Partnering with minoritized communities to reduce health disparities: A focus on advance care planning

Elk, Ronit

doi:10.1111/jgs.18491

Cited by 4 publications

(1 citation statement)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, healthcare providers are documented as avoiding ACP conversations with patients from racial and/or ethnic minority groups (such as Black, Asian, Hispanic, and Native American), non-English speaking patients with low incomes, and individuals with low health literacy [12]. Individual-level issues related to disparities included lack of ACP awareness and knowledge; inability to make decisions; no surrogates available; patient discomfort in discussing ACP (religious, cultural, or individual factors); lack of trust in healthcare providers and the healthcare system [14]; family involvement; financial challenges; and faith and religious beliefs [13]. Despite this knowledge, existing studies do not examine past ACP disparities in relation to different cognition levels.…”

Section: Introductionmentioning

confidence: 99%

Past Disparities in Advance Care Planning Across Sociodemographic Characteristics and Cognition Levels in the United States

Rahemi,

Bacsu,

Shalhout

et al. 2024

Preprint

View full text Add to dashboard Cite

We aimed to examine past advance care planning (ACP) in U.S. older adults across different sociodemographic characteristics and cognition levels. We established the baseline trends from 10 years ago to assess if trends in 2024 have improved upon future data availability. We considered two legal documents in the Health and Retirement Study 2014 survey as measures for ACP: a living will and durable power of attorney for healthcare (DPOAH). Logistic regression models were fitted with outcome variables (living will, DPOAH, and both) stratified by cognition levels (dementia/impaired cognition versus normal cognition). Predictor variables included age, gender, ethnicity, race, education, marital status, rurality, everyday discrimination, social support, and loneliness. Age, ethnicity, race, education, and rurality were significant predictors of ACP (having a living will, DPOAH, and both the living will and DPOAH) across cognition levels. Participants who were younger, Hispanic, Black, had lower levels of education, or resided in rural areas were less likely to complete ACP. Examining ACP and its linkages to specific social determinants is essential to understanding disparities and educational strategies needed to facilitate ACP uptake among different population groups. Accordingly, this study aimed to examine past ACP disparities in relation to specific social determinants of health and different cognition levels. Future studies are required to evaluate whether existing disparities have improved over the last 10 years when 2024 data is released. Addressing ACP disparities among diverse populations, including racial and ethnic minorities with reduced cognition levels, is crucial for enhancing health equity and access to care.

show abstract

Section: Introductionmentioning

confidence: 99%

Past Disparities in Advance Care Planning Across Sociodemographic Characteristics and Cognition Levels in the United States

Rahemi,

Bacsu,

Shalhout

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

Creating Barriers to Healthcare and Advance Care Planning by Requiring Hospitals to Ask Patients About Their Immigration Status

Purvis Lively

2024

HEC Forum

View full text Add to dashboard Cite

Lessons from a Pilot Study of a Culturally Tailored Financial Well-Being Intervention Among Latino Family Caregivers

Meyer,

Mage,

Gonzalez

et al. 2024

J Appl Gerontol

View full text Add to dashboard Cite

Financial strain disproportionally affects the growing population of Latino family caregivers. This pilot study aimed to test the feasibility of a culturally tailored psychoeducational intervention for Latino caregivers designed to reduce financial strain by improving resourcefulness and self-efficacy. Feasibility was assessed according to participant demands, ability to deliver the intervention, and preliminary efficacy. From May 2022 to September 2023, Confidently Navigating Financial Decisions and Enhancing Financial Wellbeing in Dementia Caregiving (CONFIDENCE) was administered to 69 caregivers over 11 cohorts in a community setting. Caregivers attended an average of 3.13 ( SD = 0.17) of five sessions. Eligible caregivers were given the option to participate in a single-arm pre- and post-test study. Results from N = 20 caregivers indicated reduced levels of financial strain 2 months post-intervention ( p-value = .013). Findings also showed improvements resourcefulness and self-efficacy. Although CONFIDENCE appears feasible to deliver and may affect desired outcomes, future studies should reduce intervention demands to improve attendance. Trial Registration This trial is registered at ClinicalTrials.gov (NCT05292248).

show abstract

Partnering with minoritized communities to reduce health disparities: A focus on advance care planning

Abstract: This editorial comments on the article by https://doi.org/10.1111/jgs.18236. in this issue.

Cited by 4 publications

References 28 publications

Past Disparities in Advance Care Planning Across Sociodemographic Characteristics and Cognition Levels in the United States

Past Disparities in Advance Care Planning Across Sociodemographic Characteristics and Cognition Levels in the United States

Creating Barriers to Healthcare and Advance Care Planning by Requiring Hospitals to Ask Patients About Their Immigration Status

Lessons from a Pilot Study of a Culturally Tailored Financial Well-Being Intervention Among Latino Family Caregivers

Contact Info

Product

Resources

About