Efficacy of a Church-Based,Culturally Tailored Program to Promote Completion of Advance Directives Among Asian Americans |
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| Authors: | Angela Sun Quynh Bui Janice Y. Tsoh Ginny Gildengorin Joanne Chan Joyce Cheng Ky Lai Stephen McPhee Tung Nguyen |
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| Affiliation: | 1.Chinese Community Health Resource Center,San Francisco,USA;2.Department of Family and Community Medicine,University of California San Francisco School of Medicine,San Francisco,USA;3.Department of Psychiatry,University of California San Francisco School of Medicine,San Francisco,USA;4.Division of General Internal Medicine,University of California San Francisco School of Medicine,San Francisco,USA;5.Department of Social and Behavioral Sciences,Harvard T.H. Chan School of Public Health,Boston,USA |
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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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