title: Feasibility and Acceptability of a Brief Motivational Stage-Tailored Intervention to Advance Care Planning: A Pilot Study.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Health care professionals and service providers who interact with older adults should tailor ACP dialogues in accordance with individuals' motivation.
authors.affiliation: School of Social Work, San Diego State University, San Diego, CA, USA eko@mail.sdsu.edu.
authors.forename: Eunjeong
authors.initials: E
authors.lastname: Ko
authors.affiliation: School of Social Work, San Diego State University, San Diego, CA, USA.
authors.forename: Melinda
authors.initials: M
authors.lastname: Hohman
authors.affiliation: Institute for Measurement, Methodology, Analysis and Policy, Texas Tech University, Lubbock, TX, USA.
authors.forename: Jaehoon
authors.initials: J
authors.lastname: Lee
authors.affiliation: UPAC Positive Solutions, San Diego, CA, USA.
authors.forename: Ai-Nhat
authors.initials: AN
authors.lastname: Ngo
authors.affiliation: School of Social Work, San Diego State University, San Diego, CA, USA.
authors.forename: Susan I
authors.initials: SI
authors.lastname: Woodruff
mesh_terms: D032722:Advance Care Planning / Q000458:organization & administration*; D016223:Advance Directives; D000368:Aged; D003142:Communication; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D062405:Motivational Interviewing / Q000379:methods*; D010865:Pilot Projects; D020377:Self Efficacy; D012959:Socioeconomic Factors
keywords: acceptability; advance care planning; feasibility; low income; motivational interviewing; older adults