Efficacy of a Church-Based, Culturally Tailored Program to Promote Completion of Advance Directives Among Asian Americans.
Having an Advance Directive (AD) can help to guide medical decision-making. Asian Americans (AA) are less likely than White Americans to complete an AD. This pilot study investigated the feasibility and efficacy of a church-based intervention to increase knowledge and behavior change related to AD among Chinese and Vietnamese Americans. This study utilized a single group pre- and post-intervention design with 174 participants from 4 churches. Domain assessed: demographics; AD-related knowledge, beliefs, attitudes, and intentions; AD completion; and conversations with a healthcare proxy. Data were analyzed using Chi square and multiple logistic regression techniques. We observed significant increases in participants' AD-related knowledge, intentions, and a gain in supportive beliefs and attitudes about AD, resulting in 71.8 % AD completion, and 25.0 % having had a proxy conversation. Providing culturally-tailored intervention and step-by-step guidance can help to achieve significant changes in AD related knowledge and behavior in AA church goers.
Chinese Community Health Resource Center, 728 Pacific Avenue Suite 115, San Francisco, CA, 94133, USA. angelas@chasf.org.
Angela
A
Sun
Department of Family and Community Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA.
Quynh
Q
Bui
Department of Psychiatry, University of California San Francisco School of Medicine, San Francisco, CA, USA.
Janice Y
JY
Tsoh
Division of General Internal Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA.
Ginny
G
Gildengorin
Department of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Joanne
J
Chan
Chinese Community Health Resource Center, 728 Pacific Avenue Suite 115, San Francisco, CA, 94133, USA.
Joyce
J
Cheng
Division of General Internal Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA.
Ky
K
Lai
Division of General Internal Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA.
Stephen
S
McPhee
Division of General Internal Medicine, University of California San Francisco School of Medicine, San Francisco, CA, USA.
Tung
T
Nguyen
D016223:Advance Directives / Q000208:ethnology*; D000368:Aged; D001213:Asian; D002681:China / Q000208:ethnology; D002835:Christianity; D054521:Cultural Competency; D054242:Emigrants and Immigrants; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D033182:Intention; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology; D014744:Vietnam / Q000208:ethnology
Advance Directives; Advance health care planning; Asian Americans; Church-based; Culturally tailored