Effects of Nurse-Led Promoting Advance Care Planning (NLP-ACP) on intention to engage in advance care planning and death anxiety among patients with chronic obstructive pulmonary disease in Thailand: A randomized controlled trial.
- 1Faculty of Nursing, Thammasat University, Pathum Thani, Thailand.
- 2Central Chest Institute of Thailand, Department of Medical Services, Ministry of Public Health, Thailand.
Abstract
Background
Patients with chronic obstructive pulmonary disease (COPD) commonly experience distressing symptoms and death anxiety. In advanced stages, many receive aggressive treatments that may not align with their preferences. Advance care planning (ACP) may facilitate goal-concordant care and reduce death anxiety.Objective
To evaluate the effects of a Nurse-Led Promoting Advance Care Planning (NLP-ACP) program on intention to engage in ACP and death anxiety among patients with COPD.Methods
A single-blind randomized controlled trial was conducted among 60 patients with COPD, randomly assigned to an experimental or control group (30 each). The experimental group received a 2-week NLP-ACP intervention plus standard care, whereas the control group received standard care alone. Outcomes were assessed at baseline, post-intervention (week 2), and at follow-up (week 4). Intention to engage in ACP was measured using the Intentions for Advance Care Planning Questionnaire and analyzed using the Mann-Whitney U test and generalized estimating equations. Death anxiety was measured using the Death Anxiety Questionnaire and analyzed using a linear mixed model.Results
Compared with the control group, the experimental group showed significantly greater increases in intention to engage in ACP immediately after the intervention and at follow-up (Z = -5.584, p < 0.001, r = 0.72; Z = -6.047, p < 0.001, r = 0.78, respectively). In addition, significant group-by-time differences in ACP intention scores were observed between the experimental and control groups (Wald χ² = 201.38, p < 0.001). The experimental group also showed significantly greater reductions in death anxiety, with significant group-by-time interactions immediately postintervention (β = 3.47, SE = 0.52, 95% CI [2.43, 4.50], p < 0.001, d = 0.70) and at follow-up (β = 6.70, SE = 0.93, 95% CI [4.84, 8.56], p < 0.001, d = 2.00).Conclusions
The NLP-ACP program shows promise in increasing intention to engage in ACP and reducing death anxiety among patients with COPD, supporting patient-centered decision-making. However, findings should be interpreted cautiously because of the short follow-up period and single-blind design.Trial registry number
Thai Clinical Trials Registry (TCTR20250416003).
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BibTeX
@article{kloyeium2026effects,
title = {{Effects of Nurse-Led Promoting Advance Care Planning (NLP-ACP) on intention to engage in advance care planning and death anxiety among patients with chronic obstructive pulmonary disease in Thailand: A randomized controlled trial.}},
author = {Leelawadee Kloyeium and Yaowarat Matchim and Satreerat Junkroot and Parinya Raetong},
journal = {Belitung nursing journal},
year = {2026},
month = oct,
doi = {10.33546/bnj.4720},
url = {https://europepmc.org/article/MED/42909953},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Effects of Nurse-Led Promoting Advance Care Planning (NLP-ACP) on intention to engage in advance care planning and death anxiety among patients with chronic obstructive pulmonary disease in Thailand: A randomized controlled trial.
AU - Leelawadee Kloyeium
AU - Yaowarat Matchim
AU - Satreerat Junkroot
AU - Parinya Raetong
PY - 2026
DA - 2026/10/21
JO - Belitung nursing journal
DO - 10.33546/bnj.4720
UR - https://europepmc.org/article/MED/42909953
AB - Background Patients with chronic obstructive pulmonary disease (COPD) commonly experience distressing symptoms and death anxiety. In advanced stages, many receive aggressive treatments that may not align with their preferences. Advance care planning (ACP) may facilitate goal-concordant care and reduce death anxiety.Objective To evaluate the effects of a Nurse-Led Promoting Advance Care Planning (NLP-ACP) program on intention to engage in ACP and death anxiety among patients with COPD.Methods A single-blind randomized controlled trial was conducted among 60 patients with COPD, randomly assigned to an experimental or control group (30 each). The experimental group received a 2-week NLP-ACP intervention plus standard care, whereas the control group received standard care alone. Outcomes were assessed at baseline, post-intervention (week 2), and at follow-up (week 4). Intention to engage in ACP was measured using the Intentions for Advance Care Planning Questionnaire and analyzed using the Mann-Whitney U test and generalized estimating equations. Death anxiety was measured using the Death Anxiety Questionnaire and analyzed using a linear mixed model.Results Compared with the control group, the experimental group showed significantly greater increases in intention to engage in ACP immediately after the intervention and at follow-up (Z = -5.584, p < 0.001, r = 0.72; Z = -6.047, p < 0.001, r = 0.78, respectively). In addition, significant group-by-time differences in ACP intention scores were observed between the experimental and control groups (Wald χ² = 201.38, p < 0.001). The experimental group also showed significantly greater reductions in death anxiety, with significant group-by-time interactions immediately postintervention (β = 3.47, SE = 0.52, 95% CI [2.43, 4.50], p < 0.001, d = 0.70) and at follow-up (β = 6.70, SE = 0.93, 95% CI [4.84, 8.56], p < 0.001, d = 2.00).Conclusions The NLP-ACP program shows promise in increasing intention to engage in ACP and reducing death anxiety among patients with COPD, supporting patient-centered decision-making. However, findings should be interpreted cautiously because of the short follow-up period and single-blind design.Trial registry number Thai Clinical Trials Registry (TCTR20250416003).
SN - 2528-181X
SN - 2477-4073
ER -