Table 3

Scores on the Advance Care Planning Engagement Survey at Baseline and Follow-Up by Setting

MeasuresPrimary Care (n = 89)Cancer Care (n = 47)Inter-action P Valuec
Baseline Score, Mean (SD)Follow-upa Score, Mean (SD)Mean Difference (95% CI)P ValuebBaseline Score, Mean (SD)Follow-upa Score, Mean (SD)Mean Difference (95% CI)P Valueb
Behavior change process (all scales 1-5)
 Knowledge3.1 (1.0)4.0 (0.8)1.0 (0.76 to 1.21)<.0013.4 (1.1)4.1 (0.8)0.7 (0.40 to 0.92)<.001.07
 Contemplation2.4 (0.8)3.3 (1.0)0.9 (0.67 to 1.08)<.0012.5 (1.0)3.2 (1.2)0.7 (0.45 to 0.99)<.001.65
 Self-efficacy3.9 (0.8)4.3 (0.7)0.3 (0.15 to 0.48)<.0014.0 (0.9)4.1 (0.8)0.1 (−0.12 to 0.36).31.33
 Readiness2.5 (0.9)3.2 (0.9)0.7 (0.50 to 0.84)<.0012.9 (1.2)3.3 (1.1)0.4 (0.18 to 0.59)<.001.04
Action (overall scale 0-21)
 Medical decision makers1.2 (1.4)1.4 (1.3)0.2 (−0.08 to 0.39).181.2 (1.3)1.7 (1.4)0.5 (0.19 to 0.90).004.16
 Health situations1.0 (1.4)1.3 (1.6)0.3 (0.01 to 0.51).041.6 (1.8)1.6 (1.7)0.1 (−0.36 to 0.49).76.18
 Medical decisions1.1 (1.5)1.3 (1.6)0.2 (−0.04 to 0.48).091.0 (1.5)1.4 (1.7)0.4 (0.01 to 0.71).04.82
 Flexibility1.2 (0.6)1.3 (0.8)0.2 (0.06 to 0.32).0051.3 (0.7)1.6 (0.9)0.2 (0.06 to 0.42).009.23
 Asking doctors questions0.01 (0.1)0.1 (0.3)0.1 (0.02 to 0.14).0070.3 (0.5)0.2 (0.4)−0.2 (−0.32 to −0.03).02<.001
 Overall3.7 (4.6)4.8 (5.2)1.1 (0.37 to 1.87)<.0014.6 (5.4)5.9 (5.8)1.2 (0.12 to 2.31)<.001.17
  • a At 6 to 12 weeks.

  • b Adjusted for age, sex, education, clinical frailty score.

  • c Interaction term for setting (primary care or cancer care).