Engaging Chinese American Adults in Advance Care Planning: A Community-Based, Culturally Sensitive Seminar

Lee, Mei Ching; Hinderer, Katherine A.; Friedmann, Erika

doi:10.3928/00989134-20150406-01

Cited by 34 publications

(74 citation statements)

References 13 publications

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“…Fifteen participants had completed an AD, nearly 48% of those that did not originally come into workshop with an AD. Multimodal interventions have been shown to increase AD completion by 12%–32.3% (Durbin et al., ; Lee et al., ; Matsui, ).…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, interactive community‐based multimodal interventions have been shown to provide opportunities for individuals to discuss ACP with family members and primary care providers (PCPs) to achieve completed ADs (Hinderer & Lee, ; Lee, Hinderer, & Friedmann, ; Matsui, ; Toraya, ). A nonphysician facilitator–led seminar has also been shown to have a significant impact on ACP engagement between patients, family members, and PCPs (Heyland et al., ).…”

Section: Introductionmentioning

confidence: 99%

“…Lee et al. () also completed a similar interactive community‐based seminar utilizing a multimodal delivery of ACP using a presentation, video, and question and answer session among Chinese American adults. The study reported knowledge, AD completion, and ACP discussion increasing significantly after attending the seminar.…”

Section: Introductionmentioning

confidence: 99%

“…The study reported knowledge, AD completion, and ACP discussion increasing significantly after attending the seminar. There was a 20% increase in completion of ADs and a 35.6% increase in ACP discussion (Lee et al., ).…”

Section: Introductionmentioning

confidence: 99%

“…It is important to note that both seminars implemented by Hinderer and Lee () and Lee et al. () utilized the Five Wishes AD form (Aging with Dignity, ) as a tool. The Five Wishes (Aging with Dignity, ) is an LW, which is a step‐by‐step, hands‐on guide to assist in the ACP process.…”

Section: Introductionmentioning

confidence: 99%

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A nurse practitioner–led community workshop

Splendore

Grant

2017

Journal of the American Association of Nurse Practitioners

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Background and purpose Advance directives (ADs) and advance care planning (ACP) aid in expressing an individual's preferences and guide future medical decision‐making. Despite the potential of ADs and ACP to positively impact care, consistently low rates of ADs and ACP (5%–39%) have been documented. The purpose of this project was to increase understanding and participation in the ACP process among rural‐dwelling community members. Methods A pre–post repeated measures design with an evaluation component to measure understanding, completion, discussion, and dissemination of ADs and ACP. A sample of N = 40 were recruited to participate in a one‐time nurse practitioner–led Five Wishes workshop delivered in a community setting. Conclusions Postworkshop evaluations indicated an overall acceptance and understanding of ADs and ACP. Completion rates of ADs and discussion in the ACP process significantly increased at 1‐month follow‐up. Implications for practice Nurses and advanced practice nurses are well positioned to educate individuals and facilitate the ACP process. There is a need to educate individuals on importance of sharing their AD wishes with their family and primary care provider. This nurse practitioner–led workshop using the Five Wishes demonstrated the feasibility and potential effectiveness of initiating the ACP process in the community.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

A nurse practitioner–led community workshop

Splendore

Grant

2017

Journal of the American Association of Nurse Practitioners

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Evaluation of Neighborhood Socioeconomic Characteristics and Advance Care Planning Among Older Adults

et al. 2020

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IMPORTANCE Advance care planning (ACP) is low among older adults with socioeconomic disadvantage. There is a need for tailored community-based approaches to increase ACP, but community patterns of ACP are poorly understood. OBJECTIVETo examine the association between neighborhood socioeconomic status (nSES) and ACP and to identify communities with both low nSES and low rates of ACP. DESIGN, SETTING, AND PARTICIPANTSThis cross-sectional study examined University of California San Francisco electronic health record (EHR) data and place-based data from 9 San Francisco Bay Area counties. Participants were primary care patients aged 65 years or older and living in the San Francisco Bay Area in July 2017. Statistical analysis was performed from May to June 2020. EXPOSURES Patients' home addresses were geocoded and assigned to US Census tracts. The primary factor, nSES, an index combining area-level measures of income, education, poverty, employment, occupation, and housing or rent values, was divided into quintiles scaled to the distribution of all US Census tracts in the Bay Area (Q1 = lowest nSES). Covariates were from the EHR and included health care use (primary care, outpatient specialty, emergency department, and inpatient encounters in the prior year). MAIN OUTCOMES AND MEASURESACP was defined as a scanned document (eg, advance directive), ACP Current Procedural Terminology code, or ACP note type in the EHR. RESULTS There were 13 104 patients included in the cohort-mean (SD) age was 75 (8) years, with 7622 female patients (58.2%), 897 patients (6.8%) identified as Black, 913 (7.0%) as Latinx, 3788 (28.9%) as Asian/Pacific Islander, and 748 (5.7%) as other minority race/ethnicity, and 2393 (18.3%) self-reported that they preferred to speak a non-English language. Of these, 3827 patients (29.2%) had documented ACP. The cohort was distributed across all 5 quintiles of nSES (Q1: 1426 patients

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Facilitators and Barriers for Advance Care Planning Among Ethnic and Racial Minorities in the U.S.: A Systematic Review of the Current Literature

Hong

Johnson

et al. 2017

J Immigrant Minority Health

139

126

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Growing evidence suggests a low engagement in advance care planning (ACP) among ethnic minorities in the U.S. The purpose of this study was to synthesize findings from prior research about ACP among ethnic minorities. An extensive literature search was conducted using multiple electronic databases. After applying inclusion criteria, 26 studies were included. Four categories of facilitators and barriers to ACP were identified: (1) Socio-demographic factors, (2) health status, literacy and experiences, (3) cultural values, and (4) spirituality. Socio-demographic factors showed inconsistent findings regarding their association with ACP engagement. Worse health status and knowledge about ACP are common facilitators across ethnic minority groups, whereas mistrust toward the health care system was a barrier only for Blacks. Collectivistic cultural values influenced ACP engagement among Latinos and Asian Americans; however, spirituality/religion played an important role among Blacks. The implications for culturally competent approaches to promote ACP and future research directions are discussed.

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Engaging Chinese American Adults in Advance Care Planning: A Community-Based, Culturally Sensitive Seminar

Cited by 34 publications

References 13 publications

A nurse practitioner–led community workshop

A nurse practitioner–led community workshop

Evaluation of Neighborhood Socioeconomic Characteristics and Advance Care Planning Among Older Adults

Facilitators and Barriers for Advance Care Planning Among Ethnic and Racial Minorities in the U.S.: A Systematic Review of the Current Literature

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