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Am J Hosp Palliat Care · Nov 2016
Feasibility and Acceptability of a Brief Motivational Stage-Tailored Intervention to Advance Care Planning: A Pilot Study.
- Eunjeong Ko, Melinda Hohman, Jaehoon Lee, Ai-Nhat Ngo, and Susan I Woodruff.
- School of Social Work, San Diego State University, San Diego, CA, USA eko@mail.sdsu.edu.
- Am J Hosp Palliat Care. 2016 Nov 1; 33 (9): 834-842.
AimThis pilot study explored the feasibility and acceptability of a stage-tailored motivational interviewing intervention with education that focuses on changes in end-of-life (EOL) communication, completion of advance directives (ADs), and readiness for advance care planning (ACP).MethodsOne group pretest-posttest design was implemented with 30 low-income older adults.ResultsThis pilot study showed its feasibility in enhancing ACP. Action for ACP-that is, identifying a proxy for decision making and documenting EOL treatment preference in an AD-increased significantly by 23.3% (n = 7). The participants' readiness for ACP, knowledge, self-efficacy, positive attitudes, and perceived importance of ACP increased significantly after the intervention.ConclusionHealth care professionals and service providers who interact with older adults should tailor ACP dialogues in accordance with individuals' motivation.© The Author(s) 2015.
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