Effects of Advance Directive Information Package Program on Health Engagement in Cancer Patients Receiving Palliative Care
Keywords:
advance directive information program, advance directive, health engagement, cancer patients, Palliative CareAbstract
Objective: To examine the effects of an advance directive information package program on health engagement in cancer patients receiving palliative care.
Design: Quasi-experimental research with two groups, pre-test and post-test design.
Methodology: The sample consisted of 64 patients receiving palliative care at a single Medical Center. Thirty-three patients were assigned to control and experimental groups for each group. The experimental group participated in the advance directive information program from the researcher. The program included goal setting; education using the advance directive information package; information gathering; reinforcement; and feedback. Roy Adaptation Model was applied as a framework. The instruments used for data collection were demographic and clinical data form, and the Patient Health Engagement scale questionnaire. Data were analyzed using descriptive statistics and Paired and Independent t-tests, with the significant level set at 0.05.
Results: The results revealed that, after completing the program, the experimental group had significant higher patient health engagement score than the control group did ( = 2.38, SD = .554; = 3.47, SD = .671; t = -7.568; p = .000). In addition, in the experimental group, post-intervention patient health engagement score was higher than pre-intervention score significantly (p = .000).
Recommendation: The advance directive information program helped promote engagement in advance directive care plan among cancer patients receiving palliative care. Patients who were able to effectively adapt themselves would be more likely to demonstrate an active health engagement behaviors in deciding to take part in treatment planning, setting goal, and choosing their appropriate choices of future advance directive plan. Palliative care nurses could apply the procedure proposed in this study to this patient group for encouraging each patient to take part in determining his/her desired advance directive plan.
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