Exploring Motivational Interviewing to Engage Latinos in Advance Care Planning: A Community-Based Social Work
Frances R Nedjat-Haiem1, Iraida V Carrion2, Krystyna Gonzalez3
11 School of Social Work, New Mexico State University, Las Cruces, NM, USA.
The American Journal of Hospice & Palliative Care
|March 23, 2018
Summary
Older Latinos engaged in advance care planning (ACP) counseling showed progress through stages of change, from precontemplation to maintenance. This highlights the effectiveness of motivational interviewing in encouraging end-of-life care discussions and advance directive completion.
Area of Science:
- Gerontology
- Public Health
- Health Communication
Background:
- Advance care planning (ACP) is often overlooked in medical settings, particularly for older Latino populations.
- Older Latinos with chronic diseases require accessible information to complete advance directives (AD) for end-of-life (EOL) care preferences.
Purpose of the Study:
- To explore the experiences of older Latinos with motivational interviewing (MI) counseling facilitated by social workers.
- To encourage ACP communication and advance directive completion among older Latino adults with chronic diseases.
- To describe the stages of readiness for end-of-life care planning.
Main Methods:
- A qualitative study was conducted with 32 older Latino participants in a community-based intervention in Southern New Mexico.
- Participants received ACP education and MI counseling to address resistance, focusing on dialogue, AD completion, provider/family communication, and actionable behavior.
- Thematic analysis and constant comparative method were used to analyze participant experiences and stages of change.
Main Results:
- Participants, predominantly women with varied educational backgrounds and long-term US residency, demonstrated progression through key stages of change.
- Identified stages included precontemplation, contemplation, preparation, ACP action, and maintenance.
- MI counseling facilitated engagement with ACP and advance directive completion.
Conclusions:
- The study identifies necessary adaptations to enhance understanding and information delivery for ACP completion among Latino populations.
- Motivational interviewing and social worker support are effective in promoting advance care planning among older Latinos.
- Further research can refine interventions to improve ACP uptake and end-of-life care discussions in diverse communities.
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