The effectiveness of a brief intervention to increase the likelihood of advance care planning among college students

Weaver, Raven H.; Zubedi, Fatima; VanMeter, Amelia; Decker, Autumn

doi:10.1080/07481187.2021.1924896

Cited by 5 publications

(2 citation statements)

References 45 publications

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“…The low ACP engagement (defined by having completed all three actions: completed a living will, completed a DPAHC, and discussed end-of-life medical preferences with at least one family member or loved one) of the participants in the current study should be of no surprise, as young adults are less likely than their older counterparts to engage in ACP (Institute of Medicine, 2015). Although completion of individual ACP behaviors (LW = 30.3%, DPAHC = 19.3%, discussion with loved ones = 41.6%) was higher than full ACP engagement (5.3%), engagement in multiple ACP behaviors is beneficial (Dingfield & Kayser, 2017;Weaver et al, 2022). Previous research has established that age and perceived low risk for mortality among young adults are potential barriers to engaging in ACP (Institute of Medicine, 2015;Sanders & Robinson, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…With those unaware of ACP (stage 1) having the second highest barriers score, this demonstrates that more awareness campaigns may be needed for this population, including media campaigns regarding hazards and precautions relating to ACP engagement (Weinstein et al, 2008). Additional educational campaigns about ACP may be necessary as well, as young adults tend to lack knowledge and familiarity with ACP terminology and concepts (Tripken & Elrod, 2018); educational interventions with young adults have been shown to increase intention to complete ACP and increase awareness among this population (Weaver et al, 2022).…”

Section: Discussionmentioning

confidence: 99%

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Assessing Barriers to Advance Care Planning Engagement among Young Adults Using the Precaution Adoption Process Model

McAfee

Cegelka

Wagner-Greene

2022

Illness, Crisis & Loss

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Purpose Assess the stage of readiness and barriers to ACP engagement among young adults in the United States utilizing the Precaution Adoption Process Model (PAPM). Methods A cross-sectional survey design was utilized to survey U.S. adults aged 18–35 through an online marketplace workforce (N = 414). Results Most (94.7%) had not engaged in comprehensive ACP. Young adults aged 18–29 reported higher perceived barriers scores to complete ACP than those aged 30–35. The perceived barriers score was significantly associated with stage of readiness for ACP ( p = .004); those who were unaware (stage 1) or did not want to engage in ACP (stage 4) reported more barriers to ACP engagement. Conclusion The PAPM is a useful framework for assessing barriers and tailoring programs for ACP engagement. Future research should further assess barriers for young adults to engage in ACP, particularly relating to stages of readiness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessing Barriers to Advance Care Planning Engagement among Young Adults Using the Precaution Adoption Process Model

McAfee

Cegelka

Wagner-Greene

2022

Illness, Crisis & Loss

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Community workshops increase advance care planning knowledge, appointment of legal proxies and completion of end-of life written plans

et al. 2022

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Determining the Effects of Complex Education on Primary Care Nurse Practitioners' Self-efficacy in Advance Care Planning for Healthy Adults

Geiler,

Bowen Brady

2024

J Hosp Palliat Nurs

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Advance care planning is a process in which capable adults communicate their preferences for medical care in case of incapacitation. Regardless of health status, most adults are interested in advance care planning conversations and prefer providers to initiate these discussions. Primary care nurse practitioners are ideally positioned to lead these conversations but lack knowledge, confidence, and communication skills to do so. This project aimed to develop, implement, and evaluate an educational program for primary care nurse practitioners regarding leading advance care planning conversations with healthy adults. This evidence-based practice project used the Advance Care Planning Self-Efficacy Scale to measure primary care nurse practitioners' self-efficacy after completing a complex educational program. The educational program was developed based on a nationally recognized program incorporating didactic, observational, and role-play learning. The findings of this project indicated that providing complex education was an effective intervention immediately and after 3 months (P = .018 and P = .023, respectively). The results indicate that educating nurse practitioners is an effective intervention for increasing their self-efficacy in leading advance care planning conversations with healthy adults over 3 months, recommending additional intervention at least earlier than 6 months.

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The effectiveness of a brief intervention to increase the likelihood of advance care planning among college students

Cited by 5 publications

References 45 publications

Assessing Barriers to Advance Care Planning Engagement among Young Adults Using the Precaution Adoption Process Model

Assessing Barriers to Advance Care Planning Engagement among Young Adults Using the Precaution Adoption Process Model

Community workshops increase advance care planning knowledge, appointment of legal proxies and completion of end-of life written plans

Determining the Effects of Complex Education on Primary Care Nurse Practitioners' Self-efficacy in Advance Care Planning for Healthy Adults

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