Work

Examination of Potential Facilitators and Barriers to the Introduction of Advance Care Planning Among Older Adults Living Alone in Japan: A Cross-Sectional Study

Year: 2025

Type: article

Abstract: PURPOSE: Advance care planning (ACP) promotion in Japan is insufficient, particularly with consideration of incorporating an individual's cherished personal values. The current study examined actual awareness and intention toward ACP among older adults living alone (OALA) aiming to identify facilitators and barriers to ACP focusing on cherished personal values for this specific cohort. METHOD: A semi-structured questionnaire survey was conducted with 300 OALA in Japan to explore their cherished personal values and awareness of ACP. Potential factors influencing intentions regarding ACP among OALA were examined. RESULTS: Multivariate logistic regression analysis revealed that holding multiple personal values was significantly associated with a positive intention toward ACP among OALA, regardless of the specific types of values identified. CONCLUSION: Recognizing multiple cherished personal values is crucial for successful ACP among OALA. A guiding tool supporting the identification of these values is needed to facilitate ACP among OALA.

Source: Research in Gerontological Nursing

DOI: 10.3928/19404921-20251126-02

Authors: Hiroshi Yoshiki, Sachiko Ohde

Institution: St. Luke's International University

Language: English

Topic: Palliative Care and End-of-Life Issues

Subfield: Public Health, Environmental and Occupational Health

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Funder: Institute for Health Economics and Policy