A Review of Advance Care Planning Programs in Long-Term Care Homes: Are They Dementia Friendly?

Table 2

Characteristics of the evaluated studies.

Study characteristic	Molloy et al. [35]	Hanson et al. [36]	Strumpf et al. [37]
Study design	Randomized controlled trial	Controlled: before and after study	Prospective study with control group
Setting	Canada	United States	United States
	Six LTCHs (three interventions)	Nine LTCHs (seven interventions)	Six LTCHs
Sample
Strategy participants	(𝑛=527)	(𝑛=345)	(𝑛=4 LTCHs)
Control participants	(𝑛=606)	(𝑛=112)	(𝑛=2 LTCHs)
Cognitive impairment mentioned	Yes	Yes	Yes
Program description	Training provided to health care facilitators to implement Let Me Decide (AD) program in three LTCHs	The Improving Nursing Home Care of the Dying; (develop palliative care teams, education for staff around palliative care)	Promoting Excellence in End-of-Life (develop palliative care teams in two LTCHs; educational training and support provided to LTCH staff and program implemented)
Control/comparison	Care as usual	Care as usual	Care as usual; new pain and advanced care policies introduced from corporation during the study period
Research staff involvement in intervention or comparison groups	Not apparent	Not apparent	Not apparent

ACP: advance care planning; LTCH: long-term care home; LTCHs: long-term care homes; ADs: advance directives.