Attitude Toward Family Involvement in End-of-Life Care Among Older Chinese Americans: How Do Family Relationships Matter?-Reference-Cited by-同舟云学术

Attitude Toward Family Involvement in End-of-Life Care Among Older Chinese Americans: How Do Family Relationships Matter?

Published:2021-03-04 Issue:2 Volume:41 Page:380-390
ISSN:0733-4648
Container-title:Journal of Applied Gerontology
language:en
Short-container-title:J Appl Gerontol

Author:

Wang Kaipeng¹^ORCID,Sun Fei²,Liu Yanqin³,Kong Dexia⁴^ORCID,De Fries Carson M.¹

Affiliation:

1. University of Denver, CO, USA

2. Michigan State University, East Lansing, USA

3. Mayo Clinic Arizona, Scottsdale, USA

4. Rutgers University, New Brunswick, NJ, USA

Abstract

Family involvement is critical to end-of-life (EOL) care among older adults. This study aims to examine the association and pathways between family relationships and older Chinese Americans’ attitude toward family involvement in EOL care discussions. Data were collected from 260 Chinese Americans aged 55 years and above. Structural equation modeling was used to examine the total and indirect effects of family relationships on attitude toward family involvement in discussing EOL care plans. Family relationships had a significant positive total effect on attitude toward family involvement in EOL care. Indirect effects of family relationships on attitude toward family involvement in EOL care through self-efficacy, perceived benefits, and perceived barriers of discussing EOL care with family members were all significant. Findings provide empirical evidence of how family relationships affect older Chinese Americans’ attitude toward family involvement in EOL care and underline the need for family-centered EOL interventions for this population.

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Gerontology

Link

http://journals.sagepub.com/doi/pdf/10.1177/0733464821996865

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