Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians

Yap, Sok Shin; Chen, Karren; Detering, Karen; Fraser, Scott A

doi:10.1111/jocn.13886

Cited by 42 publications

(112 citation statements)

References 23 publications

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“…Consequently, it is considered disrespectful by some to raise such discussion to Chinese seniors. [21][22][23] Therefore, it is important to initiate an EOL care discussion "gently" with Chinese seniors. Indirect communication approaches also have been found to be the preferred EOL care discussion strategy among various ethnic groups, such as Southeast Asians.…”

Section: Discussionmentioning

confidence: 99%

Please Ask Gently: Using Culturally Targeted Communication Strategies to Initiate End-of-Life Care Discussions With Older Chinese Americans

Chi

Cataldo

et al. 2018

Am J Hosp Palliat Care

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Assessing readiness should be an essential and necessary action for early EOL care discussions. Culturally targeted assessment of older Chinese Americans includes using indirect communication approaches to initiate an EOL care discussion to determine their readiness. In addition to health-care system integration, providers should implement and evaluate proposed EOL discussion initiation prompts with their older Chinese American patients.

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Section: Discussionmentioning

confidence: 99%

Please Ask Gently: Using Culturally Targeted Communication Strategies to Initiate End-of-Life Care Discussions With Older Chinese Americans

Chi

Cataldo

et al. 2018

Am J Hosp Palliat Care

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“…Positive attitudes toward ACP also include ACP helps to ensure patient autonomy, protect human dignity, increase a sense of self-control, alleviate possible sufferings at the EOL, facilitate a good death according to one's desires, help communicate EOL wishes with loved ones, and minimize family decision-making, caring, and economic burdens [10,37]. Their limited ACP awareness and behavioral readiness are comparable to ACP engagement among overseas Chinese-ethnic Americans [22,38] and Australians [39]. Multiple barriers to implementing ACP [14,22,23,31] may explain why most older Taiwanese have no definite timetable to contemplate EOL decisions, no motivations to complete AD documents, or no willingness to initiate any ACP discussions within six months.…”

Section: Readiness For Acp Among Older Taiwanesementioning

confidence: 99%

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

Chan

Tseng

et al. 2020

IJERPH

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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.

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“…From the perspective of sustainability, cost-effectiveness, and social diffusion, the Institute of Medicine proposed that community-dwelling older adults are key groups in ACP development. 7 There is less research on ACP in Chinese, in fact, only some applications on overseas Chinese, [8][9][10] Chinese Americans or Chinese Australians were open to ACP. However, because of regional social-cultural context, regional resources, and so on, the results of predecessors are not effective in directing us in mainland China.…”

Section: Introductionmentioning

confidence: 99%

Awareness and Attitudes Toward Advance Care Planning Among Community-Dwelling Older Adults in China: A Mixed-Methods Study

Zhu

Shi

et al. 2020

Am J Hosp Palliat Care

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Context: Quality of palliative care and death in mainland China is at a low level of the rest of the world, the public is lacked of proper understanding of the relevant information is one of the important reasons. There has been a shift in policy of palliative care in municipalities recently in mainland China. Objectives: To measure the advance care planning-related knowledge and attitudes of Chinese community-dwelling older adults, in the hope of presenting a specific implementation of the strategy. Methods: We conducted a mixed-method sequential explanatory study, composed of a quantitative survey followed by qualitative interviews. The first quantitative phase included 523 community elderly individuals, who completed a validated questionnaire. After statistical analysis, a semistructured qualitative interview has been developed and conducted with 16 of them in order to help explain findings obtained in the first phase. Results: The study was conducted with 523 community-dwelling older adults. The cognition level of advance care planning (ACP) was low, and attitude toward ACP was active. Living alone or living with a spouse (and children), have a religion, poor health condition, and life-sustaining treatment-related experience can affect how they behave with ACP. However, lack of trust in ACP, lack of life education and relevant legislation or policies, and Chinese traditional culture and emotion may impede their take-up. Conclusions: This study indicated that the awareness and participation of ACP of community-dwelling older adults in mainland China are not enough. The influence of national conditions and culture should be fully considered during the process of ACP development.

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Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians

Abstract: The results highlight the need to provide access to appropriate in-language advance care planning resources and promotion of advance care planning across the Chinese community.

Cited by 42 publications

References 23 publications

Please Ask Gently: Using Culturally Targeted Communication Strategies to Initiate End-of-Life Care Discussions With Older Chinese Americans

Please Ask Gently: Using Culturally Targeted Communication Strategies to Initiate End-of-Life Care Discussions With Older Chinese Americans

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

Awareness and Attitudes Toward Advance Care Planning Among Community-Dwelling Older Adults in China: A Mixed-Methods Study

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