%0 Journal Article
%T Bridging the Gap between Attitude and Action: Advance Care Planning Preferences in Older Thai Adults
%A Wei Chen
%A Li Zhang
%J Journal of Integrative Nursing and Palliative Care
%@ 3006-5550
%D 2024
%V 5
%N 2
%R 10.51847/jkJa3uAPSP
%P 321-331
%X Advance care planning (ACP) is essential for delivering high-quality end-of-life care; however, its use remains quite limited in Thailand.To explore the attitudes and preferences of older Thai adults regarding ACP within primary care environments. A cross-sectional study was conducted using structured interviews. Information on demographics, health status, attitudes, and preferences related to ACP was gathered. Multivariable analysis was used to identify factors associated with ACP attitudes and preferences. Participants aged 60 years or older recruited from the Primary Care Unit of Songklanagarind Hospital, Thailand, between June and December 2022.  

Of the 250 participants, 60% had high comorbidity (Charlson Comorbidity Index > 3). Although the majority displayed strong positive attitudes toward ACP, more than 40% did not wish to create an ACP, and 37.2% preferred to delay it. Higher educational attainment (adjusted OR (aOR) = 2.17, 95% CI: 1.16–4.06) and having had previous ACP discussions (aOR = 4.08, 95% CI: 1.38–12.08) were significantly linked with more positive attitude levels. Participants with stronger attitudes had higher odds of participating in ACP (aOR = 2.81, 95% CI: 1.45–5.42). Individuals with higher education (aOR = 2.09, 95% CI: 1.1–3.98) and those whose family members had received life-sustaining treatment (aOR = 1.9, 95% CI: 1.02–3.55) were more inclined to prefer engaging in ACP. Customized educational initiatives and repeated discussions about ACP are necessary to narrow the difference between positive attitudes and actual participation among older Thai adults.  
%U https://journalinpc.com/article/bridging-the-gap-between-attitude-and-action-advance-care-planning-preferences-in-older-thai-adults-ajq3hmrxazk3ycu