Abstract
This study examined navigational barriers to advance care planning (ACP) and advance directive (AD) completion among older Latinos with chronic illness. Older Latinos over the age of 50 were randomized to education only versus education plus counseling (N=61; education only n=31, education/counseling n=30). Exploratory factor analyses and logistic regression show relationships between navigational barriers, depression, anxiety and AD documentation. Barriers to ACP included difficulty understanding the doctor, fears about hearing bad news, worries about illness getting worse, and difficulties due to language, family conflict, and limited family discussions about dying. Treatment group was most significant contributing factor to AD completion (OR=4.213, CI=1.126 – 15.760, p=<.01). Findings indicate the importance of examining a variety of factors that could influence AD documentation. This study contributes to the literature by identifying the need for targeted and culturally relevant interventions that promote ACP education, counseling, communication, support, and AD documentation among older Latinos.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.