Family conflict, acculturation, and older Chinese Americans’ self-efficacy in end-of-life care planning

2021 ◽  
Author(s):  
Kaipeng Wang ◽  
Fei Sun ◽  
Yanqin Liu ◽  
Carson M De Fries
Keyword(s):  
End Of Life ◽  
Family Conflict ◽  
Self Efficacy ◽  
End Of Life Care ◽  
Chinese Americans ◽  
Care Planning ◽  
Life Care ◽  
Life Care Planning ◽  
Older Chinese ◽  
Older Chinese Americans

scholarly journals Family Conflict and Older Chinese Americans’ Self-Efficacy in End-of-Life Care Planning: The Role of Acculturation

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 572-572
Author(s):  
Kaipeng Wang ◽  
Fei Sun ◽  
Yanqin Liu ◽  
Carson de Fries
Keyword(s):  
Older Adults ◽  
End Of Life ◽  
Family Conflict ◽  
Self Efficacy ◽  
Family Members ◽  
Chinese Americans ◽  
Care Planning ◽  
Older Chinese ◽  
Eol Care ◽  
Older Chinese Americans

Abstract Family involvement in end-of-life (EOL) care is critical to ensure older adults’ health and quality of life. Older adults’ self-efficacy in discussing EOL care plans with family members can facilitate family involvement in EOL care planning. Research shows that family relationships are associated with self-efficacy in discussing EOL care with family members among older Chinese Americans. However, the roles of family conflict and acculturation remain unknown. This study examines the association between family conflict and self-efficacy in discussing EOL care with family members and whether such an association differs by acculturation levels among older Chinese Americans. Data were collected from 207 Chinese Americans aged 65-102 in two metropolitan areas in 2017. Ordinary least squares regression was conducted to examine the association between family conflict, acculturation, and self-efficacy in discussing EOL care with family. Family conflict was negatively associated with older adults’ self-efficacy in discussing EOL care with family. More specifically, the negative association between family conflict and self-efficacy in discussing EOL care with family members was more pronounced for those with higher levels of acculturation. Findings highlighted differential effects of family conflict on self-efficacy of EOL care plan discussion for older adults with different acculturation levels. Those with higher acculturation may be more independent in their EOL care planning and aware of the possible negative effects of family conflict in their EOL care planning discussions. Acculturation needs to be considered by geriatric health providers to develop family-centered interventions in improving end-of-life care planning for this population.

scholarly journals Can We Talk About It Now? Recognizing the Optimal Time to Initiate End-of-Life Care Discussions with Older Chinese Americans and Their Families

2018 ◽  
Vol 29 (6) ◽  
pp. 532-539 ◽  
Author(s):  
Han-Lin Chi ◽  
Janine Cataldo ◽  
Evelyn Y. Ho ◽  
Roberta S. Rehm
Keyword(s):  
End Of Life ◽  
Adult Children ◽  
End Of Life Care ◽  
Chinese Americans ◽  
Community Dwelling ◽  
Optimal Time ◽  
Optimal Timing ◽  
Life Care ◽  
Older Chinese ◽  
Older Chinese Americans

Introduction: Older Chinese Americans often defer end-of-life care discussions. Researchers sought to explore how to engage older Chinese Americans and their families in end-of-life care discussions and to understand the optimal timing to initiate such discussions. Methods: Individual, semistructured interviews were conducted with 14 community-dwelling older Chinese Americans, 9 adult children, and 7 clinicians. The data were collected and analyzed using focused ethnographic methodology. Results: Older Chinese Americans and their families would discuss end-of-life care when introduced at “optimal times,” which included after-triggering events (e.g., death of loved ones, fall accidents), changes in health status, or advanced age. Discussion: Adult children are not expected to initiate end-of-life care discussions with their parents. Thus, culturally congruent health care that could better engage Chinese Americans in such discussions would be optimized by having clinicians proactively assess their patients’ readiness and initiate such discussion at optimal times.

Sign in / Sign up

Export Citation Format

Share Document