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
Hauptverfasser: Chan, Wallace Chi Ho, Yu, Tsz Kiu
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container_end_page 1970
container_issue 6
container_start_page 1960
container_title Health & social care in the community
container_volume 29
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.
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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. 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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. 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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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