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Advance Care Planning Intention and Associated Factors Among People With Dementia: A Mixed‐Methods Study
Xi Zhang, Jing Wang, Fangyao Chen, Xiaohong Hu, Yan Qu. Journal of Advanced Nursing, 2026-03-13
Topic: Risk, prevention and care in population studies
The overall advance care planning behavioural intention was at a moderately high level. The quantitative results revealed that higher education level, certain religious beliefs, greater advance care planning knowledge, positive behavioural attitudes and stronger subjective norms were significantly positively associated with advance care planning intentions. Qualitative analysis identified three themes: positive attitude but limited ACP awareness, supportive relationships enable early ACP consideration and cultural norms shape willingness to engage in ACP. Advance care planning intentions among people living with dementia are shaped by a combination of social, familial and individual factors. Increasing public awareness, addressing cultural challenges and establishing professional teams are crucial to promoting advance care planning practices. Future research should focus on larger, multicenter studies to enhance intervention strategies. Although the attitude toward advance care planning is more positive, various factors need to be carefully considered in the process of constructing relative intervention strategies. PATIENT OR PUBLIC CONTRIBUTION: This study did not include patient or public involvement in its design, conduct or reporting.
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
APA 7th
Zhang, X., Wang, J., Chen, F., Hu, X., & Qu, Y. (2026). Advance Care Planning Intention and Associated Factors Among People With Dementia: A Mixed‐Methods Study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.70521
Vancouver
Zhang X, Wang J, Chen F, Hu X, Qu Y. Advance Care Planning Intention and Associated Factors Among People With Dementia: A Mixed‐Methods Study. Journal of Advanced Nursing. 2026. doi:10.1111/jan.70521. PMID: 41823305.
BibTeX
@article{zhang2026-41823305,
author = {Zhang, Xi and Wang, Jing and Chen, Fangyao and Hu, Xiaohong and Qu, Yan},
title = {{Advance Care Planning Intention and Associated Factors Among People With Dementia: A Mixed‐Methods Study}},
journal = {Journal of Advanced Nursing},
year = {2026},
doi = {10.1111/jan.70521},
pmid = {41823305},
url = {https://doi.org/10.1111/jan.70521}
}
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
Key findings
- The overall advance care planning behavioural intention was at a moderately high level.
- The quantitative results revealed that higher education level, certain religious beliefs, greater advance care planning knowledge, positive behavioural attitudes and stronger subjective norms were significantly positively associated with advance care planning intentions.
- Qualitative analysis identified three themes: positive attitude but limited ACP awareness, supportive relationships enable early ACP consideration and cultural norms shape willingness to engage in ACP.
- Advance care planning intentions among people living with dementia are shaped by a combination of social, familial and individual factors.
- Increasing public awareness, addressing cultural challenges and establishing professional teams are crucial to promoting advance care planning practices.
Why it matters
This mixed-methods study found that advance care planning intention among people with dementia was at a moderately high level, and was positively associated with higher education, certain religious beliefs, greater knowledge, positive attitudes, and stronger subjective norms. Qualitative themes included positive attitude but limited awareness, supportive relationships enabling early consideration, and cultural norms shaping willingness to engage.
Study details
- Evidence strengthLow
How this study scored 32/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, effect reported, studied in people and randomized / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Journal of Advanced Nursing) |
| Journal's citation record | 3 / 4 | Journal of Advanced Nursing: journal h-index 262 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 5 / 5 | 2026 — within 1 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 0 / 3 | No effect size reported — scores zero (not stated in the record — scored 0) |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomized / blinded | 0 / 2 | No randomization or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 0 / 7 | Cited 0 times (OpenAlex, 2026-10-10) |
| Citations per year | 0 / 5 | 0.0 citations a year over 2 year(s) since 2026 |
| Impact for its field and year | 0 / 6 | Cited 0.0× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 0 / 4 | Cited 0 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 1 / 4 | Last-listed author Yan Qu: h-index 17 (OpenAlex, whole career) |
| Institution's track record | 0 / 3 | Xi'an Jiaotong University: institution h-index 666 (OpenAlex) |
| Multicenter collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 1 country |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 41823305) |
| Free to read | 2 / 2 | Free to read |
| Total | 32 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
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