Applying Motivational Interviewing in End-of-life Care Planning: A pilot study
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摘要Objective: This study attempted to introduce motivational interviewing (MI) into the advance care planning (ACP) process so that clinicians could work with patients through ambivalence towards ACP.

Background: Given the complexity of end-of-life care issues, clinical experience suggests that patients usually remain skeptical about planning for future care in advance. Our previous studies revealed that the level of readiness towards end-of-life care planning varied, as that proposed in the Transtheoretical Model (TTM). MI is a person-centred counselling skill grounded on TTM that aims to engage people in identifying resistance and perceived barriers to behaviour changes. It has been widely applied to promote disease self-management behaviours.

Methods: The MI-tailored ACP programme has been pilot tested in a palliative care clinic. Ten patients have been recruited to the study. In addition to satisfaction survey to examine its feasibility and acceptability, individual semi-structured interviews were conducted with the participants to understand their experiences with the programme. The data collection process is still in progress.

Conclusion: Thus far, the participants shared that the programme enabled them to clarify their concerns and fears, and provided an opportunity for them to explore their care goals and formulate the plan of actions.
著者Chan HYL
會議名稱13th Annual International Conference on Clinical Ethics Consultation
關鍵詞Advance Care Planning, Readiness

上次更新時間 2018-20-01 於 18:15