Conducting an advance care planning group among older adults living in residential care homes: An initiative of social workers in Hong Kong
This study aimed to examine the effects of an advance care planning (ACP) group which was developed by social workers in Hong Kong for older adults. A quasi‐experimental study was conducted. Participants were recruited from 14 residential care homes. The ACP intervention group included 59 participan...
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Veröffentlicht in: | Health & social care in the community 2021-11, Vol.29 (6), p.1960-1970 |
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container_title | Health & social care in the community |
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creator | Chan, Wallace Chi Ho Yu, Tsz Kiu |
description | This study aimed to examine the effects of an advance care planning (ACP) group which was developed by social workers in Hong Kong for older adults. A quasi‐experimental study was conducted. Participants were recruited from 14 residential care homes. The ACP intervention group included 59 participants for analyses, and the control group 58. Three major outcomes were measured at two time points: (a) Quality‐of‐life concerns, (b) End‐of‐life preference and (c) Advance directive (AD)‐related outcomes (awareness of AD, AD completion, willingness to complete AD and communication with family members about AD). Findings indicate that the ACP group enhanced participants’ awareness of AD compared with the control group. Participants were also more willing to complete AD, and more participants communicated with family members about AD after participating in the ACP group. No significant difference was found in other outcomes. This study demonstrates the efforts of social workers in promoting ACP in Hong Kong and the effectiveness of an ACP group for enhancing older adults’ awareness of AD. Findings support the role of social workers in promoting ACP for deprived groups, like frail older adults. The ACP group could be considered a first step in enhancing older adults’ awareness of and willingness to discuss end‐of‐life issues. Further follow‐up is required to develop individualised ACP for older adults. |
doi_str_mv | 10.1111/hsc.13310 |
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A quasi‐experimental study was conducted. Participants were recruited from 14 residential care homes. The ACP intervention group included 59 participants for analyses, and the control group 58. Three major outcomes were measured at two time points: (a) Quality‐of‐life concerns, (b) End‐of‐life preference and (c) Advance directive (AD)‐related outcomes (awareness of AD, AD completion, willingness to complete AD and communication with family members about AD). Findings indicate that the ACP group enhanced participants’ awareness of AD compared with the control group. Participants were also more willing to complete AD, and more participants communicated with family members about AD after participating in the ACP group. No significant difference was found in other outcomes. This study demonstrates the efforts of social workers in promoting ACP in Hong Kong and the effectiveness of an ACP group for enhancing older adults’ awareness of AD. Findings support the role of social workers in promoting ACP for deprived groups, like frail older adults. The ACP group could be considered a first step in enhancing older adults’ awareness of and willingness to discuss end‐of‐life issues. Further follow‐up is required to develop individualised ACP for older adults.</description><identifier>ISSN: 0966-0410</identifier><identifier>EISSN: 1365-2524</identifier><identifier>DOI: 10.1111/hsc.13310</identifier><identifier>PMID: 33560570</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>advance care planning ; Advance directives ; Care plans ; Communication ; Consciousness ; end‐of‐life care ; Families & family life ; Frail ; Older people ; practice in social work ; Quasi-experimental methods ; Relatives ; Residential care ; Residential institutions ; social work in health care ; Social workers ; Willingness</subject><ispartof>Health & social care in the community, 2021-11, Vol.29 (6), p.1960-1970</ispartof><rights>2021 John Wiley & Sons Ltd</rights><rights>2021 John Wiley & Sons Ltd.</rights><rights>Copyright © 2021 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3880-52107f4726bab74084c6a6445f935ccd3f372c7f8013917b37efe1e5aa39d2a3</citedby><cites>FETCH-LOGICAL-c3880-52107f4726bab74084c6a6445f935ccd3f372c7f8013917b37efe1e5aa39d2a3</cites><orcidid>0000-0002-1006-7343</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fhsc.13310$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhsc.13310$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,778,782,1414,27911,27912,30986,33761,45561,45562</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33560570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chan, Wallace Chi Ho</creatorcontrib><creatorcontrib>Yu, Tsz Kiu</creatorcontrib><title>Conducting an advance care planning group among older adults living in residential care homes: An initiative of social workers in Hong Kong</title><title>Health & social care in the community</title><addtitle>Health Soc Care Community</addtitle><description>This study aimed to examine the effects of an advance care planning (ACP) group which was developed by social workers in Hong Kong for older adults. A quasi‐experimental study was conducted. Participants were recruited from 14 residential care homes. The ACP intervention group included 59 participants for analyses, and the control group 58. Three major outcomes were measured at two time points: (a) Quality‐of‐life concerns, (b) End‐of‐life preference and (c) Advance directive (AD)‐related outcomes (awareness of AD, AD completion, willingness to complete AD and communication with family members about AD). Findings indicate that the ACP group enhanced participants’ awareness of AD compared with the control group. Participants were also more willing to complete AD, and more participants communicated with family members about AD after participating in the ACP group. No significant difference was found in other outcomes. This study demonstrates the efforts of social workers in promoting ACP in Hong Kong and the effectiveness of an ACP group for enhancing older adults’ awareness of AD. Findings support the role of social workers in promoting ACP for deprived groups, like frail older adults. The ACP group could be considered a first step in enhancing older adults’ awareness of and willingness to discuss end‐of‐life issues. Further follow‐up is required to develop individualised ACP for older adults.