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A Brief Advance Care Planning Education Intervention for Socioeconomically Disadvantaged Dementia Caregivers

A Single-Group Pretest–Posttest Study

Bibliographic Data

ID22419985
AuthorsKyungah Cho (0000-0001-9778-6246, Kyungmin University), Jung‐ah Lee (0000-0003-0678-5956, University of California, Irvine), Sang Yi Baek (0000-0003-2638-0438, Gachon University), Jisun Yang (0000-0002-9235-8821, Gachon University), Jinshil Kim (0000-0002-9355-6942, Gachon University)
Year2026
Pages10436596261465561-10436596261465561
Publication date2026-07-15
Open AccessYes
TypeARTICLE
VenueJournal of Transcultural Nursing (JOURNAL)
Journal identifiersISSN: 1043-6596 • E-ISSN: 1552-7832
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10436596261465561
PMID42454473
OpenAlexW7168369157
LanguageEN
References cited48

Introduction: Family caregivers of people with dementia play an essential role in advance care planning (ACP), yet engagement remains low among socioeconomically disadvantaged caregivers. This study evaluated a brief video- and leaflet-based ACP intervention. Methods : A single-group pretest–posttest study was conducted with 47 dementia caregivers recruited from public health centers providing home-visiting services. Participants received a 30-minute ACP intervention. Outcomes included decisional conflict, ACP engagement, and ACP-related perspectives, assessed at baseline and 1-month post-intervention using paired t-tests. Results : Participants demonstrated significant improvements in ACP-related knowledge ( d = 0.37, p = .014), decisional conflict ( d = 0.44, p = .004), and ACP engagement ( d = 0.64, p Discussion : Brief ACP education reduced decisional conflict and improved engagement, indicating its potential value. Further controlled studies are needed to assess long-term psychosocial effects.

Advance care planning · Dementia · Disadvantaged · Intervention (counseling) · MEDLINE · Psychosocial · Public health · Dementia and Cognitive Impairment Research · Geriatric Care and Nursing Homes · Palliative Care and End-of-Life Issues

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