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

Table 3

Summary of the reported impacts of the ACP strategies.

Impacts	Casarett et al. [33]	Chan and Pang [5]	Hanson et al. [34]	Molloy et al. [35]	Morrison et al. [34]	Strumpf et al. [37]
Increased ACP activities discussion	X	X	X	X	X	X*
Increased ACP discussion documentation			X*	X
Specific ACP documentation (e.g., hydration, antibiotics, etc.)				X	X*
Adherence to resident/substitute decision maker wishes	X*				X*
Greater knowledge of ACP among residents
Greater knowledge of ACP among family members		X*
Greater knowledge of resident’s ACP among LTCH staff		X*
Reduced hospitalization	X*			X*
Increased satisfaction with care	X*
Stability of treatment preferences		X*
Improved quality of resident life		X*
Reduced resource use				X*

X: impact noted; X*: statistically significant impact (𝑃≤0.05); LTCH: long-term care home; ACP: advance care planning.