Table 3.

Advisory Panel Topics, Themes, and Recommendations for the MCI ENACT Intervention Prototypes

Advisory panel meeting component	Meeting 1.1	Meeting 1.2	Meeting 1.3
Planned topics	Discussion of MCI Introduction to ACP Discussion of experience with ACP	Overview of the format of the ENACT Group Visits intervention Review of MCI ENACT prototypes Advance directive discussion	Review of MCI ENACT prototypes Discussion of MCI ENACT intervention purpose and format
Themes from the discussion	Diagnosis of MCI Experiences with ACP	Communication MCI ENACT intervention recommendations Difficulty of disclosing MCI diagnosis with loved ones Limitations MCI might impose on planning and engaging in ACP because of difficulty in prognostication Importance of ACP before further cognitive decline	Acceptability of MCI ENACT interventions
Recommendations for MCI ENACT interventions	Keep group size to up to six individuals (three dyads) Having care partner present helpful to a person with MCI One or two MCI ENACT interventions are acceptable Recommended a discussion of MCI diagnosis, medications, possible treatments for MCI, long-term care living arrangements, financial planning	Limit the number of resources provided to participants	Consensus that MCI ENACT interventions are appropriate for individuals with MCI MCI ENACT interventions are better for ACP than a one-on-one visit with a provider Because having multiple advisory panel meetings improved comfort with one another, they anticipated having multiple sessions for the MCI ENACT intervention would have the same effect Felt the intervention would allow more time to discuss ACP than possible with health care providers.

Note: MCI = mild cognitive impairment; ENACT = ENgaging in Advance Care planning Talks; ACP = advance care planning.