{"id":"https://openalex.org/W7214894476","doi":"https://doi.org/10.1136/bmjopen-2026-123512","title":"Vignette-based approaches in advance care planning: a scoping review","display_name":"Vignette-based approaches in advance care planning: a scoping review","publication_year":2026,"publication_date":"2026-09-01","ids":{"openalex":"https://openalex.org/W7214894476","doi":"https://doi.org/10.1136/bmjopen-2026-123512","pmid":"https://pubmed.ncbi.nlm.nih.gov/42816082","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13629854"},"language":"en","primary_location":{"id":"doi:10.1136/bmjopen-2026-123512","doi":"https://doi.org/10.1136/bmjopen-2026-123512","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2026-123512","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/16/9/e123512.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://bmjopen.bmj.com/content/bmjopen/16/9/e123512.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100711835","display_name":"Yan Wang","orcid":"https://orcid.org/0000-0002-4609-3033","observed_orcids":["https://orcid.org/0000-0002-4609-3033"]},"institutions":[{"id":"https://openalex.org/I49835588","display_name":"Macao Polytechnic University","ror":"https://ror.org/02sf5td35","country_code":"MO","type":"education","lineage":["https://openalex.org/I49835588"]}],"countries":["MO"],"is_corresponding":true,"raw_author_name":"Yan Wang","raw_affiliation_strings":["Macao Polytechnic University, Macau, Macao"],"raw_orcid":"https://orcid.org/0000-0002-4609-3033","affiliations":[{"raw_affiliation_string":"Macao Polytechnic University, Macau, Macao","institution_ids":["https://openalex.org/I49835588"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5153612091","display_name":"Mei Wai Ho","orcid":"https://orcid.org/0009-0003-4665-9564","observed_orcids":["https://orcid.org/0009-0003-4665-9564"]},"institutions":[{"id":"https://openalex.org/I4210165393","display_name":"Hospital Conde S. Janu\u00e1rio","ror":"https://ror.org/00e99cv66","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210165393"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Mei Wai Ho","raw_affiliation_strings":["Palliative Medicine Ward, Centro Hospitalar Conde de S\u00e3o Janu\u00e1rio, Macau, Macao"],"raw_orcid":"https://orcid.org/0009-0003-4665-9564","affiliations":[{"raw_affiliation_string":"Palliative Medicine Ward, Centro Hospitalar Conde de S\u00e3o Janu\u00e1rio, Macau, Macao","institution_ids":["https://openalex.org/I4210165393"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5100711835"],"corresponding_institution_ids":["https://openalex.org/I49835588"],"apc_list":{"value":1500,"currency":"GBP","value_usd":1839},"apc_paid":{"value":1500,"currency":"GBP","value_usd":1839},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.54075653,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"16","issue":"9","first_page":"e123512","last_page":"e123512"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13147","display_name":"Ethics and bioethics in healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/advance-care-planning","display_name":"advance care planning","score":0.8669999837875366},{"id":"https://openalex.org/keywords/vignettes","display_name":"vignettes","score":0.9890000224113464},{"id":"https://openalex.org/keywords/serious-illness","display_name":"serious illness","score":0.8379999995231628},{"id":"https://openalex.org/keywords/end-of-life-decision-making","display_name":"end-of-life decisions","score":0.7940000295639038},{"id":"https://openalex.org/keywords/virtual-reality","display_name":"virtual reality","score":0.7720000147819519},{"id":"https://openalex.org/keywords/clinical-decision-support","display_name":"clinical decision support","score":0.5090000033378601},{"id":"https://openalex.org/keywords/patient-preferences","display_name":"patient preferences","score":0.5049999952316284},{"id":"https://openalex.org/keywords/caregiver-communication","display_name":"caregiver communication","score":0.6079999804496765},{"id":"https://openalex.org/keywords/medical-literacy","display_name":"medical literacy","score":0.6650000214576721},{"id":"https://openalex.org/keywords/cultural-adaptation","display_name":"cultural adaptation","score":0.7570000290870667},{"id":"https://openalex.org/keywords/patient-distress","display_name":"patient