Study |
Country, setting |
Diagnosis of person at end of life (EoL); selection criteria | Demographics | Intervention target |
Agar 2017 Cluster‐RCT 2 arms |
Australia Residential care facilities in major cities |
Advanced dementia; selection criteria identified people with average survival < 6 months Carers no information |
Age (years): intervention mean 84.7 (standard deviation (SD) 7.9), usual care (UC) 85.8 (SD 8.2) Gender: intervention 61% female, UC 58% female |
Residents with dementia Family member/ friend involved in decisions on patient's behalf |
Au 2012 Cluster‐RCT 2 arms |
USA Outpatient clinics, Veterans' Affairs centres |
COPD Clinician primarily responsible for COPD care (primary care and chest clinics) Excluded: cognitive dysfunction, language barriers or severe psychiatric disorders |
Age (years): patients mean 69.4 both arms Gender: patients: intervention 97.9% male, UC 96.2% male clinicians: intervention 50% male, UC 44% male |
Patients with COPD Clinicians Surrogates |
Bernacki 2019 Cluster‐RCT 3 arms (2 control; data from 2 arms available) |
USA Hospital clinics |
Advanced, incurable cancer; life expectancy < 12 months and identified surrogates (family member/ friend) Clinicians: oncology physicians, nurse practitioners, physician assistants caring for patients (advanced incurable cancer and life expectancy < 12 months) at least 1‐half day per week Excluded: cognitive impairment, unable to speak English or identify a surrogate. Clinicians participating in concurrent studies, or working with both intervention and control arms |
Age (years): patients: intervention 61.8, UC 62.1 Gender: patients: intervention 53.7% female, UC 52.8% female clinicians: intervention 62.5% female, UC 51.2% female |
Patients with cancer Clinicians Surrogates |
Clayton 2007 RCT 2 arms |
Australia Palliative care services |
Advanced, progressive, life‐limiting conditions Carer (spouse, partner, family member, friend) Clinicians: palliative care physicians who endorsed question prompt list (QPL) use |
Age (years): intervention: mean 65.5 (SD 12.6), UC 64.6 (SD 14.1) Gender: intervention 39% female, UC 40% female |
Patients Carer |
Epstein 2017 Cluster‐RCT 2 arms |
USA Community‐based cancer clinics, academic medical centres, community hospitals |
Advanced cancer; mean life expectancy 9 to 12 months Carers (family member, partner, friend, other involved in health care) Oncologists Excluded: inpatients, those in hospice, unable to understand spoken English or provide written informed consent, patient/carer without decisional capacity |
Age (years): patients: mean 64.4 carers: not reported physicians: mean 44 Gender: patients: 55% female carers: not reported physicians: 29% female |
Patients Carers Oncologists 73% of patients nominated a carer |
Lautrette 2007 RCT 2 arms |
France Intensive care (medical and surgical) units |
ICU (acute respiratory failure, coma, shock, acute renal failure, cardiac arrest; expected to die within days) Excluded: patients < 18 years, surrogates without sufficient French for telephone interview |
Age (years): patients: intervention median 68, UC 74 surrogates: intervention median 54, UC 54 Gender: patients: intervention 41% female, UC 48% female surrogates: intervention 77% female, UC 70% female |
Surrogate decision makers (primarily family members): 40% spouses, 48% children |
Reinhardt 2014 RCT 2 arms |
USA Large nursing facility in major city (New York) |
Advanced dementia Family members/surrogates (patient’s primary contact) |
Age (years): intervention: mean 59.6 (SD 12.3), UC mean 58.9 (SD 11.9) Gender: intervention: 78.7% female, UC 80% female |
Surrogates |
Walczak 2017 RCT 2 arms |
Australia Hospital‐affiliated cancer treatment centres |
Advanced, incurable cancer; oncologist‐assessed life expectancy 2 to 12 months Informal primary carers > 18 years participated if nominated by patient Excluded: non‐English speaking, those with cognitive impairment or significant psychological morbidity |
Age (years): intervention: mean 63.8, UC: mean 65.6 Gender: 34.5% female |
Patients, with or without primary informal carers |