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Evidence-based strategies to facilitate older people’s engagement in advance care planning
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Evidence-based strategies to facilitate older people’s engagement in advance care planning

Hanh Dao, Tracy Comans, Michelle Hilgeman, Elizabeth Halcomb and Craig Sinclair
Fresh Air, Fresh Thinking: Conference Proceedings, pp.39-39
AAG Conference, 57th (Hobart, Australia, 12/11/2024–15/11/2024)
17/02/2025
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Proceedings: 2024 AAG Conference - Hobart, TasmaniaView
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Abstract

Aged care nursing
Background: Advance care planning (ACP) is underutilised. This cross-sectional study explores associations among health literacy, depression, anxiety, decisional conflict, and ACP engagement and the mediating role of the decisional conflict in these associations. Methods: The study included 262 -dwelling older adults in Australia. Data were collected using the Health Literacy Screening Questions (Chew et al., 2004), Hospital Anxiety and Depression Scale (Zigmond & Snaith, 1983), Decisional Conflict Scale (O'Connor, 1995), and ACP Engagement Survey (Sudore, Heyland, et al., 2017). General linear modelling was used for data analysis. Results: Anxiety and decisional conflict were directly associated with ACP engagement even after controlling for potential confounders. Decisional conflict partially mediated the association between anxiety and ACP engagement. Conclusion: Increased anxiety and decisional conflict could reduce ACP engagement, even among communitydwelling older adults with higher levels of education and health literacy.

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