Table 1 Inclusion and exclusion criteria for patients
Patient inclusion criteria | Patient exclusion criteria |
|---|---|
Adults (> 18 years old) | Unable to speak or understand Dutch |
Mentally competent as measured by judgment of the GP OR if Mini-Mental State Examination has been conducted, score is > 24 | Unable to provide consent or complete the questionnaires due to cognitive impairment (as judged by the GP) |
GP answers “no” to surprise question: “Would I be surprised if this patient were to die within the next 12 to 24 months?” | GP answers “no” to surprise question: “Would I be surprised if this patient were to die within the next 6 months?” |
Diagnosis of a life-limiting illness: 1. Locally-advanced unresectable, or metastasized cancer OR 2. Organ failure, this being a) heart failure (New York Heart Association stage 3 or stage 4) b) chronic kidney failure or end-stage renal disease (ESRD) (stage 4, eGFR = 15–29; or stage 5, eGFR< 15) c) Very severe COPD (GOLD COPD stages stage 3 or stage 4) OR 3. Geriatric frailty (Clinical Frailty Scale score 5–7, mildly to severely frail) | Participated in the pilot study of this intervention or in the cognitive testing of the adjusted intervention materials |
Participating in other studies evaluating advance care planning, palliative care services or communication strategies | |
SDM inclusion criteria | SDM exclusion criteria |
Adults (> 18 years old) | Unable to speak or understand Dutch |
Identified by the patient as their surrogate decision maker OR as a person who may be willing to be their surrogate decision maker | Unable to provide informed consent |