Associations of health literacy, personality traits, and pro-individualism with the willingness to complete advance directives in Taiwan.

Autor: Chen DR; Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan. duan@ntu.edu.tw.; Population Health Research Center, College of Public Health, National Taiwan University, Taipei, Taiwan. duan@ntu.edu.tw., Weng HC; Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.; Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Jazyk: angličtina
Zdroj: BMC palliative care [BMC Palliat Care] 2023 Jul 10; Vol. 22 (1), pp. 91. Date of Electronic Publication: 2023 Jul 10.
DOI: 10.1186/s12904-023-01215-3
Abstrakt: 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.
(© 2023. The Author(s).)
Databáze: MEDLINE
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