TY - JOUR
T1 - Predicting Racial and Ethnic Disparities in Advance Care Planning Using the Integrated Behavioral Model
AU - McAfee, Colette A.
AU - Jordan, Timothy R.
AU - Sheu, Jiunn Jye (J J.).
AU - Dake, Joseph A.
AU - Kopp Miller, Barbara A.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Tridia Hospice of Dayton, Ohio provided partial funding for this study.
Publisher Copyright:
© The Author(s) 2017.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - 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.
AB - 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.
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U2 - 10.1177/0030222817691286
DO - 10.1177/0030222817691286
M3 - Article
AN - SCOPUS:85059309691
SN - 0030-2228
VL - 78
SP - 369
EP - 389
JO - Omega: Journal of Death and Dying
JF - Omega: Journal of Death and Dying
IS - 4
ER -