Table 1.

Structure and session components of the motivational interviewing-based advance care planning (MI-ACP) communication program, including content, learning activities, and duration

Session	Content	Activities	Duration
1	• Foundational introduction to ACP and MI • Program overview, ACP concepts • Introduction to MI (spirit, OARS, ambivalence, A-O-A) • Watching videos of cases • Questions and answers	Lecture PPT Video Handouts	240 min
2	• Practical training in MI skills • Demonstration of MI skills • Scenario-based case practice • Pair practice and feedback	Practice Demonstration Discussion	240 min
3	• Advanced training and integration • Role-play based on prepared scenarios • Team-based role-play (nurse, patient/family, observer) • Feedback and reflection • Reenactment of scenarios after incorporating feedback • Experience sharing	Role-play Feedback Reflection	240 min

Abbreviations: ACP Advance care planning, A-O-A Ask-Offer-Ask, MI Motivational interviewing, OARS Open-ended questions, affirmations, reflections, summaries, PPT PowerPoint slides