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Factors associated with facilitating advance care planning based on the theory of planned behaviour
- Source :
- Japanese Journal of Clinical Oncology. 51:942-949
- Publication Year :
- 2021
- Publisher :
- Oxford University Press (OUP), 2021.
-
Abstract
- Background In Japan, educational support for advance care planning is still limited, and the factors facilitating advance care planning practice have not been identified. The aim of this study is to identify the factors associated with advance care planning practice in Japan using the theory of planned behaviour. Methods We conducted a cross-sectional study through a nationwide online questionnaire survey with 446 Japanese residents aged 20 years and older. After categorizing participants into two groups based on who performed advance care planning, comparisons were made (univariate analysis) regarding attitudes towards advance care planning, willingness to perform advance care planning, subjective norms, sense of control in performing advance care planning, presence of and relationship with a family doctor, experience of seeing or using a ventilator, and degree of self-determination (Autonomy Preference Index) as well as sociodemographic data. In addition, a logistic regression analysis was performed using the factors with significant differences in the univariate analysis as independent variables and the existence of the implementation of advance care planning as a dependent variable. Results The group with advance care planning consisted of 106 participants (23.8%), and the group without advance care planning comprised 340 participants (76.2%). Through logistic regression analysis, age (odds ratio: 1.020), subjective norms (odds ratio: 3.276) and experience with mechanical ventilation (odds ratio: 1.997) were extracted as significant factors influencing advance care planning implementation. Conclusions Advance care planning may be facilitated by providing support not only to the patients but also to their family members to be positively disposed towards advance care planning and by offering comprehensive education regarding using a ventilator.
- Subjects :
- Male
Advance care planning
Cancer Research
medicine.medical_specialty
media_common.quotation_subject
Health Behavior
Computer-assisted web interviewing
Logistic regression
Advance Care Planning
03 medical and health sciences
0302 clinical medicine
030502 gerontology
Humans
Medicine
Radiology, Nuclear Medicine and imaging
030212 general & internal medicine
media_common
Univariate analysis
Variables
business.industry
Theory of planned behavior
General Medicine
Odds ratio
Middle Aged
Death
Cross-Sectional Studies
Attitude
Oncology
Family medicine
Female
0305 other medical science
business
Autonomy
Subjects
Details
- ISSN :
- 14653621
- Volume :
- 51
- Database :
- OpenAIRE
- Journal :
- Japanese Journal of Clinical Oncology
- Accession number :
- edsair.doi.dedup.....dc0864b0ab5946851e00370469be89df