Context: Advance Care Planning (ACP) has fallen under scrutiny primarily because research has not consistently demonstrated patient-focused benefits.
Objectives: To better understand how spokespersons regard, engage with, and find value in ACP during decision-making for their loved ones.
Methods: This qualitative analysis was part of a randomized controlled trial involving spokespersons of patients with advanced illness who had completed ACP.
Context: Surrogate decision makers experience significant amounts of anxiety, burden, and strain in their role as caregivers and decision makers for loved ones.
Objectives: To investigate longitudinally whether surrogate decision makers engaging in ACP together with their loved one reduces perceived anxiety, burden, and strain felt by surrogate decision makers.
Methods: Post-hoc analysis of a randomized controlled trial evaluating caregivers' perceived self-efficacy to serve as surrogate decision makers.