תמונות העטיפה

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

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הוצא לאור ב:Journal of Immigrant and Minority Health vol. 19, no. 2 (Apr 2017), p. 381
מחבר ראשי: Sun, Angela
מחברים אחרים: Bui, Quynh, Tsoh, Janice Y, Gildengorin, Ginny, Chan, Joanne, Cheng, Joyce, Lai, Ky, Mcphee, Stephen, Nguyen, Tung
יצא לאור:
Springer Nature B.V.
נושאים:
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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Resumen: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
Fuente:ABI/INFORM Global