Skip to main content

Table 3 Target behaviours

From: Development of a theory-based intervention to increase cognitively able frail elders’ engagement with advance care planning using the behaviour change wheel

Overarching behaviour Frail elders are more likely to engage with ACP if:
Prepare frail elders for ACP conversations • They understand what ACP means
• They know what will be discussed
• They are given time to prepare
• They are given the opportunity to involve those important to them.
Use the right approach to ACP conversations • H&SCPs treat ACP as a normal, everyday conversation
• H&SCPs use an honest and frank approach that moves at the individual’s pace
• H&SCPs use a light-hearted approach, gentle language, and humour, where appropriate.
Make ACP relevant for the older person • They understand the relevance of ACP to their life. H&SCPs can assist this by:
 • using frail elder’s past healthcare experiences, or those of family/friends, vignettes, storytelling, or reminiscence
 • explaining frailty’s likely trajectory to frail elders and their families
 • explaining key triggers to instigate ACP for frail elders
Remember relationships in ACP • They are given the opportunity to involve those important to them.
• H&SCPs develop rapport and trust.
Lead ACP conversations with living well now • H&SCPs start conversations by establishing current goals/what matters now to the frail elder
• H&SCPs avoid linking ACP solely with planning for the future, dying and death.
Communicate and confirm understanding of ACP with frail elders • H&SCPs use clear, concise language, explain what ACP is and why it may be relevant to the frail elder
• H&SCPs summarise conversations and options, and check understanding.