[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-427201-105":59,"doc-detail-427201-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","contrasting-approaches-in-advance-care-planning-in-dementia-as-perceived-by-issue-s2-abstract","CONTRASTING APPROACHES IN ADVANCE CARE PLANNING IN DEMENTIA AS PERCEIVED BY - Issue S2 - Abstract","","The study examines how general practitioners in the Netherlands compare two contrasting approaches to advance care planning for people with dementia: a highly scripted, predominantly medical method focused on specific pre-decided treatments, versus a flexible psychosocial, coping-oriented method centered on global care goal setting. Interviews from practitioners trained in each approach, plus interviews after viewing video vignettes, reveal four distinguishing attributes: understanding, trust, readiness, and momentum, with different prerequisites and triggers across approaches.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/contrasting-approaches-in-advance-care-planning-in-dementia-as-perceived-by-issue-s2-abstract/427201/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/contrasting-approaches-in-advance-care-planning-in-dementia-as-perceived-by-issue-s2-abstract/427201.png","ImageObject",300,407,{"name":92,"@type":93},"Himbo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What two advance care planning approaches are compared for dementia?","Question",{"text":112,"@type":113},"A highly scripted, predominantly medical approach that determines specific treatments in advance is compared with a more flexible psychosocial approach that sets global care goals and supports coping.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were general practitioners involved in the study?",{"text":117,"@type":113},"General practitioners in the Netherlands participated in a randomized controlled trial and were interviewed; additional practitioners were interviewed after watching video vignettes showing the two approaches in random order.",{"name":119,"@type":110,"acceptedAnswer":120},"What attributes determine when each approach is preferred?",{"text":121,"@type":113},"Four attributes distinguish preferences: understanding, trust, readiness, and momentum, with different prerequisite patterns and potential triggers depending on the approach.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},427201,1791307950,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","Innovation in Aging, 2025, Vol. 9, No. S2 649  \nAbstract citation ID: igaf122.2219  \nCONTRASTING APPROACHES IN ADVANCE CARE PLANNING IN DEMENTIA AS PERCEIVED BY  \nGENERAL PRACTITIONERS  \nJenny van der Steen, Xu Jingyuan, Willemijn Tros, and Jeanet W. Blom, Leiden University Medical Center, Leiden, Zuid-Holland, Netherlands  \nVarious approaches to advance care planning are in use and generally acceptable also for persons with dementia and their care partners. Two contrasting approaches involve a highly scripted, predominantly medical approach to decide on specific treatments in advance versus a more flexible psychosocial, coping-based approach that comprises global care goal setting. We aim to assess for whom and when either approach is preferred from the perspective of general practitioners. General practitioners in the Netherlands participated in the CONT-END randomized controlled trial and we interviewed six practitioners trained in the medical approach and four in the psychosocial approach. We explained the other approach during the interview. Twelve other general practitioners were interviewed after viewing video vignettes of the two approaches shown in random order. With inductive qualitative content analyses, we identified four attributes distinguishing situations in which either approach is preferred: understanding, trust, readiness and momentum. For the medical approach, understanding, trust, and readiness on the part of person and care partner were prerequisites for the right momentum. This may be achieved in a follow-up conversation, but such conversations may also be triggered by urgent medical reasons. In contrast, the psychosocial approach would help  \n650 Innovation in Aging, 2025, Vol. 9, No. S2  \nunderstand the person, foster trust and create readiness also ina first conversation early in the course of the disease. Without a clear trigger, momentum would need to be created. We will visualize the contrasting attributes and discuss implications for practice of advance care planning with persons with dementia and their care partners in primary care settings.","cbCaiitfuysdskfR","https://ap.wps.com/l/cbCaiitfuysdskfR","pdf",1159141,"English","# Overview\n## Study aim and approaches compared\n## Participants and interview design\n## Key distinguishing attributes\n## Implications for primary care practice","[{\"question\":\"What two advance care planning approaches are compared for dementia?\",\"answer\":\"A highly scripted, predominantly medical approach that determines specific treatments in advance is compared with a more flexible psychosocial approach that sets global care goals and supports coping.\"},{\"question\":\"How were general practitioners involved in the study?\",\"answer\":\"General practitioners in the Netherlands participated in a randomized controlled trial and were interviewed; additional practitioners were interviewed after watching video vignettes showing the two approaches in random order.\"},{\"question\":\"What attributes determine when each approach is preferred?\",\"answer\":\"Four attributes distinguish preferences: understanding, trust, readiness, and momentum, with different prerequisite patterns and potential triggers depending on the approach.\"}]","CONTRASTING APPROACHES IN ADVANCE CARE PLANNING IN DEMENTIA AS PERCEIVED BY - Issue S2 - Abstract | PDF",1790643206]