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

doi:10.1177/1049909115593736

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

Education EPLC

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15 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 language	English
Pages (from-to)	834-842
Number of pages	9
Journal	American Journal of Hospice and Palliative Medicine
Volume	33
Issue number	9
DOIs	https://doi.org/10.1177/1049909115593736
State	Published - Nov 1 2016

Keywords

acceptability
advance care planning
feasibility
low income
motivational interviewing
older adults

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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{\textquoteright} 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{\textquoteright} motivation.",

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AU - Hohman, Melinda

AU - Lee, Jaehoon

AU - Ngo, Ai Nhat

AU - Woodruff, Susan I.

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

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