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Table 2 Overview and characteristics of publications included (n = 67)

From: Advance care planning in dementia: recommendations for healthcare professionals

Systematic reviews and meta-analysis (n = 9)

First author (year of publication)

Study type

Number of publications included (n)

Quality score ranging from 1 to 12* (number of items that could not be answered due to too little information in the paper)

 1

Dening (2011)

Review

17

8 (4)

 2

Robinson (2012)

Systematic review

4

7 (5)

 3

Seeber (2012)

Review

43

6 (5)

 4

Van der Steen (2010)

Systematic review

45

4 (8)

 5

Sampson (2010)

Review (editorial)

 

2 (2)

 6

Goodman (2010)

Integrative review

68

8 (3)

 7

De Boer (2010)

Literature review

Information not available

3 (7)

 8

Raymond (2014)

Critical synthesis

8

6 (3)

 9

Van der Steen (2014)

Systematic review

33

7 (4)

Other (n = 58)

First author (year of publication)

Methods

Setting (sample, n)

Quantitative and experimental research

 1

Detering (2010)

Randomised controlled trial

Medical inpatients aged 80 or more (n = 309)

 2

Vandervoort (2012)

Cross-sectional retrospective survey

Deceased residents with dementia in 345 nursing homes (n = 764)

 3

De Gendt (2010)

Cross-sectional retrospective survey

Nursing home administrators (n = 345)

 4

Benkendorf (1997)

Prospective cohort study

Patients > or = 19 years old with arrest of presumed cardiac cause, with locations at home or at a nursing home (n = 2348)

 5

De Gendt (2013)

Cross-sectional retrospective survey

Deceased nursing home residents (n = 1240)

 6

Sampson (2011)

Exploratory randomised controlled trial

Family caregivers of patients with severe dementia (n = 33; IG: n = 22; CG: n = 11)

 7

Brazil (2015)

Cross-sectional survey

General practitioners (n = 133)

 8

Grisso (1997)

Quasi-experimental trial

Acutely ill inpatients with a diagnosis of schizophrenia or schizoaffective disorder (IG: n = 40)

 9

Givens (2009)

Prospective cohort study

Nursing home residents with advanced dementia and their healthcare proxies (n = 223)

 10

Vandervoort (2013)

Cross-sectional retrospective survey

Deceased residents with dementia in 69 nursing homes (n = 198)

 11

Baile (2002)

Questionnaires

Oncologists (n = 167)

 12

Szafara (2012)

Prospective cohort study

Residents (n = 1044 US, n = 513 Netherlands)

 13

van der Steen (2012)

Prospective cohort study

Residents with advanced dementia (n = 94)

Qualitative research

 14

Garand (2011)

Semi-structured interviews

Persons (n = 127) with a diagnosis of MCI or early AD (n = 72) or moderate to severe AD (n = 55)

 15

de Boer (2012)

Semi-structured interviews

Individuals diagnosed with early-stage AD (n = 24)

 16

Poppe (2013)

In-depth interviews

Patients with memory problems or mild dementia (n = 2) and eight carers (n = 8) and staff members from a memory clinic and a community mental health team (n = 11)

 17

Chan (2011)

Semi-structured interviews

Nursing home residents (n = 42)

 18

Piers (2013)

Semi-structured interviews

Elderly patients with limited prognosis (n = 38)

 19

Ashton (2014)

Interviews

Family caregivers within a specialist dementia unit (n = 12)

 20

Levi (2010)

Focus groups

Older individuals (n = 23)

 21

Kim Suh (2011)

Interviews

Persons with AD (n = 188)

 22

Shanley (2009)

Interviews

Managers from residential aged care facilities (n = 41)

 23

Dening (2012)

Nominal group study

People with dementia (n = 6), carers (n = 5) and dyads of people with dementia and carers (n = 6) attending memory assessment services

 24

Dening (2012)

Whole-systems qualitative study based on interviews and focus groups

Nine carers of people with dementia (n = 9) and focus groups (n = 6) with health care professionals with mixed professions (n = 26) and individual interviews with health care professionals with mixed professions (n = 15)

