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Culturally Competent Communication Intervention to Improve Latinos' Engagement in Advance Care Planning

具有文化能力的沟通干预可提高拉丁美洲人对预先护理计划的参与

基本信息

批准号：
10531352
负责人：
Megan Johnson Shen
金额：
$ 17.23万
依托单位：
FRED HUTCHINSON CANCER CENTER
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-07-01 至 2024-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10531352
关键词：
Culturally Competent Communication Intervention Improve

项目摘要

PROJECT SUMMARY Compared to whites, Latinos are much less likely to engage in various forms of advance care planning (ACP), including completing advance directives and having end-of-life (EOL) discussions. ACP is critical to provision of quality EOL care, as it has been associated with greater likelihood of patients' EOL wishes being followed. Latino advanced cancer patients are also significantly more likely than their white counterparts to receive futile and burdensome aggressive care at the end-of-life, to die in the ICU, and to have care that runs counter to their preferences and values. Dr. Shen's pilot work, along with the current literature, suggests that targeting ACP may help improve Latinos' EOL care. As such, the proposed project will develop and pilot-test a culturally competent communication (CCC) intervention. First, the CCC intervention will be developed based on results from a questionnaire embedded into a current R01 (MPIs: Prigerson, Maciejewski) assessing Latinos' cultural, familial, and religious beliefs as well as their knowledge, motivation (readiness), and action to engage in ACP (n=200). Next, the developed CCC intervention will be vetted among Latino stakeholders and field-tested among Latino advanced cancer patients, using an iterative approach (n=40) to guide the finalization of the intervention. Finally, a pilot randomized trial will examine the feasibility, acceptability, and potential efficacy of the CCC intervention at improving engagement in ACP. Participants (n=50) will be randomly assigned to the intervention (n=25) or attention control group (n=25). Results will provide timely insight into a potentially effective, low burden intervention designed to improve Latinos' engagement in ACP. Dr. Shen is the ideal candidate to spearhead this line of research given her academic background in social psychology and communication research. Dr. Shen's long-term career goal is to lead a program of social scientific research that develops social psychological interventions designed to improve EOL communication and care, with expertise in interventions targeting racial/ethnic minorities. To achieve this goal, as part of her K07, Dr. Shen will receive intensive training in five key areas: (1) EOL care research; (2) clinical intervention development; (3) technology-based health interventions; (4) health disparities, and (5) professional development. The K07 will provide Dr. Shen with several avenues to achieve her training and research goals and enhance her expertise. Dr. Shen will have ongoing meetings with mentors and expert advisors and participate in formal coursework, didactics, workshops, conferences, interactive trainings, and guided research experience. The proposed K07 will form the foundation for a program of research that focuses on developing social psychological interventions to improve EOL communication and care. At the end of the K07 funding period, Dr. Shen will submit an R01 application, based on the results of the present study. Overall, the K07 will provide Dr. Shen with the research experience, intensive training, and mentorship needed to become a successful independent researcher.

项目总结

项目成果

期刊论文数量（16）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Association between immigrant status and advanced cancer patients' location and quality of death.

移民状况与晚期癌症患者的位置和死亡质量之间的关联。

DOI：
10.1002/cncr.34385
发表时间：
2022-09-15
期刊：
CANCER
影响因子：
6.2
作者：
Tergas, Ana, I;Prigerson, Holly G.;Shen, Megan J.;Dinicu, Andreea, I;Neugut, Alfred, I;Wright, Jason D.;Hershman, Dawn L.;Maciejewski, Paul K.
通讯作者：
Maciejewski, Paul K.

The Intersectionality of Stigmas among Key Populations of Older Adults Affected by HIV: a Thematic Analysis.

DOI：
10.1080/07317115.2018.1456500
发表时间：
2019-03
期刊：
Clinical gerontologist
影响因子：
2.8
作者：
Johnson Shen M;Freeman R;Karpiak S;Brennan-Ing M;Seidel L;Siegler EL
通讯作者：
Siegler EL

Incorporating shared decision making into communication with older adults with cancer and their caregivers: Development and evaluation of a geriatric shared decision-making communication skills training module.

DOI：
10.1016/j.pec.2020.04.032
发表时间：
2020-11
期刊：
Patient education and counseling
影响因子：
3.5
作者：
Shen MJ;Manna R;Banerjee SC;Nelson CJ;Alexander K;Alici Y;Gangai N;Parker PA;Korc-Grodzicki B
通讯作者：
Korc-Grodzicki B

Planning for Your Advance Care Needs (PLAN): A Communication Intervention to Improve Advance Care Planning among Latino Patients with Advanced Cancer.