distress","score":0.44200000166893005}],"concepts":[{"id":"https://openalex.org/C9719361","wikidata":"https://www.wikidata.org/wiki/Q7928967","display_name":"Vignette","level":2,"score":0.8761000037193298},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7795000076293945},{"id":"https://openalex.org/C2777466982","wikidata":"https://www.wikidata.org/wiki/Q5227287","display_name":"Data extraction","level":3,"score":0.629800021648407},{"id":"https://openalex.org/C2777995714","wikidata":"https://www.wikidata.org/wiki/Q18209059","display_name":"Advance care planning","level":3,"score":0.5570999979972839},{"id":"https://openalex.org/C83867959","wikidata":"https://www.wikidata.org/wiki/Q371467","display_name":"Scopus","level":3,"score":0.5364999771118164},{"id":"https://openalex.org/C152541439","wikidata":"https://www.wikidata.org/wiki/Q5186693","display_name":"Critical appraisal","level":3,"score":0.4997999966144562},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.47209998965263367},{"id":"https://openalex.org/C56995899","wikidata":"https://www.wikidata.org/wiki/Q1126687","display_name":"Focus group","level":2,"score":0.46889999508857727},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.4327000081539154},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.4251999855041504},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4027000069618225},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.3937000036239624},{"id":"https://openalex.org/C87156501","wikidata":"https://www.wikidata.org/wiki/Q7268708","display_name":"Qualitative property","level":2,"score":0.37119999527931213},{"id":"https://openalex.org/C75630572","wikidata":"https://www.wikidata.org/wiki/Q538904","display_name":"Applied psychology","level":1,"score":0.359499990940094},{"id":"https://openalex.org/C61904560","wikidata":"https://www.wikidata.org/wiki/Q1148359","display_name":"Grey literature","level":3,"score":0.35899999737739563},{"id":"https://openalex.org/C189708586","wikidata":"https://www.wikidata.org/wiki/Q1504425","display_name":"Systematic review","level":3,"score":0.35659998655319214},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.33980000019073486},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.31290000677108765},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.31130000948905945},{"id":"https://openalex.org/C2777921204","wikidata":"https://www.wikidata.org/wiki/Q66104672","display_name":"Knowledge translation","level":2,"score":0.3059000074863434},{"id":"https://openalex.org/C120936955","wikidata":"https://www.wikidata.org/wiki/Q2155640","display_name":"Empirical research","level":2,"score":0.3012999892234802},{"id":"https://openalex.org/C19648533","wikidata":"https://www.wikidata.org/wiki/Q691640","display_name":"Evidence-based medicine","level":3,"score":0.29789999127388},{"id":"https://openalex.org/C2780877353","wikidata":"https://www.wikidata.org/wiki/Q2518253","display_name":"Health services research","level":3,"score":0.29510000348091125},{"id":"https://openalex.org/C547764534","wikidata":"https://www.wikidata.org/wiki/Q8236","display_name":"Literacy","level":2,"score":0.2935999929904938},{"id":"https://openalex.org/C2781168091","wikidata":"https://www.wikidata.org/wiki/Q1059883","display_name":"Audience response","level":2,"score":0.2867000102996826},{"id":"https://openalex.org/C133462117","wikidata":"https://www.wikidata.org/wiki/Q4929239","display_name":"Data collection","level":2,"score":0.27709999680519104},{"id":"https://openalex.org/C2780743171","wikidata":"https://www.wikidata.org/wiki/Q1383611","display_name":"Executive summary","level":2,"score":0.27649998664855957},{"id":"https://openalex.org/C2780033181","wikidata":"https://www.wikidata.org/wiki/Q24962805","display_name":"Decision aids","level":3,"score":0.27630001306533813},{"id":"https://openalex.org/C141330323","wikidata":"https://www.wikidata.org/wiki/Q2354820","display_name":"Evidence-based practice","level":3,"score":0.27309998869895935},{"id":"https://openalex.org/C2781145037","wikidata":"https://www.wikidata.org/wiki/Q5011772","display_name":"CINAHL","level":3,"score":0.26840001344680786},{"id":"https://openalex.org/C42525527","wikidata":"https://www.wikidata.org/wiki/Q1209955","display_name":"Formative assessment","level":2,"score":0.26750001311302185},{"id":"https://openalex.org/C2778080475","wikidata":"https://www.wikidata.org/wiki/Q4353774","display_name":"Health communication","level":2,"score":0.2597000002861023},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.25519999861717224},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.2529999911785126},{"id":"https://openalex.org/C2779318504","wikidata":"https://www.wikidata.org/wiki/Q1438035","display_name":"Research