Department of Family Medicine and Chronic Care, Vrije Universiteit Brussel, Brussels, Belgium.
Academic Center for General Practice KU Leuven, Leuven, Belgium.
Patient Educ Couns. 2023 Aug;113:107794. doi: 10.1016/j.pec.2023.107794. Epub 2023 May 13.
To explore advance care planning (ACP)-related knowledge, experience, views, facilitators and barriers among older Moroccan adults in Belgium.
General practitioners (GPs) recruited participants for semi-structured interviews. Data were analysed using the constant comparative method.
The 25 interviewees (average age, 74 years) lacked ACP knowledge and had not discussed it with healthcare professionals. After a brief explanation, most interviewees did not find ACP useful. After more explanation with a specific example, they had fewer religious objections and were more willing to have discussions with their GPs and/or relatives. ACP barriers were a lack of knowledge, current good health, potential harm of talking about death, trust in one's children to make care decisions and fear of worrying one's children. Facilitators were GPs' information provision, children's involvement in ACP discussions and the desire to not depend on children.
Many older Moroccan adults lacked familiarity, but were willing to discuss ACP after receiving understandable concrete information. GPs should facilitate ACP discussions for these patients, ideally with adult children involved, with consideration of barriers, individual preferences and generally low educational levels.
GPs should provide comprehensible ACP information with case examples and consider potential barriers and facilitators in this group.
探索比利时老年摩洛哥成年人在预先医疗照护计划（ACP）方面的知识、经验、观点、促进因素和障碍。
全科医生（GP）招募参与者进行半结构化访谈。使用恒定性比较方法对数据进行分析。
25 名受访者（平均年龄 74 岁）缺乏 ACP 知识，也没有与医疗保健专业人员讨论过。在简要解释后，大多数受访者认为 ACP 没有用。经过更详细的解释和具体例子，他们的宗教反对意见减少，更愿意与他们的 GP 和/或亲属进行讨论。ACP 障碍包括缺乏知识、目前健康状况良好、谈论死亡的潜在危害、对子女做出护理决策的信任以及担心子女的担忧。促进因素包括 GP 提供的信息、子女参与 ACP 讨论以及不依赖子女的愿望。
许多老年摩洛哥成年人对 ACP 不熟悉，但在接受易懂的具体信息后愿意讨论 ACP。GP 应为这些患者提供可理解的 ACP 信息，理想情况下，让成年子女参与，并考虑到障碍、个人偏好和普遍较低的教育水平。
GP 应为该群体提供通俗易懂的 ACP 信息，并结合具体案例，考虑潜在的障碍和促进因素。
