%0 Journal Article
%T Co-designing a culturally-sensitive theory-driven advance care planning game with Chinese older adults and healthcare providers.
%A Liu L
%A Wang Y
%A Ho TC
%A Li MM
%A Cheung EW
%A Chow RS
%A Gu C
%A Chan HY
%J Palliat Med
%V 38
%N 3
%D 2024 Mar 31
%M 38296960
%F 5.713
%R 10.1177/02692163231222776
%X <B>UNASSIGNED: </B>Advance care planning can be challenging because discussing end-of-life care often has negative connotations. Gamification is a novel approach to encourage advance care planning conversations in Western culture.<BR><B>UNASSIGNED: </B>To co-design a game with multiple stakeholders to promote advance care planning in Chinese communities.<BR><B>UNASSIGNED: </B>A two-phase design guided by the Medical Research Council framework for developing complex interventions was adopted between May 2019 and August 2020. In phase I, a game prototype was developed based on literature review, expert consultation and end-user consultation. In Phase II, the game prototype was tested among end-users and refined according to their feedback and expertise of a multi-disciplinary team through an iterative process.<BR><B>UNASSIGNED: </B>Experts in the field of aged care, palliative care, life education and game development and Chinese community-dwelling adults aged 60 years or older.<BR><B>UNASSIGNED: </B>A board game called 'The Five Tastes Found in a Grocery Store' was developed. The game design was shaped by Bandura's Self-efficacy theory and feedback from experts and end-users. The participants generally found the gaming experience enjoyable and appreciated the opportunity to discuss end-of-life care openly.<BR><B>UNASSIGNED: </B>This study is the first to develop an evidence-informed, theory-based, culturally sensitive game for promoting advance care planning in the Chinese community using a co-design approach.