Exploring Behavioral Readiness and Program Strategies to Engage Older Community Residents in Advance Care Planning: A Pilot Mixed-Method Study in Taiwan.

• 影响指数: 4.614
• 发表时间: 06 2020 16
• 来源期刊: Int J Environ Res Public Health
• DOI: 10.3390/ijerph17124285
• PMID: 32560049
• 文章类型: Journal Article
• 作者列表: Chan HL,Li IF,Tseng LC,Hsiung Y

关键词: Taiwanese; intervention strategies; older community residents; palliative care; readiness for advance care planning

Mesh: Advance Care Planning; Aged, 80 and over; Asia; Communication; Female; Humans; Male; Personal Autonomy; Research Design; Taiwan

Abstract

Taiwan was the first Asian country to endorse patient autonomy, and advance care planning (ACP) has been highly promoted to improve quality of end-of-life (EOL). A mixed-methods pilot survey was conducted in northwestern Taiwan to investigate older community-dwelling residents\' (N = 52) ACP behavioral engagement, socio-demographical correlates, and their preferred intervention strategies. An interview subset (25%, N = 13) was purposely chosen for in-depth feedback and rationales behind their ACP decision-making. Rich information was obtained about perceived facilitators and inhibitors to initiate ACP and preferred intervention strategies in ACP programs. Consistent with previous literature, carefully designed ACP programs that incorporated family decision-making and met older subjects\' multiple needs would increase program acceptability and foster ACP engagement among older Taiwanese in the community setting.