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American Journal of Hospice and Palliative Medicine®
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Family Response to End-of-Life Education: Differences by Ethnicity and Stage of Caregiving

Kathryn L. Braun

Center on Aging, Office of Public Health Studies, University of Hawaii, Honolulu; Center on Aging, University of Hawaii, 1960 East-West Road, Biomed D-104, Honolulu, HI 96822; kbraun{at}hawaii.edu

Harumi Karel

Ana Zir

Center on Aging, Office of Public Health Studies, University of Hawaii, Honolulu.

The authors developed and tested 5 educational booklets to improve end-of-life knowledge, attitudes, intention, and practices in a multiethnic sample of family caregivers of well, homebound, and institutionalized elders. Of 570 participants, 424 (74%) read at least 1 booklet and completed pretests and posttests. At 3-month follow-up, small improvements were seen in completion of advance directives, and significant increases were seen in proportions of caregivers with funeral or burial plans and willingness to consider hospice. The booklets had wide appeal, but end-of-life measures varied by care-giver stage and ethnicity, suggesting that these factors need to be considered in developing education interventions for family caregivers.

Key Words: advance directive • Asian American • attitude to death • culture • ethnicity • family • hospice • living will • long-term care • Pacific Islander American

American Journal of Hospice and Palliative Medicine®, Vol. 23, No. 4, 269-276 (2006)
DOI: 10.1177/1049909106290243


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This article has been cited by other articles:


Home page
AM J HOSP PALLIAT CAREHome page
A. G. Golden, M. H. Corvea, S. Dang, M. Llorente, and M. A. Silverman
Assessing Advance Directives in the Homebound Elderly
American Journal of Hospice and Palliative Medicine, February 1, 2009; 26(1): 13 - 17.
[Abstract] [PDF]



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