Table 3.
Results of quantitative studies assessing the effectiveness of Web-based advance care planning programs comparing the intervention group (Web-based advance care planning program) with baseline and/or control groups.
| Studies | Program | ACPa knowledge | Self-efficacy | ACP readiness | Identification of goals, values and preferences | ACP communication | ACP documentation | ACP revision | ACP helpfulness (making decisions) | Quality of ACP or accuracy | Satisfaction | Health care use | Decision concordance |
| Volandes et al [31] | ACP Decisions | —b | — | — | — | — | + c | — | — | — | — | ↓d | — |
| Green and Levi [34] | Making Your Wishes Known | — | — | — | — | — | — | — | — | + | — | — | — |
| Markham et al [40] | Making Your Wishes Known | + | — | — | — | — | — | — | — | — | — | — | — |
| Green et al [39] | Making Your Wishes Known | + | — | — | + | + | — | — | + | — | + | — | — |
| Van Scoy et al [42] | Making Your Wishes Known | + | — | — | — | — | — | — | — | — | — | — | — |
| Levi et al [43] | Making Your Wishes Known | + | — | — | — | — | — | — | — | — | — | — | + |
| Green et al [45] | Making Your Wishes Known | — | NSe | — | — | — | — | — | — | — | — | — | + |
| Lindquist et al [49] | Plan Your Lifespan | — | — | NS | — | + | + | + | — | — | — | — | — |
| Sudore et al [53] | PREPARE For Your Care | + | + | + | + | + | + | — | — | — | — | — | — |
| Sudore et al [52] | PREPARE For Your Care | + | + | + | + | + | + | — | — | — | NS | — | — |
| Lum et al [54] | PREPARE For Your Care | + | + | + | — | + | + | — | — | — | — | — | — |
| Sudore et al [55] | PREPARE For Your Care | + | + | + | — | + | + | — | + | — | NS | — | — |
| Periyakoil et al [56] | The Letter Project Advance Directive | — | — | — | + | — | — | — | + | — | — | — | — |
| Totalf | 13 | 8 | 5 | 5 | 4 | 6 | 6 | 1 | 3 | 1 | 3 | 1 | 2 |
aACP: advance care planning.
b—: Not examined by statistically comparing groups.
c+: significant increase.
d↓: significant decrease.
eNS: effectiveness examined, but no significant differences found.
fTotal number of studies in which the outcome measures were examined by comparing the intervention group (Web-based advance care planning program) with baseline and/or control groups.