A Systematic Review of Advance Care Planning Interventions for Clients with Cancer Using the Transtheoretical Model of Behavior Change (S721)

Cancer is the 2nd leading cause of death in the United States, with nearly 600,000 deaths in 2013. Advance care planning (ACP) has been associated with care consistent with client preferences, satisfaction with the quality of death, and satisfaction with care. Despite these benefits, clients with cancer have modest engagement in ACP. ACP is a process of behavior change, and is connected to the Trans theoretical Model of Behavior Change (TTM). This systematic review analyzed approaches to ACP intervention design for clients with cancer using the TTM to identify opportunities for increasing ACP engagement.

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