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

Author

Listed:
  • 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)

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.

Suggested Citation

  • Hsin-Lung Chan & In-Fun Li & Ling-Chun Tseng & Yvonne Hsiung, 2020. "Exploring Behavioral Readiness and Program Strategies to Engage Older Community Residents in Advance Care Planning: A Pilot Mixed-Method Study in Taiwan," IJERPH, MDPI, vol. 17(12), pages 1-20, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4285-:d:372000
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    References listed on IDEAS

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    2. Sok Shin Yap & Karren Chen & Karen M Detering & Scott A Fraser, 2018. "Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(17-18), pages 3298-3306, September.
    3. Mead, E.L. & Doorenbos, A.Z. & Javid, S.H. & Haozous, E.A. & Alvord, L.A. & Flum, D.R. & Morris, A.M., 2013. "Shared decision-making for cancer care among racial and ethnic minorities: A systematic review," American Journal of Public Health, American Public Health Association, vol. 103(12), pages 15-29.
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    Cited by:

    1. Yvonne Hsiung & Ching-Fang Lee & Li-Kang Chi & Jian-Pei Huang, 2021. "“Moving for My Baby!” Motivators and Perceived Barriers to Facilitate Readiness for Physical Activity during Pregnancy among Obese and Overweight Women of Urban Areas in Northern Taiwan," IJERPH, MDPI, vol. 18(10), pages 1-17, May.
    2. In-Fun Li & Sheng-Miauh Huang & Ching-Fang Lee & Yi-Heng Chen & Yvonne Hsiung, 2021. "Perceptions of Behavioral Awareness, Intention, and Readiness for Advance Care Planning: A Mixed-Method Study among Older Indigenous Patients with Late-Stage Cancers in Remote Areas of Eastern Taiwan," IJERPH, MDPI, vol. 18(16), pages 1-16, August.
    3. Noorhazlina Ali & Philomena Anthony & Wee Shiong Lim & Mei Sian Chong & Edward Wing Hong Poon & Vicki Drury & Mark Chan, 2021. "Exploring Differential Perceptions and Barriers to Advance Care Planning in Dementia among Asian Patient–Caregiver Dyads—A Mixed-Methods Study," IJERPH, MDPI, vol. 18(13), pages 1-15, July.

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