ACP Engagement Survey
The ACP Engagement survey is validated, easy-to-use, and can be used to measure the effect of ACP interventions.
The survey is available in two versions:
- A survey for patients
- A survey for surrogates
Each version is available in multiple languages. Use the tables below to explore and download surveys.
For Patients
| Language | Version | PI's & Contact | Validation Studies | Download the Survey |
| English and Spanish |
4 item 9 item 15 item 34 item 55 item 82 item |
Rebecca Sudore prepareforyourcare@gmail.com |
https://pubmed.ncbi.nlm.nih.gov/24039772/ https://pubmed.ncbi.nlm.nih.gov/27338877/ |
|
| Traditional Chinese - Taiwanese Context | 4 item |
Ping-Chen Jen pingjen.chen@gmail.com |
https://pubmed.ncbi.nlm.nih.gov/34787527/ | |
| Chinese - Mandarin | 9 item |
Li Liu lilyll@link.cuhk.edu.hk |
https://aims.cuhk.edu.hk/converis/portal/dil/Publication/17984641?lng=en_GB | |
| Chinese - Mandarin | 34 item |
Li Jiayin 80218151@qq.com |
https:/pubmedncbi.nlm.nih.gov/36083228/ | |
| Chinese - Mandarin | 55 item |
Li Liu lilyll@link.cuhk.edu.hk |
https://pubmedncbi.nlm.nih.gov/32574659/ | |
| Dutch |
4 item 15 item 34 item 55 item 82 item |
Doris van der Smissen d.vandersmissen@erasmusmc.nl |
https://pubmed.ncbi.nm.nih.gov/34563115/ | |
| Italian | 4 item |
Alessandra Solari Alessandra.Solari@istituto-besta.it |
https//journals.plos.org/plosone/artice?id=10.1371/journal.pone.0282960 | |
| Korean | Nonstandard 12 item |
Minhyun Park mvc90@catholic.ac.kr |
https://spcare.bmj.com/content/13/Suppl_4/A17.2 |
For Surrogates
For instructions on how to measure, please refer to this Lauren Van Scoy article.
| Language | Version | PI's & Contact | Validation Studies | Download the Survey |
| English | 17 item |
Lauren Jodi Van Scoy lvanscoy@pennstatehealth.psu.edu |
https://pubmed.ncbi.nlm.nih.gov/30684633/ | |
| Cantonese | 17 item |
Cheryl Yeung Chi Yan cyyeung@link.cuhk.edu.hk cyyeung@cuhk.edu.hk |
https://aims.cuhk.edu.hk/converis/portal/detail/Publication/408744522?auxfun=&lang=zh_HK |
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