Abstract
End-of-life (EOL) decisions often involve multiple complex competing and conflicting values such as maximizing life span and avoiding pain. These conflicts, if unresolved, can act as a barrier to effective EOL planning. This research examines decisional conflict during a community-based educational intervention, Conflict and Advance Directives Education (CADE) and assessed the readiness to engage in EOL planning in minoritized communities. After university approval, existing community academic partners referred randomized individuals to a virtual, 3-hour research workshop intervention and instructed them to take the decisional conflict scale (DCS) and the advance care planning engagement (ACPE) surveys. Posttest data analysis evaluated the group differences between 5 DCS (Informed, Values Clarity, Support, Uncertainty, and Decision-making) and 2 ACPE factors (Self-Efficacy and Readiness) with SPSS t-test and chi-square test. Out of 60 individuals from diverse ethnicities, 54 participated with 27 per group. 62% were female, 46% with ages 25-34 years, 77% non-Hispanic, 66% had bachelor’s degree or higher, 64% held income > 45,000 USD, and 57% encountered some type of EOL conflict. Decisional conflict was frequent (4 of 5 factors) and comparable between groups. The participants’ groups were equally confident (self-efficacy) about their EOL decisions and only 38% felt ready to engage with a difference detected in providing flexibility and asking physician questions. Decisional conflict about EOL preparation was prevalent, and the majority of the studied population was not ready to engage in such discussions. CADE was successful at reaching underrepresented groups and capturing readiness for end-of-life planning.
Presenters
Marcia BrownProject Manager , Family, Youth, & Community Sciences, University of Florida, Florida, United States
Details
Presentation Type
Paper Presentation in a Themed Session
Theme
Health Promotion and Education
KEYWORDS
Decisional conflict, Advance care planning engagement, Advance directives, Education
