Efficacy of a Church-Based, Culturally Tailored Program to Promote Completion of Advance Directives Among Asian Americans

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書誌詳細
出版年:	Journal of Immigrant and Minority Health vol. 19, no. 2 (Apr 2017), p. 381
第一著者:	Sun, Angela
その他の著者:	Bui, Quynh, Tsoh, Janice Y, Gildengorin, Ginny, Chan, Joanne, Cheng, Joyce, Lai, Ky, Mcphee, Stephen, Nguyen, Tung
出版事項:	Springer Nature B.V.
主題:	United States > US Studies Health care Church based Asian American people Efficacy Feasibility Attitudes Guidance Decision making Advance directives Asian Americans Religion Demographics Feasibility studies Data processing Demography Regression analysis Churches Intervention Minority & ethnic groups Chi-square test Behavior change Pilot projects Medical personnel Endorsements Medicine Religious organizations Death & dying Behavior modification Knowledge Health services Medical decision making Conversation Departments Health Promotion Health Personnel Medical Services English Focus Groups Medical Schools Behavioral Sciences Beliefs Ethnic Groups Leaders Internal Medicine Statistical Data Statistical Analysis Social
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その他の書誌記述
抄録:	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.
ISSN:	1557-1912 1557-1920 1096-4045
DOI:	10.1007/s10903-016-0365-7
ソース:	ABI/INFORM Global