title: Engaging death: Narrative and constructed dialogue in Advance Care Planning discussions.
abstract: Advance Care Planning (ACP) remains extremely low in the US, due to numerous institutional and cultural barriers and discomfort in discussing death. There is a need for guidance about how patient and healthcare providers can effectively engage in ACP discussion. Here we analyze the linguistic strategies that focus-group participants use when discussing ACP in detailed ways. Prevalent linguistic structures in effective ACP discussions were loved ones' end-of-life narratives, hypothetical narratives, and constructed dialogue. In elucidating spontaneous, unprompted approaches to effective discussion of end-of-life issues, such research can help to dislodge communicative barriers to ACP so that more people are prepared to engage the process.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Modan
authors.forename: Seuli Bose
authors.initials: SB
authors.lastname: Brill
mesh_terms: D032722:Advance Care Planning / Q000458:organization & administration*; D001293:Attitude to Death; D003142:Communication; D017144:Focus Groups; D006801:Humans; D014481:United States