care services: a systematic review. Palliat Med. 2020 Sept;34(8):1006\u201318.","DOI":"10.1177\/0269216320932774"},{"issue":"4","key":"2747_CR19","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1177\/0269216321998207","volume":"35","author":"B Foo","year":"2021","unstructured":"Foo B, Wiese M, Curryer B, Stancliffe RJ, Wilson NJ, Clayton JM. Specialist palliative care staff\u2019s varying experiences of talking with people with intellectual disability about their dying and death: A thematic analysis of in-depth interviews. Palliat Med. 2021;35(4):738\u201349.","journal-title":"Palliat Med"},{"issue":"17\u201318","key":"2747_CR20","doi-asserted-by":"publisher","first-page":"2633","DOI":"10.1111\/jocn.13690","volume":"26","author":"ER Beck","year":"2017","unstructured":"Beck ER, McIlfatrick S, Hasson F, Leavey G. Nursing home manager\u2019s knowledge, attitudes and beliefs about advance care planning for people with dementia in long-term care settings: a cross-sectional survey. J Clin Nurs. 2017;26(17\u201318):2633\u201345.","journal-title":"J Clin Nurs"},{"issue":"5","key":"2747_CR21","doi-asserted-by":"publisher","first-page":"927","DOI":"10.1111\/jar.12714","volume":"33","author":"I Tuffrey-Wijne","year":"2020","unstructured":"Tuffrey-Wijne I, Finlayson J, Bernal J, Taggart L, Lam CKK, Todd S. Communicating about death and dying with adults with intellectual disabilities who are terminally ill or bereaved: A UK-wide survey of intellectual disability support staff. J Appl Res Intellect Disabil. 2020;33(5):927\u201338.","journal-title":"J Appl Res Intellect Disabil"},{"issue":"1","key":"2747_CR22","doi-asserted-by":"publisher","first-page":"80","DOI":"10.1111\/j.1365-2648.2007.04227.x","volume":"58","author":"I Tuffrey-Wijne","year":"2007","unstructured":"Tuffrey-Wijne I, Bernal J, Butler G, Hollins S, Curfs L. Using nominal group technique to investigate the views of people with intellectual disabilities on end-of-life care provision. J Adv Nurs. 2007;58(1):80\u20139.","journal-title":"J Adv Nurs"},{"issue":"2","key":"2747_CR23","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1111\/jar.12653","volume":"33","author":"H Voss","year":"2020","unstructured":"Voss H, Vogel A, Wagemans AMA, Francke AL, Metsemakers JFM, Courtens AM, et al. What is important for advance care planning in the palliative phase of people with intellectual disabilities? A multi-perspective interview study. J Appl Res Intellect Disabil. 2020;33(2):160\u201371.","journal-title":"J Appl Res Intellect Disabil"},{"issue":"3","key":"2747_CR24","doi-asserted-by":"publisher","first-page":"207","DOI":"10.1111\/jppi.12376","volume":"18","author":"K Cithambarm","year":"2021","unstructured":"Cithambarm K, Duffy M, Courtney E. What constitutes good quality End-of-Life care? Perspectives of people with intellectual disabilities and their families. J Policy Pract Intellect Disabil. 2021;18(3):207\u201316.","journal-title":"J Policy Pract Intellect Disabil"},{"issue":"6","key":"2747_CR25","doi-asserted-by":"publisher","first-page":"1089","DOI":"10.1111\/jar.12355","volume":"30","author":"N McKenzie","year":"2017","unstructured":"McKenzie N, Mirfin-Veitch B, Conder J, Brandford S. I\u2019m still here: exploring what matters to people with intellectual disability during advance care planning. J Appl Res Intellect Disabil. 2017;30(6):1089\u201398.","journal-title":"J Appl Res Intellect Disabil"},{"key":"2747_CR26","doi-asserted-by":"crossref","unstructured":"Blaise M, Schroeder M, Suhrcke M, Komenda-Schned S, Zeilinger EL, Weber G. Exploring self-determination and satisfaction with life and services of people with disabilities. Int J Dev Disabil. 2025;early view:1\u201311.","DOI":"10.1080\/20473869.2025.2470168"},{"key":"2747_CR27","doi-asserted-by":"crossref","unstructured":"Bruun A, Cresswell A, Jordan L, Keagan-Bull R, Giles J, Gibson SL, et al. What are we planning, exactly? The perspectives of people with intellectual disabilities, their carers and professionals on end-of-life care planning: a focus group study. Palliat Med. 2024 June 1;38(6):669\u201378.","DOI":"10.1177\/02692163241250218"},{"issue":"1","key":"2747_CR28","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1352\/1934-9556-59.1.39","volume":"59","author":"H Voss","year":"2021","unstructured":"Voss H, Vogel AGFM, Wagemans AMA, Francke AL, Metsemakers JFM, Courtens AM, et al. Development, Implementation, and evaluation of an advance care planning program for professionals in palliative care of people with intellectual disability. Intellect Dev Disabil. 