design","level":2,"score":0.2524999976158142},{"id":"https://openalex.org/C158154518","wikidata":"https://www.wikidata.org/wiki/Q7310970","display_name":"Relevance (law)","level":2,"score":0.2524000108242035},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.2508000135421753}],"mesh":[{"descriptor_ui":"D003142","descriptor_name":"Communication","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003657","descriptor_name":"Decision Making","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D032722","descriptor_name":"Advance Care Planning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1136/bmjopen-2026-123512","doi":"https://doi.org/10.1136/bmjopen-2026-123512","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2026-123512","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/16/9/e123512.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},{"id":"pmid:42816082","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42816082","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ open","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13629854","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13629854/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:6647b7a1aba648cdb33ebe6e41679d99","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/6647b7a1aba648cdb33ebe6e41679d99","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMJ Open, Vol 16, Iss 9 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1136/bmjopen-2026-123512","doi":"https://doi.org/10.1136/bmjopen-2026-123512","is_oa":true,"landing_page_url":"https://doi.org/10.1136/bmjopen-2026-123512","pdf_url":"https://bmjopen.bmj.com/content/bmjopen/16/9/e123512.full.pdf","source":{"id":"https://openalex.org/S79054089","display_name":"BMJ Open","issn_l":"2044-6055","issn":["2044-6055"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319945","host_organization_name":"BMJ","host_organization_lineage":["https://openalex.org/P4310319945"],"host_organization_lineage_names":["BMJ"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMJ Open","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Systematic Review","id":"https://openalex.org/study-designs/systematic-review"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214894476.pdf","grobid_xml":"https://content.openalex.org/works/W7214894476.grobid-xml"},"referenced_works_count":57,"referenced_works":["https://openalex.org/W1557267326","https://openalex.org/W1845905202","https://openalex.org/W1983026594","https://openalex.org/W1999943693","https://openalex.org/W2031214984","https://openalex.org/W2035962907","https://openalex.org/W2048178104","https://openalex.org/W2054581273","https://openalex.org/W2071077957","https://openalex.org/W2075950485","https://openalex.org/W2088151626","https://openalex.org/W2109484244","https://openalex.org/W2133856884","https://openalex.org/W2297480253","https://openalex.org/W2891378911","https://openalex.org/W2952723964","https://openalex.org/W3021685129","https://openalex.org/W3049208962","https://openalex.org/W3084116859","https://openalex.org/W3134265826","https://openalex.org/W3138181456","https://openalex.org/W3156578536","https://openalex.org/W3172683321","https://openalex.org/W3175428995","https://openalex.org/W3180540967","https://openalex.org/W3187136054","https://openalex.org/W3190611340","https://openalex.org/W3196464554","https://openalex.org/W3197549838","https://openalex.org/W3203343588","https://openalex.org/W3206183982","https://openalex.org/W4206996007","https://openalex.org/W4210454701","https://openalex.org/W4226021787","https://openalex.org/W4281673622","https://openalex.org/W4285808742","https://openalex.org/W4293163543","https://openalex.org/W4294798051","https://openalex.org/W4308367595","https://openalex.org/W4321996758","https://openalex.org/W4362505704","https://openalex.org/W4385715470","https://openalex.org/W4391133408","https://openalex.org/W4391882517","https://openalex.org/W4391963140","https://openalex.org/W4392014910","https://openalex.org/W4395098357","https://openalex.org/W4396507323","https://openalex.org/W4402720590","https://openalex.org/W4404905046","https://openalex.org/W4405154616","https://openalex.org/W4405801628","https://openalex.org/W4409799735","https://openalex.org/W4411179960","https://openalex.org/W4411903075","https://openalex.org/W7116862332","https://openalex.org/W7126268784"],"related