ニューヨーク市コミュニティメンバーのための事前ケアプランニングパイロットモジュールの開発
Sabina Kubayeva1, Tyler M Johnson2, Nathalie Vieux-Gresham3,4
1College of Medicine, State University of New York Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY, 11203, USA. Sabina.Kubayeva@downstate.edu.
Journal of community health
|February 20, 2026
まとめ
コミュニティワークショップは,事前ケア計画 (ACP) の理解と事前指示 (AD) の完成に対する信頼を向上させました. 教育モジュールは実行可能で受け入れられることが証明され,医療意思決定の参加者に権限を与えました.
科学分野:
- 公衆衛生は公衆衛生である.
- 保健教育 保健教育について
- ゲロントロジーはゲロントロジーの学科です.
背景:
- 早期医療計画 (ACP) は,将来の医療を患者の価値観と整合させる上で極めて重要ですが,関与と前もって指示 (AD) の完了は限られています.
- 認知度が低いこと,誤解,システム上の障壁が,ACPとADの広範な利用を妨げています.
- ニューヨーク市 (NYC) コミュニティ内では,ACPとADの重要な知識のギャップが特定されました.
研究 の 目的:
- コミュニティベースの教育モジュールを開発し,評価し,ACPとADの知識を高める.
- NYCコミュニティのメンバーの間で教育的介入のインパクト,受容性,実行可能性を評価する.
主な方法:
- スライドショー,用語集,リソースハンドアウト,ADフォームを含む30分の教育モジュールが作成されました.
- 11つのワークショップは,NYCの様々なコミュニティサイトで実施され,141人の成人の参加者が参加しました.
- 影響とフィードバックは,ライカルトスケールの項目と開かれた質問を含む検証された調査を使用して評価され,データは定量的かつ質的に分析されました.
主要な成果:
- 教育モジュールは受け入れられ,実行可能であることが判明し,調査回答率は40% (N=56) であった.
- 参加者は,ACPの概念に対する理解と,ADの完成に対する自信が著しく向上したと報告した.
- 質的なフィードバックは,教材の明確性,関連性,実用性を強調した.
結論:
- コミュニティーベースの教育ワークショップは,ACPの知識を効果的に高め,医療の意思決定における個人の力を高めます.
- この介入は,ACPの関与率とADの完成率を向上させる可能性を示しています.
- 将来の取り組みは,リーチを拡大し,資料を翻訳し,ADの完成に対する長期的な影響を評価することに重点を置くべきである.
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