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- Title
Co-designing a culturally-sensitive theory-driven advance care planning game with Chinese older adults and healthcare providers.
- Authors
Liu, Li; Wang, Yao; Ho, Tad Chun-Kwan; Li, Miranda Man-Yee; Cheung, Eddie Wai-Sum; Chow, Rita Suk-Kuen; Gu, Can; Chan, Helen Yue-Lai
- Abstract
Background: Advance care planning can be challenging because discussing end-of-life care often has negative connotations. Gamification is a novel approach to encourage advance care planning conversations in Western culture. Aim: To co-design a game with multiple stakeholders to promote advance care planning in Chinese communities. Design: A two-phase design guided by the Medical Research Council framework for developing complex interventions was adopted between May 2019 and August 2020. In phase I, a game prototype was developed based on literature review, expert consultation and end-user consultation. In Phase II, the game prototype was tested among end-users and refined according to their feedback and expertise of a multi-disciplinary team through an iterative process. Setting/participants: Experts in the field of aged care, palliative care, life education and game development and Chinese community-dwelling adults aged 60 years or older. Results: A board game called ' The Five Tastes Found in a Grocery Store ' was developed. The game design was shaped by Bandura's Self-efficacy theory and feedback from experts and end-users. The participants generally found the gaming experience enjoyable and appreciated the opportunity to discuss end-of-life care openly. Conclusions: This study is the first to develop an evidence-informed, theory-based, culturally sensitive game for promoting advance care planning in the Chinese community using a co-design approach.
- Subjects
CHINA; PALLIATIVE treatment; RESEARCH funding; QUALITATIVE research; QUESTIONNAIRES; DESCRIPTIVE statistics; SURVEYS; LITERATURE reviews; STAKEHOLDER analysis; ADVANCE directives (Medical care); GAMIFICATION
- Publication
Palliative Medicine, 2024, Vol 38, Issue 3, p343
- ISSN
0269-2163
- Publication type
Article
- DOI
10.1177/02692163231222776