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- Title
Efficacy of a Church-Based, Culturally Tailored Program to Promote Completion of Advance Directives Among Asian Americans.
- Authors
Sun, Angela; Cheng, Joyce; Bui, Quynh; Tsoh, Janice; Gildengorin, Ginny; Lai, Ky; McPhee, Stephen; Nguyen, Tung; Chan, Joanne
- Abstract
Having an Advance Directive (AD) can help to guide medical decision-making. Asian Americans (AA) are less likely than White Americans to complete an AD. This pilot study investigated the feasibility and efficacy of a church-based intervention to increase knowledge and behavior change related to AD among Chinese and Vietnamese Americans. This study utilized a single group pre- and post-intervention design with 174 participants from 4 churches. Domain assessed: demographics; AD-related knowledge, beliefs, attitudes, and intentions; AD completion; and conversations with a healthcare proxy. Data were analyzed using Chi square and multiple logistic regression techniques. We observed significant increases in participants' AD-related knowledge, intentions, and a gain in supportive beliefs and attitudes about AD, resulting in 71.8 % AD completion, and 25.0 % having had a proxy conversation. Providing culturally-tailored intervention and step-by-step guidance can help to achieve significant changes in AD related knowledge and behavior in AA church goers.
- Subjects
ASIANS; BEHAVIOR; CHI-squared test; CHURCH buildings; CULTURE; HEALTH attitudes; INTELLECT; RESEARCH funding; WHITE people; DECISION making in clinical medicine; ADVANCE directives (Medical care); LOGISTIC regression analysis; PILOT projects; DATA analysis; ACQUISITION of data; DATA analysis software; PATIENTS' attitudes; DESCRIPTIVE statistics
- Publication
Journal of Immigrant & Minority Health, 2017, Vol 19, Issue 2, p381
- ISSN
1557-1912
- Publication type
Article
- DOI
10.1007/s10903-016-0365-7