Ko Eunjeong, Hohman Melinda, Lee Jaehoon, Ngo Ai-Nhat, Woodruff Susan I
School of Social Work, San Diego State University, San Diego, CA, USA
School of Social Work, San Diego State University, San Diego, CA, USA.
Am J Hosp Palliat Care. 2016 Nov;33(9):834-842. doi: 10.1177/1049909115593736. Epub 2015 Jul 2.
This 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).
One group pretest-posttest design was implemented with 30 low-income older adults.
This 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.
Health care professionals and service providers who interact with older adults should tailor ACP dialogues in accordance with individuals' motivation.
本试点研究探讨了一种针对不同阶段、结合教育的动机性访谈干预措施的可行性和可接受性，该干预措施侧重于临终（EOL）沟通的改变、预先指示（ADs）的完成以及预先护理计划（ACP）的准备情况。
对30名低收入老年人实施单组前后测设计。
本试点研究表明其在增强ACP方面具有可行性。ACP行动（即确定决策代理人并在AD中记录EOL治疗偏好）显著增加了23.3%（n = 7）。干预后，参与者对ACP的准备情况、知识、自我效能、积极态度以及对ACP的感知重要性均显著提高。
与老年人互动的医疗保健专业人员和服务提供者应根据个人动机调整ACP对话。
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