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

Humans Health Literacy Taiwan Quality of Life Advance Directives Advance Care Planning Personality Terminal Care
Advance directive Health literacy Noncognitive factors

Journal

BMC palliative care
ISSN: 1472-684X
Titre abrégé: BMC Palliat Care
Pays: England
ID NLM: 101088685

Informations de publication

Date de publication:
10 Jul 2023
Historique:
received: 03 02 2023
accepted: 27 06 2023
medline: 11 7 2023
pubmed: 10 7 2023
entrez: 9 7 2023
Statut: epublish

Résumé

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. 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. 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. 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.

Sections du résumé

BACKGROUND 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 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 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 CONCLUSIONS
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.

Identifiants

DOI: 10.1186/s12904-023-01215-3 PMID: 37424005 PMC: PMC10331998
pubmed: 37424005
doi: 10.1186/s12904-023-01215-3
pii: 10.1186/s12904-023-01215-3
pmc: PMC10331998
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

91

Subventions

Organisme : National Science Council
ID : NSC-2410-H-002-123-SS2

Informations de copyright

© 2023. The Author(s).

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Auteurs

Duan-Rung 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.

Hui-Ching 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.

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