Assessing Barriers to Advance Care Planning Engagement among Young Adults Using the Precaution Adoption Process Model

Q2 Social Sciences Illness Crisis and Loss Pub Date : 2022-11-15 DOI:10.1177/10541373221138811
Colette A. McAfee, Derek Cegelka, Victoria R. Wagner-Greene
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Abstract

Assess the stage of readiness and barriers to ACP engagement among young adults in the United States utilizing the Precaution Adoption Process Model (PAPM). A cross-sectional survey design was utilized to survey U.S. adults aged 18–35 through an online marketplace workforce (N = 414). Most (94.7%) had not engaged in comprehensive ACP. Young adults aged 18–29 reported higher perceived barriers scores to complete ACP than those aged 30–35. The perceived barriers score was significantly associated with stage of readiness for ACP ( p = .004); those who were unaware (stage 1) or did not want to engage in ACP (stage 4) reported more barriers to ACP engagement. The PAPM is a useful framework for assessing barriers and tailoring programs for ACP engagement. Future research should further assess barriers for young adults to engage in ACP, particularly relating to stages of readiness.
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使用预防收养过程模型评估阻碍年轻人参与护理计划的障碍
利用预防采用过程模型(PAPM)评估美国年轻人参与ACP的准备阶段和障碍。采用横断面调查设计,通过在线市场劳动力对18-35岁的美国成年人进行调查(N = 414)。大多数(94.7%)未进行全面ACP。18-29岁的年轻人在完成ACP时的感知障碍得分高于30-35岁的年轻人。感知障碍得分与ACP准备阶段显著相关(p = 0.004);那些不知道(阶段1)或不想参与ACP(阶段4)的人在参与ACP方面遇到了更多障碍。PAPM是评估障碍和调整ACP参与计划的有用框架。未来的研究应进一步评估年轻人参与ACP的障碍,特别是与准备阶段有关的障碍。
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来源期刊
Illness Crisis and Loss
Illness Crisis and Loss Social Sciences-Sociology and Political Science
CiteScore
1.80
自引率
0.00%
发文量
28
期刊介绍: When dealing with issues of grief, crisis, or loss as a counselor, medical professional, or researcher, it can be difficult to find resources to help you in your work. Receiving the most current research on the latest topics in the field from Illness, Crisis & Loss can help. Illness, Crisis & Loss is the resource that furthers your understanding and knowledge of the psychosocial and ethical issues associated with life-threatening illness, traumatic human crises, grief, and loss.
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