</description><subject>advance care planning</subject><subject>Advance directives</subject><subject>Care plans</subject><subject>Communication</subject><subject>Consciousness</subject><subject>end‐of‐life care</subject><subject>Families & family life</subject><subject>Frail</subject><subject>Older people</subject><subject>practice in social work</subject><subject>Quasi-experimental methods</subject><subject>Relatives</subject><subject>Residential care</subject><subject>Residential institutions</subject><subject>social work in health care</subject><subject>Social workers</subject><subject>Willingness</subject><issn>0966-0410</issn><issn>1365-2524</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNp1kc1O3DAUha2KqgzQRV-gssQGFmH8GyfdoVHbqRipC9hbHucGDIk9tZNBPENfGqeBLpDwwr7y-e6Rrw9CXyi5oHkt75K9oJxT8gEtKC9lwSQTB2hB6rIsiKDkEB2ldE8I5YyoT-iQc1kSqcgC_V0F34x2cP4WG49NszfeArYmAt51xvtJuI1h3GHTh1yHroGYubEbEu7cftKdxxGSa8APznRz813oIX3Dlz6rLl8Pbg84tDgFOzGPIT5ATFPrerK9ytsJ-tiaLsHnl_MY3fz4frNaF5vfP3-tLjeF5VVFCskoUa1QrNyarRKkErY0pRCyrbm0tuEtV8yqtsrj1lRtuYIWKEhjeN0ww4_R2Wy7i-HPCGnQvUsWujwthDFpJiqlhOB1ldHTN-h9GKPPj9NMVjT_r6AiU-czZWNIKUKrd9H1Jj5pSvQUkM4B6X8BZfbri-O47aH5T74mkoHlDDy6Dp7ed9Lr69Vs-Qzl6Zo8</recordid><startdate>202111</startdate><enddate>202111</enddate><creator>Chan, Wallace Chi Ho</creator><creator>Yu, Tsz Kiu</creator><general>Hindawi Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7U3</scope><scope>ASE</scope><scope>BHHNA</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-1006-7343</orcidid></search><sort><creationdate>202111</creationdate><title>Conducting an advance care planning group among older adults living in residential care homes: An initiative of social workers in Hong Kong</title><author>Chan, Wallace Chi Ho ; Yu, Tsz Kiu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3880-52107f4726bab74084c6a6445f935ccd3f372c7f8013917b37efe1e5aa39d2a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>advance care planning</topic><topic>Advance directives</topic><topic>Care plans</topic><topic>Communication</topic><topic>Consciousness</topic><topic>end‐of‐life care</topic><topic>Families & family life</topic><topic>Frail</topic><topic>Older people</topic><topic>practice in social work</topic><topic>Quasi-experimental methods</topic><topic>Relatives</topic><topic>Residential care</topic><topic>Residential institutions</topic><topic>social work in health care</topic><topic>Social workers</topic><topic>Willingness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chan, Wallace Chi Ho</creatorcontrib><creatorcontrib>Yu, Tsz Kiu</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Social Services Abstracts</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Health & social care in the community</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chan, Wallace Chi Ho</au><au>Yu, Tsz Kiu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Conducting an advance care planning group among older adults living in residential care homes: An initiative of social workers in Hong Kong</atitle><jtitle>Health & social care in the community</jtitle><addtitle>Health Soc Care Community</addtitle><date>2021-11</date><risdate>2021</risdate><volume>29</volume><issue>6</issue><spage>1960</spage><epage>1970</epage><pages>1960-1970</pages><issn>0966-0410</issn><eissn>1365-2524</eissn><abstract>This study aimed to examine the effects of an advance care planning (ACP) group which was developed by social workers in Hong Kong for older adults. A quasi‐experimental study was conducted. Participants were recruited from 14 residential care homes. The ACP intervention group included 59 participants for analyses, and the control group 58. Three major outcomes were measured at two time points: (a) Quality‐of‐life concerns, (b) End‐of‐life preference and (c) Advance directive (AD)‐related outcomes (awareness of AD, AD completion, willingness to complete AD and communication with family members about AD). Findings indicate that the ACP group enhanced participants’ awareness of AD compared with the control group. Participants were also more willing to complete AD, and more participants communicated with family members about AD after participating in the ACP group. No significant difference was found in other outcomes. This study demonstrates the efforts of social workers in promoting ACP in Hong Kong and the effectiveness of an ACP group for enhancing older adults’ awareness of AD. Findings support the role of social workers in promoting ACP for deprived groups, like frail older adults. The ACP group could be considered a first step in enhancing older adults’ awareness of and willingness to discuss end‐of‐life issues. Further follow‐up is required to develop individualised ACP for older adults.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>33560570</pmid><doi>10.1111/hsc.13310</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-1006-7343</orcidid><oa>free_for_read</oa></addata></record> |
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source | Wiley Online Library Journals Frontfile Complete; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA) |
subjects | advance care planning Advance directives Care plans Communication Consciousness end‐of‐life care Families & family life Frail Older people practice in social work Quasi-experimental methods Relatives Residential care Residential institutions social work in health care Social workers Willingness |
title | Conducting an advance care planning group among older adults living in residential care homes: An initiative of social workers in Hong Kong |
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