Advance Care Planning for Older Australians Living in the Community: The Impact of a Group Education Session

SAGE Open

Liz Crowe¹ 

关键词: advance care planning;    advance health directive;    education;    aged care;    knowledge;    attitudes;   

DOI  :  10.1177/2158244015593117

学科分类：社会科学、人文和艺术（综合）

来源: Sage Journals

【 摘 要 】

To evaluate the impact of advance care planning (ACP) education with people aged ≥60 years living in the community. The interactive workshop explored all aspects of ACP—legal, emotional, physical, spiritual, role of significant others—and allowed reflection time, questions, and group discussion. Evaluation of knowledge and attitudes toward ACP were completed pre- and post-training. Readiness-to-change and feedback about the workshop quality were collected post-training. Eleven workshops were delivered in Queensland (132 matched pre- and post-questionnaires compared for analysis). Participant’s ACP knowledge and confidence increased significantly (12/13 statements, p<0.05) alongside some shift in attitudes (4/12 statements, p<0.05) after training. Participants were engaged and rated the workshop positively. Single ACP workshops are an effective intervention for healthy older people in the community. Training should focus on demystifying legislation and documentation, the importance of planning and communicating wishes while still healthy, and the need to regularly review and update plans. Follow-up is required to assess translation of education into ACP action.

【 授权许可】

CC BY