Advance directive (AD) is an important part
in palliative care because it can increase patient’s quality
of life and helps with a dignified death but currently it is
still not well-known or widespread within the general
Objective: To find if education about AD increases the
completion of living will in chronically ill patients.
Methods: A literature search was performed on 13 August
2021 with 263 articles found. After manual title screening
and duplicate removal, 5 articles were selected and
critically appraised with 2010 CEBM Oxford criteria.
Result: In Chung et al, education about AD increases the
completion of living will from 10.26% to 35.94%. In
Courtright et al 70-80% patients were interested in
making AD after education about AD with completion
rates of 13.1% and 12.2% for each group. In Halpern et al
completion rates were 50.66%, 55.15%, and 55.35% for
each group; and meta-analysis in Houben et al results in a
favorable odds ratio (OR= 3,26; 95% CI= 2,00-5,32; P <
Conclusion: Education about AD increases patient’s
willingness to create and eventually complete AD/living
will and the concordance of written AD with medical
procedures that the patient receives.
Keywords : Advance Directive, Education, Living Will Completion.