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

Chan, Hsin-Lung; Li, In-Fun; Tseng, Ling-Chun; Hsiung, Yvonne

doi:10.3390/ijerph17124285

Open AccessArticle

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

¹

Division of Family Medicine, Mackay Memorial Hospital, Taipei 104, Taiwan

²

Department of Nursing, Tamshui Branch, Mackay Memorial Hospital, New Taipei City 251, Taiwan

³

Department of Nursing, Tai-Tung Branch, Mackay Memorial Hospital, Tai-Tung 950, Taiwan

⁴

Department of Nursing, Mackay Medical College, New Taipei City 252, Taiwan

^*

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2020, 17(12), 4285; https://doi.org/10.3390/ijerph17124285

Submission received: 14 April 2020 / Revised: 23 May 2020 / Accepted: 12 June 2020 / Published: 16 June 2020

(This article belongs to the Special Issue Wellness and Health Promotion)

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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

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MDPI and ACS Style

Chan, H.-L.; Li, I.-F.; Tseng, L.-C.; Hsiung, Y. Exploring Behavioral Readiness and Program Strategies to Engage Older Community Residents in Advance Care Planning: A Pilot Mixed-Method Study in Taiwan. Int. J. Environ. Res. Public Health 2020, 17, 4285. https://doi.org/10.3390/ijerph17124285

AMA Style

Chan H-L, Li I-F, Tseng L-C, Hsiung Y. Exploring Behavioral Readiness and Program Strategies to Engage Older Community Residents in Advance Care Planning: A Pilot Mixed-Method Study in Taiwan. International Journal of Environmental Research and Public Health. 2020; 17(12):4285. https://doi.org/10.3390/ijerph17124285

Chicago/Turabian Style

Chan, Hsin-Lung, In-Fun Li, Ling-Chun Tseng, and 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" International Journal of Environmental Research and Public Health 17, no. 12: 4285. https://doi.org/10.3390/ijerph17124285

APA Style

Chan, H.-L., Li, I.-F., Tseng, L.-C., & Hsiung, Y. (2020). Exploring Behavioral Readiness and Program Strategies to Engage Older Community Residents in Advance Care Planning: A Pilot Mixed-Method Study in Taiwan. International Journal of Environmental Research and Public Health, 17(12), 4285. https://doi.org/10.3390/ijerph17124285

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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

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