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Predicting Racial and Ethnic Disparities in Advance Care Planning Using the Integrated Behavioral Model

Bibliographic Data

ID13628221
AuthorsColette A Mcafee (0000-0001-6598-7991, Westminster College, Salt Lake City, UT, USA, corresponding author), Timothy R Jordan (0000-0001-8189-4584, The University of Toledo, Toledo, OH, USA), Jiunn-Jye Sheu (The University of Toledo, Toledo, OH, USA), Jiunn‐Jye Sheu (0000-0001-8556-6887, University of Toledo), Joseph A Dake (The University of Toledo, Toledo, OH, USA), Barbara Miller (0000-0002-9229-4004, University of Toledo), Barbara A Kopp Miller (The University of Toledo, Toledo, OH, USA)
Year2017
Volume78
Issue4
Pages369-389
Publication date2017-01-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueOMEGA - Journal of Death and Dying (JOURNAL)
Journal identifiersISSN: 0030-2228 • E-ISSN: 1541-3764
PublisherSAGE Publishing (PUBLISHER • US)
DOI10.1177/0030222817691286
PMID28142319
OpenAlexW2584506185
LanguageEN
Citations received10
References cited46

Purpose To explain and predict racial or ethnic disparities in advance care planning (ACP) behaviors among American adults by using the Integrated Behavioral Model (IBM) and the Precaution Adoption Process Model. Methods A randomized, observational, nonexperimental, cross-sectional study design was used to survey American adults between 40 and 80 years of age ( n = 386). Results The majority of respondents (75%) had not completed ACP. Significant differences were found by race or ethnicity: 33% of Whites had completed ACP versus Hispanics (18%) and Blacks (8%). Whites had statistically significantly higher levels of most IBM constructs compared with Blacks and Hispanics. The IBM predicted 28% of the variance in behavioral intention. After controlling for sociodemographic variables, direct attitudes, indirect attitudes, and indirect perceived norms were significant predictors of behavioral intention. Conclusion The IBM and the Precaution Adoption Process Model are useful frameworks for interventions designed to increase ACP among racial or ethnic minorities in the United States

Ethnic group · IBM · Observational study · Political science · Psychiatry · Psychological intervention · Race (biology · Sociology · Variance (accounting · Clinical Psychology · Demography · Family and Patient Care in Intensive Care Units · Grief, Bereavement, and Mental Health · Medicine · Palliative Care and End-of-Life Issues · Psychology · Gerontology

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Unique citing works10
Citations per year1,25
Citation span2018 - 2024 (7)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 10

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