2021;59(1):39\u201354.","journal-title":"Intellect Dev Disabil"},{"key":"2747_CR29","unstructured":"Gruber AS. Advance Care Planning in \u00d6sterreich - Eine explorative Pilotstudie zur Testung des WEEA-Fragebogens [Internet]. Wien: educa Verlag; 2021 [cited 2022 Nov 6]. Available from: https:\/\/www.lehmanns.de\/shop\/sachbuch-ratgeber\/56851108-9783903218253-advance-care-planning-in-oesterreich."},{"issue":"4","key":"2747_CR30","doi-asserted-by":"publisher","first-page":"543","DOI":"10.1177\/1744629518823887","volume":"24","author":"B McNamara","year":"2020","unstructured":"McNamara B, Same A, Rosenwax L. Creating person-centred support for people with intellectual disabilities at the end of life: an Australian qualitative study of unmet needs and strategies. J Intellect Disabil. 2020;24(4):543\u201358.","journal-title":"J Intellect Disabil"},{"key":"2747_CR31","unstructured":"United Nations. Convention on the Rights of Persons with Disabilities (CRPD) [Internet]. 2006 [cited 2025 Jan 13]. Available from: https:\/\/social.desa.un.org\/issues\/disability\/crpd\/convention-on-the-rights-of-persons-with-disabilities-crpd#Fulltext."},{"issue":"10","key":"2747_CR32","doi-asserted-by":"publisher","first-page":"3179","DOI":"10.1007\/s11606-021-06737-1","volume":"36","author":"A Sharma","year":"2021","unstructured":"Sharma A, Minh Duc NT, Luu Lam Thang T, Nam NH, Ng SJ, Abbas KS, et al. A Consensus-Based checklist for reporting of survey studies (CROSS). J GEN INTERN MED. 2021;36(10):3179\u201387.","journal-title":"J GEN INTERN MED"},{"key":"2747_CR33","unstructured":"Leiner DJ. SoSci Survey (Version 3.4.22) [Computer software] [Internet]. 2023. Available from: https:\/\/www.soscisurvey.de."},{"issue":"1","key":"2747_CR34","doi-asserted-by":"publisher","first-page":"107","DOI":"10.1111\/j.1365-2648.2007.04569.x","volume":"62","author":"S Elo","year":"2008","unstructured":"Elo S, Kyng\u00e4s H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107\u201315.","journal-title":"J Adv Nurs"},{"issue":"1","key":"2747_CR35","doi-asserted-by":"publisher","first-page":"69","DOI":"10.1007\/s11606-020-06150-0","volume":"36","author":"D Mohan","year":"2021","unstructured":"Mohan D, Sacks OA, O\u2019Malley J, Rudolph M, Bynum J, Murphy M, et al. A new standard for advance care planning (ACP) conversations in the hospital: results from a Delphi panel. J GEN INTERN MED. 2021;36(1):69\u201376.","journal-title":"J GEN INTERN MED"},{"issue":"2","key":"2747_CR36","doi-asserted-by":"publisher","first-page":"97","DOI":"10.1177\/1757913918786524","volume":"139","author":"B Vanderhaeghen","year":"2019","unstructured":"Vanderhaeghen B, Van Beek K, De Pril M, Bossuyt I, Menten J, Rober P. What do hospitalists experience as barriers and helpful factors for having ACP conversations? A systematic qualitative evidence synthesis. Perspect Public Health. 2019;139(2):97\u2013105.","journal-title":"Perspect Public Health"},{"issue":"6","key":"2747_CR37","doi-asserted-by":"publisher","first-page":"2166","DOI":"10.1017\/S1478951524000464","volume":"22","author":"MHP Suen","year":"2024","unstructured":"Suen MHP, Chow AYM, Woo RKW, Yuen SK. What makes advance care planning discussion so difficult? A systematic review of the factors of advance care planning in healthcare settings. Palliat Support Care. 2024;22(6):2166\u201379.","journal-title":"Palliat Support Care"},{"issue":"10","key":"2747_CR38","doi-asserted-by":"publisher","first-page":"e0239936","DOI":"10.1371\/journal.pone.0239936","volume":"15","author":"EL Zeilinger","year":"2020","unstructured":"Zeilinger EL, Stiehl KAM, Bagnall H, Scior K. Intellectual disability literacy and its connection to stigma: A multinational comparison study in three European countries. PLoS ONE. 2020;15(10):e0239936.","journal-title":"PLoS ONE"},{"issue":"3","key":"2747_CR39","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1080\/20473869.2019.1616990","volume":"67","author":"HA Pelleboer-Gunnink","year":"2021","unstructured":"Pelleboer-Gunnink HA, van Oorsouw WMWJ, van Weeghel J, Embregts PJCM. Stigma research in the field of intellectual disabilities: a scoping review on the perspective of care providers. Int J Dev Disabil. 