Advance Care Planning for Black and White Older Adults With Serious Illness: The EQUAL ACP Randomized Trial.

Facilitated advance care planning shows greater effectiveness for Black older adults compared to self-guided methods, with a significant interaction indicating racial differences.

• Why it matters: Addressing disparities in advance care planning participation is crucial, especially since Black adults are less likely to engage in ACP, impacting their healthcare autonomy and decision-making.
• What they did: The EQUAL ACP trial randomized 791 community-dwelling adults aged 65+ with serious illness across 10 clinics to either facilitated or self-guided ACP interventions, examining completion rates within 12 months.
• The result: While overall ACP completion was similar between approaches within each racial group, facilitated ACP was more effective for Black participants, highlighting the importance of tailored interventions for reducing disparities.