Advance Care Planning (ACP) is the process of considering options for future health care decisions and personal care, and the nomination of a substitute decision maker who can speak for them if they cannot speak for themselves.

i-GAP is a research project that is intended to increase the participation of patients and families in ACP in primary care settings.



Read about Dr. Carrie Bernard , a family physician and one of the founding researchers for the i-GAP project

Read Dr. Amy Tan's story about palliative care (Dr. Tan is a member of the i-GAP steering committee)

Read the i-GAP team's opinion article in Canadian Family Physician - "Advance Care Planning - let's start sooner"

Read about Dr. Zou and her experience with the i-GAP study.


Study Tools

i-GAP study tools:

Information Sheet Information Sheet
Poster Poster
Practice Characteristics Chart Abstraction Form
Physician Questionnaire Questionnaire
Nursing and Allied Health Care Professionals Questionnaire


The purple icons below represent i-GAP activities as mapped out against the Knowledge to Action (KTA) cycle. For more information about the KTA cycle, visit the Canadian Institutes of Health Research website






October 2014     June 20152016
ACP Audit we conducted an ACP audit with 20 family practices across Canada (AB, BC, ON ) to assess
  1. levels of ACP knowledge and engagement among patients in primary care by administering the ACCEPT survey and
  2. barriers to ACP among physicians, nurses and allied health professionals in primary care by administering the DECIDE survey.


             ACP Tool Testing we began evaluating a suite of tools to test
  1. acceptability, feasibility and clinical sensibility and
  2. efficacy for increasing ACP behaviour.


ACP Tool Implementation we will begin testing a Model for Implementing ACP in Primary Care (currently referred to as a Care Pathway).







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