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Updated: Dec 18, 2025
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A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
Published on: March 7, 2020
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Exploring Behavioral Readiness and Program Strategies to Engage Older Community Residents in Advance Care Planning: A
Hsin-Lung Chan1, In-Fun Li2, Ling-Chun Tseng3
1Division of Family Medicine, Mackay Memorial Hospital, Taipei 104, Taiwan.
Summary
Advance care planning (ACP) engagement among older Taiwanese adults is influenced by program design. Tailored interventions incorporating family and addressing diverse needs enhance acceptability and participation in end-of-life care discussions.
Area of Science:
- Gerontology
- Public Health
- Bioethics
Background:
- Taiwan promotes patient autonomy and advance care planning (ACP) for end-of-life (EOL) care quality.
- Understanding ACP engagement among older adults is crucial for effective EOL care.
Purpose of the Study:
- To investigate ACP behavioral engagement in older Taiwanese community residents.
- To identify socio-demographical correlates of ACP engagement.
- To explore preferred intervention strategies for ACP programs.
Main Methods:
- A mixed-methods pilot survey was conducted in northwestern Taiwan.
- Included 52 older community-dwelling residents.
- A subset of 13 participants provided in-depth interview feedback.
Main Results:
- Identified facilitators and inhibitors to initiating ACP.
- Gathered insights into preferred intervention strategies for ACP programs.
- Older adults' needs and family involvement are key to ACP program acceptance.
Conclusions:
- Carefully designed ACP programs are essential for older Taiwanese.
- Incorporating family decision-making and addressing multiple needs increases program acceptability.
- Effective ACP programs can foster greater engagement in EOL care planning.
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