 25

Hirschman (2006)

Semi-structured interviews

Family members of patients with advanced dementia (n = 30)

 26

Hirschman (2008)

Semi-structured interviews

Family members of patients with advanced dementia (n = 30)

 27

Dickinson (2013)

Semi-structured interviews

People with mild to moderate dementia (n = 17) and family carers (n = 29)

 28

Hoe (2007)

Semi-structured interviews

Care recipient and caregiver dyads (n = 191)

 29

Steeman (2007)

Interview study

Elderly people with probable mild dementia and their family members (n = 20)

 30

Zimmerman (2015)

Interview study

Family members of decedents from 118 nursing home and residential settings (n = 264)

 31

McMahan (2013)

Semi-structured focus groups

Focus groups with participants from a Veterans Affairs and county hospital and the community (n = 13)

 32

Steeman (2013)

Longitudinal interview study

Elderly persons with early-stage dementia (n = 17)

 

Mixed methods research

 33

Silvester (2012)

Survey (1) and review of existing ACP-related documentation (2)

(1) staff of aged care facilities (n = 45); (2) aged care facilities (n = 12)

 34

Froggatt (2009)

Survey (1) and semi-structured interviews (2)

(1) care home managers (n = 213); (2) care home managers (n = 15)

 35

de Boer (2011)

Survey (1) and semi-structured interviews (2)

(1) elderly care physicians (n = 434); (2) physicians (n = 11) and relatives (n = 8)

 36

Van der steen (2014)

Five-round Delphi study

experts from 23 countries (n = 64)

Guidelines, reports, theses

 37

Van Mechelen (2014)

Guideline

 

NA

 

 38

Clayton (2007)

Guideline

 

NA

 

 39

WHO (2012)

Report

 

NA

 

 40

Harle (2008)

Report

 

NA

 

 41

Titler (2008)

Guideline

 

NA

 

 42

Vellinga (2006)

Thesis

 

NA

 

 43

Church (2007)

Guideline

 

NA

 

 44

Conroy (2009)

Guideline

 

NA

 

 45

American Medical Association (1999)

Guideline

 

NA

 

Opinion and reflection papers

 46

Harvey (2006)

NA

 

NA

 

 47

Lemmens (2012)

NA

 

NA

 

 48

Gillick (2012)

NA

 

NA

 

 49

Scott (2012)

NA

 

NA

 

 50

Berghmans (2001)

NA

 

NA

 

 51

Burlà (2014)

NA

 

NA

 

 52

Kim Suh (2006)

NA

 

NA

 

 53

Gillick (2004)

NA

 

NA

 

 54

Juthani-Mehta (2015)

NA

 

NA

 

 55

Mold (1991)

NA

 

NA

 

 56

Smith (2013)

hypothetical case report (n = 2)

 

2

 

Grey literature

 57

Van der steen (2011)

Leaflet (Dutch)

 

NA

 

 58

Keirse (2009)

Leaflet (Dutch)

 

NA

 
  1. NA Not Applicable, GP General Practitioner, IG Intervention Group, CG Control Group, AD Alzheimer’s Disease
  2. *Using the checklist that was developed by Cochrane Netherlands (http://netherlands.cochrane.org; only available in Dutch). It has been slightly adapted by the authors. It consists of 12 ‘yes – no - cannot answer/too little information in the paper’ questions, organised into three domains (validity, importance and applicability): 1) Was the search request adequately formulated? 2) Was the search performed adequately? 3) Was the selection procedure for the articles performed adequately? 4) Was the quality assessment performed adequately? 5) Is the description of how the data extraction was organised adequate? 6) Were the most important characteristics of the included research reported? 7) Was the meta-analysis carried out appropriately? 8) Was there statistical pooling? 9) Is the research valid? 10) Are the results adequately described? 11) Are the findings applicable in the region? 12) Is this applicable in daily practice? (translation by authors). The quality score is the number of times ‘yes’ was applied to the questions (1 ‘low quality’ - 12 ‘high quality’)