Presentation
Intention to discuss advance care planning among Korean Americans
21st International Association of Gerontology and Geriatrics (IASS) World Congress of Gerontology and Geriatrics
(2017)
Abstract
Despite a growing interest in end-of-life care, there is a dearth of research about advance care planning (ACP) among ethnic minorities. The purpose of this study was to examine intention of ACP among Korean Americans. Two specific objectives were: 1) to identify factors affecting intention of ACP and 2) test the Theory of Reasoned Action (TRA) in explaining intention of ACP. The TRA explains that subjective norms, attitudes toward behavior, and perceived behavioral control predict intentions and behaviors. Specifically, using a culturally expanded TRA model, direct effects of acculturation on attitudes, norms and perceived control; and direct effects of attitudes, norms, and perceived control on intention of ACP were hypothesized. Data was drawn from a cross-sectional survey with 226 Korean Americans. Multivariate regression analysis revealed that greater knowledge about Alzheimer’s and more positive attitudes and stronger subjective norms were associated with greater intention of ACP. The initial path model of a culturally expanded TRA model yielded a poor model fit. However, a revised path model produced an excellent model fit. In the revised model, direct effects of perceived control on attitudes and norms, and direct effects of attitudes and norms on intention were found. Perceived control had only an indirect effect on intention through attitudes and norms. Reluctance to seek medical assistance often found in Korean Americans may explain the direct effect of perceived control on attitudes and norms regarding ACP. The finding of the revised model suggests the importance of culturally sensitive approach to promote ACP among this population.
Disciplines
Publication Date
June 30, 2017
Location
San Francisco, CA
DOI
10.1093/geroni/igx004.467
Comments
SJSU users: use the following link to login and access the article via SJSU databases.
Citation Information
Michin Hong, Banghwa Lee Casado and Sang E. Lee. "Intention to discuss advance care planning among Korean Americans" 21st International Association of Gerontology and Geriatrics (IASS) World Congress of Gerontology and Geriatrics (2017) Available at: http://works.bepress.com/sang-lee/19/