Predicting Racial and Ethnic Disparities in Advance Care Planning Using the Integrated Behavioral Model

Colette A. McAfee, Timothy R. Jordan, Jiunn Jye (J J.). Sheu, Joseph A. Dake, Barbara A. Kopp Miller

研究成果: Article同行評審

17 引文 斯高帕斯(Scopus)

摘要

Purpose: To explain and predict racial or ethnic disparities in advance care planning (ACP) behaviors among American adults by using the Integrated Behavioral Model (IBM) and the Precaution Adoption Process Model. Methods: A randomized, observational, nonexperimental, cross-sectional study design was used to survey American adults between 40 and 80 years of age (n = 386). Results: The majority of respondents (75%) had not completed ACP. Significant differences were found by race or ethnicity: 33% of Whites had completed ACP versus Hispanics (18%) and Blacks (8%). Whites had statistically significantly higher levels of most IBM constructs compared with Blacks and Hispanics. The IBM predicted 28% of the variance in behavioral intention. After controlling for sociodemographic variables, direct attitudes, indirect attitudes, and indirect perceived norms were significant predictors of behavioral intention. Conclusion: The IBM and the Precaution Adoption Process Model are useful frameworks for interventions designed to increase ACP among racial or ethnic minorities in the United States.

原文English
頁(從 - 到)369-389
頁數21
期刊Omega: Journal of Death and Dying
78
發行號4
DOIs
出版狀態Published - 2019 三月 1

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Critical Care and Intensive Care Medicine
  • Life-span and Life-course Studies

指紋 深入研究「Predicting Racial and Ethnic Disparities in Advance Care Planning Using the Integrated Behavioral Model」主題。共同形成了獨特的指紋。

引用此