Use of advance directives by South Australians: results from the Health Omnibus Survey Spring 2012

Bradley, Sandra; Woodman, Richard; Tieman, Jennifer; Phillips, Paddy A.

doi:10.5694/mja13.00175

Cited by 31 publications

(35 citation statements)

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“…A theme identified in this study is that there is a very low awareness of ACP amongst older Chinese Australians, which perhaps is expected as the awareness of ACP in the general older Australian population has also been reported to be low (Boddy, Chenoweth, McLennan, & Daly, ; Jeong, Ohr, Pich, Saul, & Ho, ). This may be exacerbated by the language barrier which contributes to the lack of access to health information by the older Chinese Australians who tend to have lower English literacy levels (Bradley et al., ; Cultural & Indigenous Research Centre Australia (CIRCA), ). The participants had varying capacity to understand health issues and varied in the degree of health awareness.…”

Section: Discussionmentioning

confidence: 99%

“…Family members tend to exhibit less stress and anxiety following death of these patients (Detering et al., ). Despite its benefits, there is a low prevalence of uptake of ACP within the general population within Australia (Bradley, Woodman, Tieman, & Phillips, ). This is exacerbated in non‐English‐speaking background (NESB) communities (Johnstone & Kanitsaki, ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians

Yap

Chen

Detering

et al. 2017

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians

Yap

Chen

Detering

et al. 2017

Journal of Clinical Nursing

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“…The same holds true for a power of attorney (POA) for health care authorizing other persons to make medical decisions if an individual is temporarily or permanently unable to make own decisions (e.g. [2–5]). Both ADs and POA for health care are, moreover, part of the broader topic of advance care planning (ACP), “[…] a wider process including, for example, ongoing conversations between the competent adult and their family and health professionals about goals of future care.” (White et al [5]; page 975).…”

Section: Introductionmentioning

confidence: 98%

Advance directives and power of attorney for health care in the oldest-old – results of the AgeQualiDe study

et al. 2017

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BackgroundCompletion of advance directives (ADs) and power of attorney (POA) documents may protect a person’s autonomy in future health care situations when the individual lacks decisional capacity. As such situations become naturally much more common in old age, we specifically aimed at providing information on (i) the frequency of ADs/POA in oldest-old individuals and (ii) factors associated with having completed ADs/POA.MethodsWe analyzed data of oldest-old primary care patients (85+ years; including community-dwelling and institutionalized individuals) within the German AgeQualiDe study. Patients were initially recruited via their general practitioners (GPs). We calculated frequencies of ADs and POA for health care with 95% confidence intervals (CI) and used multivariable logistic regression analysis to evaluate the association between having ADs and POA and participants’ socio-demographic, cognitive, functional, and health-related characteristics.ResultsAmong 868 GP patients participating in AgeQualiDe (response = 90.9%), n = 161 had dementia and n = 3 were too exhausted/ill to answer the questions. Out of the remaining 704 (81.1%) dementia-free patients (mean age = 88.7 years; SD = 3.0), 69.0% (95%-CI = 65.6–72.4) stated to having ADs and 64.6% (95%-CI = 61.1–68.2) to having a POA for health care. Individual characteristics did not explain much of the variability of the presence/absence of ADs and POA (regression models: Nagelkerke’s R2 = 0.034/0.051). The most frequently stated reasons for not having ADs were that the older adults trust their relatives or physicians to make the right decisions for them when necessary (stated by 59.4% and 44.8% of those without ADs). Among the older adults with ADs, the majority had received assistance in its preparation (79.0%), most frequently from their children/grandchildren (38.3%). Children/grandchildren were also the most frequently stated group of designated persons (76.7%) for those with a POA for health care.ConclusionsOur findings suggest a high dissemination of ADs and POA for health care in the oldest-old in Germany. Some adults without ADs/POA perhaps would have completed advance care documents, if they had had received more information and support. When planning programs to offer advanced care planning to the oldest old, it might be helpful to respond to these specific needs, and also to be sensitive to attitudinal differences in this target group.

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“…The first national study of community prevalence found that 14% of Australians had an instructional ACD . A South Australian study found a community prevalence of 12% for instructional ACD in that State and 13 and 11% respectively for two types of appointing ACD (enduring powers of guardianship and medical powers of attorney) . Other research has focused on ACD completion in particular settings, such as residential aged care and hospital .…”

Section: Introductionmentioning

confidence: 99%

“…8 A South Australian study found a community prevalence of 12% for instructional ACD in that State and 13 and 11% respectively for two types of appointing ACD (enduring powers of guardianship and medical powers of attorney). 9 Other research has focused on ACD completion in particular settings, such as residential aged care and hospital. [10][11][12][13][14] There is also limited and inconclusive research on who completes ACD.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of advance care directives in the community: a telephone survey of three Australian States

White

Willmott

Tilse

et al. 2019

Internal Medicine Journal

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Background The community prevalence of advance care directives (ACD) is low despite known benefits of advance care planning for patients, families and health professionals. Aim To determine the community prevalence of instructional and appointing ACD in New South Wales, Victoria and Queensland and factors associated with completion of these documents. Methods A telephone survey of adults living in New South Wales, Victoria and Queensland (n = 1175) about completion of instructional ACD (making their own decisions about future healthcare) and appointing ACD (appointing another to decide). Quota sampling occurred based on population size by state, gender and age, with oversampling in smaller jurisdictions (Victoria and Queensland). Results Overall response rate was 33%. Six per cent of respondents reported completing an instructional ACD while 12% reported completing an appointing ACD. Female gender, higher educational level, personal experience of a major health scare and being widowed were significant predictors of completing an instructional ACD. Older age, higher educational level and being widowed were significant predictors of completing an appointing ACD. Conclusions Despite long‐standing efforts to increase advance care planning, community prevalence of ACD remains low, particularly for instructional ACD. This study found some different predictors for instructional ACD compared with appointing ACD, and also a potential role for experiential factors in triggering uptake. These findings suggest supplementing general community awareness campaigns with more nuanced and targeted efforts to improve ACD completion.

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Use of advance directives by South Australians: results from the Health Omnibus Survey Spring 2012

Cited by 31 publications

References 0 publications

Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians

Exploring the knowledge, attitudes and needs of advance care planning in older Chinese Australians

Advance directives and power of attorney for health care in the oldest-old – results of the AgeQualiDe study

Prevalence of advance care directives in the community: a telephone survey of three Australian States

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