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Please use this identifier to cite or link to this item:
http://ir.nhri.org.tw/handle/3990099045/16445
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| Title: | Association between current medical decision-making participation self-efficacy and advance care planning engagement among older adults: baseline findings from a nationwide longitudinal cohort study |
| Authors: | Lin, CP;Liao, JY;Huang, CH;Cheng, SY;Tseng, WZ;Mori, M;Chang, HC;Li, CM;Sun, WJ;Wu, CY;Chiou, HY;Yu, SJ;Hsiung, CA;Chen, PJ;investigators, H |
| Contributors: | National Center for Geriatrics and Welfare Research;Institute of Population Health Sciences |
| Abstract: | Background and Objectives: Misconceptions of and cultural differences in aging influence older adults' medical decision-making self-efficacy and engagement in advance care planning (ACP). This study aims to investigate the association between current medical decision-making participation self-efficacy and ACP engagement among older individuals receiving home-based medical care (HBMC) in Taiwan.Design: Baseline data analysis of a nationwide cohort study.Setting and Participants: Patients aged >= 50 years who had been consistently receiving HBMC for > two months between November 2019 and December 2022 were recruited. Study recruitment took place at six hospitals and 12 community home care institutions.Measurement and Analysis: A structured questionnaire was used to collect data on sociodemographic characteristics, decision-making participation self-efficacy, and ACP engagement. Descriptive, stratified, and multivariate logistic regression analyses were performed.Results: In total, 408 HBMC recipients were enrolled (average age: 80.4 years; 55% women). The respondents reported moderate decision-making participation self-efficacy but low ACP engagement. In light of the transtheoretical model of behavior change, participants with moderate or high self-efficacy had a significantly higher chance of reaching the "contemplation stage" for ACP decisions (odds ratio or OR 4.06-27.13). Participants were more likely to reach the "preparation and action stages" for ACP decisions only when they had high self-efficacy (OR 2.76-14.73).Conclusions: Although participants with better current medical decision-making self-efficacy were more likely to contemplate ACP, many did not take action beyond appointing a medical surrogate(s). Strategies to enhance decisional self-efficacy, thereby increasing timely ACP discussions among older adults in home settings in Chinese culture, are warranted. Trial registration number: ClinicalTrials.gov Identifier is NCT04250103 which has been registered on 31st January 2020. |
| Date: | 2024-12-05 |
| Relation: | Journal of Palliative Medicine. 2024 Dec 05;Article in Press. |
| Link to: | http://dx.doi.org/10.1089/jpm.2024.0106 |
| JIF/Ranking 2023: | http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=&DestApp=IC2JCR |
| Cited Times(WOS): | https://www.webofscience.com/wos/woscc/full-record/WOS:001370475400001 |
| Cited Times(Scopus): | https://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85211967733 |
| Appears in Collections: | [其他] 期刊論文
[熊昭] 期刊論文
[邱弘毅] 期刊論文
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