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Published in: Journal of Immigrant and Minority Health 2/2017

01-04-2017 | Original Paper

Efficacy of a Church-Based, Culturally Tailored Program to Promote Completion of Advance Directives Among Asian Americans

Authors: Angela Sun, Quynh Bui, Janice Y. Tsoh, Ginny Gildengorin, Joanne Chan, Joyce Cheng, Ky Lai, Stephen McPhee, Tung Nguyen

Published in: Journal of Immigrant and Minority Health | Issue 2/2017

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Abstract

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.
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Metadata
Title
Efficacy of a Church-Based, Culturally Tailored Program to Promote Completion of Advance Directives Among Asian Americans
Authors
Angela Sun
Quynh Bui
Janice Y. Tsoh
Ginny Gildengorin
Joanne Chan
Joyce Cheng
Ky Lai
Stephen McPhee
Tung Nguyen
Publication date
01-04-2017
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2017
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-016-0365-7

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