Feasibility and Acceptability of a Brief Motivational Stage-Tailored Intervention to Advance Care Planning: A Pilot Study

Eunjeong Ko, Melinda Hohman, Jaehoon Lee, Ai Nhat Ngo, Susan I. Woodruff

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Aim: This pilot study explored the feasibility and acceptability of a stage-tailored motivational interviewing intervention with education that focuses on changes in end-of-life (EOL) communication, completion of advance directives (ADs), and readiness for advance care planning (ACP). Methods: One group pretest–posttest design was implemented with 30 low-income older adults. Results: This pilot study showed its feasibility in enhancing ACP. Action for ACP—that is, identifying a proxy for decision making and documenting EOL treatment preference in an AD—increased significantly by 23.3% (n = 7). The participants’ readiness for ACP, knowledge, self-efficacy, positive attitudes, and perceived importance of ACP increased significantly after the intervention. Conclusion: Health care professionals and service providers who interact with older adults should tailor ACP dialogues in accordance with individuals’ motivation.

Original languageEnglish
Pages (from-to)834-842
Number of pages9
JournalAmerican Journal of Hospice and Palliative Medicine
Volume33
Issue number9
DOIs
StatePublished - Nov 1 2016

Keywords

  • acceptability
  • advance care planning
  • feasibility
  • low income
  • motivational interviewing
  • older adults

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