Exploring Motivational Interviewing to Engage Latinos in Advance Care Planning: A Community-Based Social Work Intervention

被引:13
作者
Nedjat-Haiem, Frances R. [1 ]
Carrion, Iraida V. [2 ]
Gonzalez, Krystyna [3 ]
Bennett, Elizabeth D. [1 ]
Ell, Kathleen [4 ]
O'Connell, Mary [1 ]
Thompson, Beti [5 ]
Mishra, Shiraz I. [6 ]
机构
[1] New Mexico State Univ, Sch Social Work, POB 30001,MSC 3SW, Las Cruces, NM 88003 USA
[2] Univ S Florida, Sch Social Work, Tampa, FL USA
[3] Clin Familia, Las Cruces, NM USA
[4] Univ Southern Calif, Suzanne Dworak Peck Sch Social Work, Los Angeles, CA USA
[5] Univ Washington, Sch Publ Hlth, Seattle, WA 98195 USA
[6] Univ New Mexico, Sch Med, Albuquerque, NM 87131 USA
关键词
motivational interviewing; end-of-life care; communication; qualitative research; Latino; DECISIONAL BALANCE; ADVANCED CANCER; HEALTH; END; CONVERSATIONS;
D O I
10.1177/1049909118763796
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
Advance care planning (ACP) does not readily occur in medical settings and often gets missed. Older Latinos need ACP information to encourage advance directive (AD) completion indicating preferences for end-of-life (EOL) care. Objective: To explore the experiences with counseling using motivational interviewing (MI) techniques and social workers to encourage ACP communication among older Latinos with advance chronic diseases. This study describes stages of readiness to plan for EOL care. Design: We conducted a qualitative study with older Latinos who participated in a community-based intervention in Southern New Mexico. Methods: Participants in the intervention were selected because they received ACP education plus counseling involving MI to address resistance to ACP. Motivational interviewing counseling involved the following: (1) engaging in structured dialogue about ACP, (2) using and completing AD documentation, (3) encouraging ACP communication with providers and families, and (4) applying AD information into actionable behavior. We utilized a constant comparative method and thematic analysis to explore the meaning of older Latinos' experiences with MI counseling and stages of change. Results: Participants (n = 32) were mostly women (74.3%), half born in the United States and half from Mexico in the United States on average for 31.75 (standard deviation 16.22) years. Many had less than sixth grade education (31.3%) or had not completed high school (21.9%). Key themes indicate the following stages of change: (1) precontemplation, (2) contemplation, (3) preparation, (4) ACP action, and (5) maintenance. Conclusion: This study contributes to the literature by identifying areas for adaption to enhance understanding and increase information to ultimately achieve the completion of ACP among Latinos.
引用
收藏
页码:1091 / 1098
页数:8
相关论文
共 50 条
[41]   Adjustment processes in chronic aphasia after stroke: Exploring multiple perspectives in the context of a community-based intervention [J].
Mumby, Katharyn ;
Whitworth, Anne .
APHASIOLOGY, 2013, 27 (04) :462-489
[42]   Advance Care Planning Throughout the End-of-Life: Focusing the Lens for Social Work Practice [J].
Black, Kathy .
JOURNAL OF SOCIAL WORK IN END-OF-LIFE & PALLIATIVE CARE, 2007, 3 (02) :39-58
[43]   Managing 'shades of grey': a focus group study exploring community-dwellers' views on advance care planning in older people [J].
Michael, Natasha ;
O'Callaghan, Clare ;
Sayers, Emma .
BMC PALLIATIVE CARE, 2017, 16 :1-9
[44]   Motivational interviewing experiences from a community health worker-led HIV prevention and care intervention in rural Uganda: a qualitative study [J].
Nishimura, Holly ;
Kaptchuk, Rose Pollard ;
Mbabali, Ismail ;
Mulamba, Jeremiah ;
Nakyanjo, Neema ;
Anok, Aggrey ;
Wawer, Maria J. ;
Kennedy, Caitlin E. ;
Nakigozi, Gertrude ;
Chang, Larry W. ;
Amico, K. Rivet ;
Hutton, Heidi .
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2024, 36 (04) :491-499
[45]   Exploring the dimensions of patient experience for community-based care programmes in a multi-ethnic Asian context [J].
De Foo, Chuan ;
Tan, Yan Lin ;
Shrestha, Pami ;
Eh, Ke Xin ;
Ang, Ian Yi Han ;
Nurjono, Milawaty ;
Toh, Sue-Anne ;
Shiraz, Farah .
PLOS ONE, 2020, 15 (11)
[46]   Enhanced Advance care planning and life Review Longitudinal Intervention (EARLI): Protocol for a cluster randomized controlled cross-over trial of life story work and facilitated advance care planning among older Australian adults in community settings [J].
Karusoo-Musumeci, Ava ;
Yeoh, Ling ;
Walton, Rebecca ;
Dao-Tran, Tiet-Hanh ;
Halcomb, Elizabeth ;
Auret, Kirsten A. ;
Clayton, Josephine M. ;
Kurrle, Susan ;
Campbell, Elissa ;
Hilgeman, Michelle ;
Sinclair, Ron ;
Meller, Anne ;
Towler, Simon ;
Edwards, Caroline E. ;
Comans, Tracy ;
Sinclair, Craig .
CONTEMPORARY CLINICAL TRIALS, 2025, 149
[47]   Delivery of alcohol brief interventions in community-based youth work settings: exploring feasibility and acceptability in a qualitative study [J].
Stead, Martine ;
Parkes, Tessa ;
Nicoll, Avril ;
Wilson, Sarah ;
Burgess, Cheryl ;
Eadie, Douglas ;
Fitzgerald, Niamh ;
McKell, Jennifer ;
Reid, Garth ;
Jepson, Ruth ;
McAteer, John ;
Bauld, Linda .
BMC PUBLIC HEALTH, 2017, 17
[48]   Asset Mapping as a Research Tool for Community-Based Participatory Research in Social Work [J].
Lightfoot, Elizabeth ;
McCleary, Jennifer Simmelink ;
Lum, Terry .
SOCIAL WORK RESEARCH, 2014, 38 (01) :59-64
[49]   Impacts of the COVID-19 Pandemic on a Community-Based, Palliative Care Lay Advisor Project for Latinos with Cancer [J].
Mathews, Holly F. ;
Larson, Kim L. ;
Hupp, Teresa ;
Estrada, Michelle ;
Carpenter, Maria Paz .
HUMAN ORGANIZATION, 2022, 81 (03) :229-239
[50]   Improving the Relationship of Medicaid Home and Community-Based Services Home Care Aides and Clients Through Health Interviewing [J].
Danilovich, Margaret ;
Diaz, Laura ;
Boyken, Lara ;
Eisenstein, Amy ;
Johnson, Rebecca .
JOURNAL OF APPLIED GERONTOLOGY, 2020, 39 (07) :778-784