Associations of health literacy, personality traits, and pro-individualism with the willingness to complete advance directives in Taiwan.
BMC Palliat Care
; 22(1): 91, 2023 Jul 10.
Article
em En
| MEDLINE
| ID: mdl-37424005
ABSTRACT
BACKGROUND:
Studies indicated that patients with advance directives (ADs) have a generally better quality of life near death. Yet, the concept of ADs is relatively new in East Asian countries. This study examined the associations between health literacy, pro-individualism in end-of-life (EOL) decisions (i.e., EOL pro-individualism), and master-persistence personality traits with the willingness to complete ADs.METHODS:
The data is from a representative data of 1478 respondents from the 2022 Taiwan Social Change Survey. Generalized structural equation modeling (GSEM) was used to conduct path analysis.RESULTS:
Nearly half of the respondents (48.7%) were willing to complete ADs. Health literacy has direct and indirect effects through EOL pro-individualism values on the willingness to complete ADs. Noncognitive factors such as mastery-persistence personality traits and EOL pro-individualism values enhanced the willingness to complete ADs.CONCLUSION:
A personalized communication strategy, mindful of personality dimensions and cultural values, can address individual fears and concerns, promoting the benefits of advance care planning (ACP). These influences can provide a roadmap for healthcare providers to customize their approach to ACP discussions, improving patient engagement in AD completion.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Assistência Terminal
/
Planejamento Antecipado de Cuidados
/
Letramento em Saúde
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Taiwan