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J Immigr Minor Health. 2017 Apr;19(2):381-391. doi: 10.1007/s10903-016-0365-7.

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

Author information

1
Chinese Community Health Resource Center, 728 Pacific Avenue Suite 115, San Francisco, CA, 94133, USA. angelas@chasf.org.
2
Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA.
3
Department of Psychiatry, University of California San Francisco School of Medicine, San Francisco, CA, USA.
4
Division of General Internal Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA.
5
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
6
Chinese Community Health Resource Center, 728 Pacific Avenue Suite 115, San Francisco, CA, 94133, USA.

Abstract

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.

KEYWORDS:

Advance Directives; Advance health care planning; Asian Americans; Church-based; Culturally tailored

PMID:
27103618
PMCID:
PMC5074907
DOI:
10.1007/s10903-016-0365-7
[Indexed for MEDLINE]
Free PMC Article

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