_works":["https://openalex.org/W2297480253","https://openalex.org/W2413232639","https://openalex.org/W3084116859","https://openalex.org/W3134265826","https://openalex.org/W3034220829","https://openalex.org/W4399974214","https://openalex.org/W3167190659","https://openalex.org/W2901250732","https://openalex.org/W6977418053","https://openalex.org/W1637590325"],"abstract_inverted_index":{"OBJECTIVES:":[0],"The":[1],"objective":[2],"of":[3,53,84,294],"this":[4],"scoping":[5],"review":[6,36],"is":[7],"to":[8,46,167,181,212],"systematically":[9,61],"map":[10],"evidence":[11],"on":[12,23,250],"vignette":[13,24,147,288],"applications":[14],"in":[15,63,99,109],"advance":[16],"care":[17],"planning":[18],"(ACP),":[19],"with":[20,173,258],"a":[21,135,229,266],"focus":[22],"formats,":[25],"target":[26],"populations":[27,175],"and":[28,32,39,43,57,122,149,169,192,199,216,227,246,268,285,290],"outcomes":[29,187],"for":[30,271],"patients":[31,180],"caregivers.":[33],"DESIGN:":[34],"Scoping":[35],"following":[37],"Arksey":[38],"O'Malley's":[40],"methodological":[41],"framework":[42],"reported":[44],"according":[45],"PRISMA-ScR":[47],"guidelines.":[48],"DATA":[49,114],"SOURCES:":[50],"Medline,":[51],"Web":[52],"Science,":[54],"CINAHL,":[55],"Scopus":[56],"reference":[58],"lists":[59],"were":[60,132,141,158],"searched":[62],"December":[64],"2025.":[65],"ELIGIBILITY":[66],"CRITERIA":[67],"FOR":[68],"SELECTING":[69],"STUDIES:":[70],"We":[71],"included":[72],"original":[73,156],"empirical":[74],"studies":[75,124,157],"(quantitative,":[76],"qualitative":[77],"or":[78,90,96,104,111],"mixed-methods)":[79],"that":[80,223,232,253],"evaluated":[81],"the":[82,145,182,292],"use":[83],"vignettes":[85,242],"(written,":[86],"video,":[87],"virtual":[88,170],"reality":[89,171],"mixed)":[91],"as":[92,209],"measurement,":[93],"education,":[94],"decision-support":[95],"communication":[97,234],"tools":[98],"ACP":[100,197,217,299],"among":[101],"adults":[102],"facing":[103,106],"potentially":[105],"serious":[107],"illness":[108],"healthcare":[110],"community":[112],"settings.":[113],"EXTRACTION":[115],"AND":[116],"SYNTHESIS:":[117],"Two":[118],"independent":[119],"reviewers":[120],"screened":[121],"appraised":[123],"using":[125,134],"JBI":[126],"study-design-specific":[127],"Critical":[128],"Appraisal":[129],"Tools.":[130],"Data":[131],"extracted":[133],"pre-designed,":[136],"standardised":[137,284],"chart":[138],"form.":[139],"Results":[140],"descriptively":[142],"synthesised":[143],"across":[144],"participants,":[146],"characteristics":[148],"outcomes.":[150],"RESULTS:":[151],"From":[152],"1479":[153],"records,":[154],"16":[155],"included.":[159],"Vignettes":[160,202,264],"have":[161],"evolved":[162],"from":[163,177],"traditional":[164],"text-based":[165],"scenarios":[166,222],"video-supported":[168],"tools,":[172],"study":[174],"expanding":[176],"specific":[178],"clinical":[179],"general":[183],"adult":[184],"population.":[185],"Primary":[186],"include":[188],"improved":[189,200],"knowledge,":[190],"clarified":[191],"changed":[193],"medical":[194,214],"preferences,":[195],"increased":[196],"behaviour":[198],"communication.":[201],"operate":[203],"through":[204,301],"three":[205],"key":[206],"pathways:":[207],"serve":[208],"cognitive":[210],"anchors":[211],"enhance":[213],"literacy":[215],"understanding;":[218],"provide":[219],"low-stakes":[220],"simulated":[221],"promote":[224],"value-concordant":[225],"preferences;":[226],"offer":[228],"depersonalised":[230],"platform":[231],"facilitates":[233],"without":[235],"triggering":[236],"defensive":[237],"responses.":[238],"While":[239],"well":[240],"accepted,":[241],"may":[243],"trigger":[244],"distress,":[245],"their":[247],"effectiveness":[248],"depends":[249],"cultural":[251],"adaptation":[252],"reconciles":[254],"Western":[255],"autonomous":[256],"preferences":[257,296],"Eastern":[259],"familial":[260],"decision-making":[261],"frameworks.":[262],"CONCLUSION:":[263],"are":[265],"valuable":[267],"acceptable":[269],"tool":[270],"translating":[272],"abstract":[273],"end-of-life":[274],"values":[275],"into":[276,297],"concrete,":[277],"preference-concordant":[278],"decisions.":[279],"Future":[280],"research":[281],"should":[282],"prioritise":[283],"culturally":[286],"adapted":[287],"protocols":[289],"evaluate":[291],"translation":[293],"hypothetical":[295],"real-world":[298],"behaviours":[300],"longitudinal":[302],"studies.":[303]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-10-01T00:00:00"}