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

Hsin-Lung Chan, In-Fun Li, Ling-Chun Tseng and Yvonne Hsiung
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Hsin-Lung Chan: Division of Family Medicine, Mackay Memorial Hospital, Taipei 104, Taiwan
In-Fun Li: Department of Nursing, Tamshui Branch, Mackay Memorial Hospital, New Taipei City 251, Taiwan
Ling-Chun Tseng: Department of Nursing, Tai-Tung Branch, Mackay Memorial Hospital, Tai-Tung 950, Taiwan
Yvonne Hsiung: Department of Nursing, Mackay Medical College, New Taipei City 252, Taiwan

IJERPH, 2020, vol. 17, issue 12, 1-20

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.

Keywords: readiness for advance care planning; older community residents; Taiwanese; palliative care; intervention strategies (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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