Deciding to engage in advance care planning: A comparison of participants' experiences
Review TypeNone: Degree-based Submission
Repository Posting Date2020-02-20T16:30:38Z
Author(s)Vander Laan, Karen J.
Author DetailsDr. Karen J. Vander Laan, PhD, RN
Lead Author Sigma AffliationKappa Epsilon at-Large
Level of EvidenceQuasi-Experimental Study, Other
Research ApproachQuantitative Research
CINAHL HeadingsAdvance Care Planning; Decision Making, Patient; Health Education; Health Knowledge; Advance Care Planning--Education
Advance care planning (ACP) is a dynamic decision-making process that assists people to construct and communicate their preferences for end of life care. Two decades of research have shown that when preferences are not known, undesirable outcomes may occur for individuals and other surrogate decision-makers. Barriers to advance planning can be addressed through educational programs, especially through existing community-based groups. The purpose of this study was to examine internal and external influences within the decision-making context that may affect individuals' decisions to engage and re-engage in ACP. The Decision Process Model for Advance Care Planning provided the conceptual framework for this secondary analysis of data from a prospective quasi-experimental research project. Study participants were 147 adults from existing community groups in the Midwestern United States who attended an ACP educational program provided by certified ACP Facilitators. Participants completed pre- and post-program Participant Surveys, which included personal influences on decision (information, individual characteristics, values, and prior experiences) and the personal decision factor self-efficacy (ability and likelihood to engage in ACP conversations). Results of this study describe the prevalence and associations of personal influence and decision variables among participants. Statistically significant differences exist in most variables when participants with and without previous ACP experience are compared. After attending the ACP educational program, participants' perceptions of their knowledge, importance, ability, and likelihood to have ACP conversations were significantly increased. When participants with and without previous ACP experience were compared, the impact of the ACP program intervention remained significant in the areas of knowledge, ability, and likelihood. Understanding the prevalence and associations of internal personal variables and the impact of an external ACP intervention on these internal variables can help health care professionals target community-based educational interventions to promote ACP.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3282210; ProQuest document ID: 304850000. The author still retains copyright.
Degree GrantorMichigan State University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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