Global Exemplar SeriesStrategies to Understand What Matters to Advanced Cancer Patients in Advance Care Planning: A Qualitative Study Using the Lifeline Interview MethodTakenouchi, Sayaka PhD, MPH, RN; Chikada, Ai PhD, RN; Mori, Masanori MD; Tamura, Keiko PhD, RN; Nin, Kazuko PhD, RN Author Information Sayaka Takenouchi, PhD, RN, is associate professor, Department of Human Health Sciences, Kyoto University, Japan. Ai Chikada, PhD, RN, is assistant professor, Department of Human Health Sciences, Kyoto University, Japan. Masanori Mori, MD, is director, Division of Palliative and Supportive Care, Seirei Mikatahara General Hospital, Japan. Keiko Tamura, PhD, RN, is professor, Department of Human Health Sciences, Kyoto University, Japan. Kazuko Nin, PhD, RN, is professor, Department of Human Health Sciences, Kyoto University, Japan. Address correspondence to Sayaka Takenouchi, PhD, MPH, RN, Department of Human Health Sciences, Graduate School of Medicine, Kyoto University, 53 Kawahara-cho Shogoin, Sakyo-ku, Kyoto 606-8507, Japan ([email protected]). This work was supported by a Cancer Nursing Research Grant from Yasuda Memorial Medical Foundation 2013 (grant 2013Y-25). The authors have no conflicts of interest to disclose. The data are available on request from the corresponding author. The study protocol was approved by the Kyoto University Ethics Committee of Medical and Health Research (R1588). Journal of Hospice & Palliative Nursing: August 2022 - Volume 24 - Issue 4 - p E135-E143 doi: 10.1097/NJH.0000000000000866 Buy Metrics Abstract Little is known about how health care providers should conduct advance care planning to identify the values of East Asian patients who have serious illnesses. This study aims to explore whether and how patients from an East Asian culture and with advanced cancer express their values and priorities when nurses utilize the lifeline interview method to enable patients to reflect on their life trajectories and if it can bridge advance care planning discussions. Data obtained from individual, semistructured interviews of 11 patients with advanced lung cancer were analyzed using qualitative content analysis. Seven main themes were identified: (1) treatment and essential elements to maintaining everyday life, (2) beliefs regarding and support for being “myself”, (3) emotional ups and downs in response to physical condition, (4) competency to cope, (5) what I want to do “now” to achieve my goals, (6) goals that bring hope for life, and (7) wishes and preferences for end-of-life decision-making. Results suggest that the lifeline interview method is an excellent means for nurses and other health care professionals to elicit patients' values and priorities. Moreover, it bridges advance care planning discussions to reflect on what matters to patients in future palliative care. Copyright © 2022 by The Hospice and Palliative Nurses Association. All rights reserved.