Table 1 Content of patient decision aids used in this study
Chapter | Contents | Setting |
|---|---|---|
PtDA_A | ||
  Total number of pages | 20 |  |
  Option | 1 Do not communicate your ACP’s wishes to surrogate decision-makers and health care providers |  |
2 Communicate your ACP's wishes to surrogate decision-makers and health care practitioners | Â | |
  Step 1 | ・Description of the situation and treatment in the event of life crisis | Read |
  Step 2 | ACP steps | Read |
About surrogate decision-makers | Read and write | |
About the discretion | Read and check | |
Writing down the patient’s values | Check and write | |
  Step 3 | Advantages and disadvantages of options |  |
1 The patient’s wishes are always reflected in the treatment | Read | |
2 Consideration of ACP may increase preoperative anxiety | Â | |
3 Augmenting the surrogate decision-maker’s anxiety by talking about ACP to patients before surgery |  | |
4 Mental burden on surrogate decision-makers in making proxy decisions | Â | |
5 Change in confidence of surrogate decision-makers with and without prior ACP discussions | Â | |
  Step 4 | Value clarification exercise | Check |
  Step 5 | Guidance in decision-making and decision | Check |
  Supplement | Voice of ICU survival | Read |
| Â | Voice of healthcare providers | |
PtDA_B | ||
  Total number of pages | 14 |  |
  Option | 1 Continue to receive all treatment regardless of survival rate |  |
2 Discontinue life-sustaining treatment when the survival rate decreases | Â | |
  Step 1 | How do you consider your hopes and wishes for life-sustaining treatment? | Read |
  Step 2 | Physical conditions that reduce survival rates (each organ) | Read |
Treatment in ICUs (ventilators, assisted circulatory devices, dialysis, sedatives and analgesics, vasopressor, blood transfusion, and nutrition) | ||
Withdrawal/withholds life-prolonging treatment | Â | |
  Step 3 | Advantages and disadvantages of options |  |
1 About lifesaving treatment | Read | |
2 About the survival rate | Â | |
3 Ability to return to prehospital life after discharge | Â | |
4 Mental influence of surrogate decision-makers | Â | |
5 About the cost of medical care | Â | |
6 About cardiopulmonary resuscitation | Â | |
  Step 4 | Value clarification exercise | Check and write |
  Step 5 | Guidance in decision-making and decision | Check |