Feasibility and Acceptability of a Brief Motivational Stage-Tailored Intervention to Advance Care Planning: A Pilot Study

被引：17
作者：
Ko, Eunjeong [1 ]
Hohman, Melinda [1 ]
Lee, Jaehoon [2 ]
Ngo, Ai-Nhat [3 ]
Woodruff, Susan I. [1 ]
机构：
[1] San Diego State Univ, Sch Social Work, 5500 Campanile Dr, San Diego, CA 92182 USA
[2] Texas Tech Univ, Inst Measurement Methodol Anal & Policy, Lubbock, TX 79409 USA
[3] UPAC Posit Solut, San Diego, CA USA
来源：
AMERICAN JOURNAL OF HOSPICE & PALLIATIVE MEDICINE | 2016年 / 33卷 / 09期
关键词：
advance care planning; motivational interviewing; low income; older adults; feasibility; acceptability; HEALTH BEHAVIOR-CHANGE; RANDOMIZED CONTROLLED-TRIAL; LIFE-SUSTAINING TREATMENT; TRANSTHEORETICAL MODEL; DECISION-MAKING; DIRECTIVES; COMPLETION; END; DISCUSSIONS; DRINKING;
D O I：
10.1177/1049909115593736
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Aim: This pilot study explored the feasibility and acceptability of a stage-tailored motivational interviewing intervention with education that focuses on changes in end-of-life (EOL) communication, completion of advance directives (ADs), and readiness for advance care planning (ACP). Methods: One group pretest-posttest design was implemented with 30 low-income older adults. Results: This pilot study showed its feasibility in enhancing ACP. Action for ACPthat is, identifying a proxy for decision making and documenting EOL treatment preference in an ADincreased significantly by 23.3% (n = 7). The participants' readiness for ACP, knowledge, self-efficacy, positive attitudes, and perceived importance of ACP increased significantly after the intervention. Conclusion: Health care professionals and service providers who interact with older adults should tailor ACP dialogues in accordance with individuals' motivation.
引用
收藏
页码：834 / 842
页数：9
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