2021;67(3):168\u201387.","journal-title":"Int J Dev Disabil"},{"issue":"6","key":"2747_CR40","doi-asserted-by":"publisher","first-page":"982","DOI":"10.1111\/jar.12270","volume":"30","author":"A Kirkendall","year":"2017","unstructured":"Kirkendall A, Linton K, Farris S. Intellectual disabilities and decision making at end of life: A literature review. J Appl Res Intellect Disabil. 2017;30(6):982\u201394.","journal-title":"J Appl Res Intellect Disabil"},{"issue":"1","key":"2747_CR41","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1111\/jar.12782","volume":"34","author":"J Beadle-Brown","year":"2021","unstructured":"Beadle-Brown J, Beecham J, Leigh J, Whelton R, Richardson L. Outcomes and costs of skilled support for people with severe or profound intellectual disability and complex needs. J Appl Res Intellect Disabil. 2021;34(1):42\u201354.","journal-title":"J Appl Res Intellect Disabil"},{"issue":"7","key":"2747_CR42","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1111\/jir.13036","volume":"67","author":"PB Kuld","year":"2023","unstructured":"Kuld PB, Frielink N, Zijlmans M, Schuengel C, Embregts PJCM. Promoting self-determination of persons with severe or profound intellectual disabilities: a systematic review and meta-analysis. J Intellect Disabil Res. 2023;67(7):589\u2013629.","journal-title":"J Intellect Disabil Res"},{"key":"2747_CR43","doi-asserted-by":"publisher","first-page":"906","DOI":"10.1186\/s12889-022-13319-1","volume":"22","author":"L Graham-Wisener","year":"2022","unstructured":"Graham-Wisener L, Nelson A, Byrne A, Islam I, Harrison C, Geddis J, et al. Understanding public attitudes to death talk and advance care planning in Northern Ireland using health behaviour change theory: a qualitative study. BMC Public Health. 2022;22:906.","journal-title":"BMC Public Health"},{"issue":"1","key":"2747_CR44","doi-asserted-by":"publisher","first-page":"184","DOI":"10.1186\/s12875-018-0868-5","volume":"19","author":"AB Wichmann","year":"2018","unstructured":"Wichmann AB, van Dam H, Thoonsen B, Boer TA, Engels Y, Groenewoud AS. Advance care planning conversations with palliative patients: looking through the gp\u2019s eyes. BMC Fam Pract. 2018;19(1):184.","journal-title":"BMC Fam Pract"},{"key":"2747_CR45","doi-asserted-by":"crossref","unstructured":"Komenda-Schned S, Landskron SJ, Moritz P, Braunstein N, Hochmeister J, Riegler K, et al. Conceptualising good mental health for people with intellectual disabilities: an inclusive Delphi study. Int J Clin Health Psychol. 2025 July 1;25(3):100601.","DOI":"10.1016\/j.ijchp.2025.100601"},{"key":"2747_CR46","doi-asserted-by":"crossref","unstructured":"Komenda-Schned S, Landskron SJ, Moritz P, Braunstein N, Hochmeister J, Riegler K, et al. Good mental health for people with intellectual disabilities: a participatory focus group study. Int J Equity Health. 2025 June 18;24(1):180.","DOI":"10.1186\/s12939-025-02562-8"}],"container-title":["International Journal for Equity in Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12939-025-02747-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12939-025-02747-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12939-025-02747-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T12:34:50Z","timestamp":1769603690000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12939-025-02747-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,27]]},"references-count":46,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["2747"],"URL":"https:\/\/doi.org\/10.1186\/s12939-025-02747-1","relation":{},"ISSN":["1475-9276"],"issn-type":[{"value":"1475-9276","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,27]]},"assertion":[{"value":"16 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 December 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 December 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors assert that all procedures contributing to this work comply with the ethical standards of the relevant national and institutional committees on human experimentation and with the Helsinki Declaration. Ethical approval was obtained from the institutional ethics committee of the Medical University of Vienna, Austria (No. 1999\/2022).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"29"}}