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- Title
The effectiveness of a modified advance care planning programme.
- Authors
Deng, Renli; Zhang, Jianghui; Chen, Liuliu; Miao, Jiarui; Duan, Jiazhong; Qiu, Yeyin; Leung, Doris; Chan, Helen; Lee, Diana TF
- Abstract
Background: Frailty is a natural consequence of the aging process. With the increasing aging population in Mainland China, the quality of life and end-of-life care for frail older people need to be taken into consideration. Advance Care Planning has also been used worldwide in long-term facilities, hospitals and communities to improve the quality of end-of-life care, increase patient and family satisfaction, and reduce healthcare costs and hospital admissions in Western countries. However, it has not been practiced in China. Research objective: This study aimed to evaluate the effectiveness of a modified Advance Care Planning intervention in certainty of end-of-life care, preferences for end-of-life care, quality of life concerns, and healthcare utilization among frail older people. Research design: This study used a quasi-experimental design, with a single-blind, control group, pretest and repeated posttest approach. Participants and research context: A convenience sample of 74 participates met the eligibility criteria in each nursing home. A total of 148 frail older people were recruited in two nursing homes in Zhejiang Province, China. Ethical considerations: The study received ethical approval from the Clinical Research Ethics Committee, the Faculty of Medicine, and The Chinese University of Hong Kong, CREC Ref. No: 2016.059. Findings: The results indicated the Advance Care Planning programme was effective at increasing autonomy in decision making on end-of-life care issues, decreasing decision-making conflicts over end-of-life care issues, and increasing their expression about end-of-life care. Discussion: This study promoted the participants' autonomy and broke through the inherent custom of avoiding talking about death in China. Conclusion: The modified Advance Care Planning intervention is effective and recommended to support the frail older people in their end-of-life care decision in Chinese society.
- Subjects
CHINA; CLINICAL trials; RESEARCH methodology; MEDICAL care use; NURSING care facilities; QUALITY of life; STATISTICAL sampling; TERMINAL care; ADVANCE directives (Medical care); TREATMENT effectiveness; PRE-tests &; post-tests; EVALUATION of human services programs
- Publication
Nursing Ethics, 2020, Vol 27, Issue 7, p1569
- ISSN
0969-7330
- Publication type
Article
- DOI
10.1177/0969733020922893