Advance Care Planning and Advance Directives: A Multimedia Education Program in Community-Dwelling Older Adults.

Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society
Chiu-Hsiang Chiu WuHui-Ling Lai

Abstract

This community-based cluster randomized trial evaluated the efficacy of a 4-week multimedia educational intervention followed by telephone consultations at Weeks 12 and 24 on the selection of a hospice program for end-of-life care and completion of an advance directive (AD) in case of future advanced dementia. One hundred twenty-three cognitively intact older adults from five community centers in Taiwan were randomly assigned to two groups. The study showed that 100% of participants in the intervention group (two community centers, n = 52) selected hospice program care for end-of-life care and signed ADs, whereas those in the control group were less likely to do both (p < .001). Participants in the intervention group also had a positive change in knowledge, subjective norms, perceived behavioral control, and behavioral intention of advance care planning (ACP) for advanced dementia. The theoretically based multimedia educational program was effective in assisting ACP implementation and completing ADs among community-dwelling older adults.

References

Aug 5, 1997·American Journal of Health Promotion : AJHP·J O Prochaska, W F Velicer
Dec 15, 2004·Archives of Internal Medicine·R Sean Morrison, Diane E Meier
Dec 2, 2009·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Areej El-JawahriAngelo E Volandes
Aug 18, 2010·Annals of Internal Medicine·Rebecca L Sudore, Terri R Fried
Aug 27, 2013·Journal of Pain and Symptom Management·Rebecca L SudoreDeborah E Barnes
Mar 20, 2014·BMJ Supportive & Palliative Care·Ana A TeixeiraUNKNOWN Canadian Researchers at End of Life Network (CARENET)
Mar 22, 2014·Palliative Medicine·Arianne Brinkman-StoppelenburgAgnes van der Heide
May 6, 2015·Health & Social Care in the Community·Eunjeong KoYoungjoon Hong
May 10, 2015·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Shoshana H BardachJ Christopher Stein
Jun 6, 2015·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·Matthew BaumgartHarry Johns
Dec 29, 2015·Geriatric Nursing·Alyce S Ashcraft, Donna C Owen
Feb 26, 2016·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Nathan A Boucher
Aug 22, 2016·Patient Education and Counseling·Sophie AmpeChantal Van Audenhove
Oct 22, 2016·Patient Education and Counseling·Magnolia Cardona-MorrellKen Hillman
Nov 29, 2016·JAMA Internal Medicine·Laura C HansonSusan L Mitchell
Apr 14, 2017·PloS One·Ting-Bin ChenPei-Ning Wang
May 17, 2017·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Hyunjin Noh

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Citations

Sep 8, 2020·Journal of the American Geriatrics Society·Ryan D McMahanRebecca L Sudore
Jan 29, 2021·Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society·Elise S AbkenAlexis A Bender

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