A Brief Advance Care Planning Education Intervention for Socioeconomically Disadvantaged Dementia Caregivers: A Single-Group Pretest-Posttest Study.

Authors

KyungAh Cho, Jung-Ah Lee, Sang Yi Baek, Jisun Yang, JinShil Kim

Published in

Journal of transcultural nursing : official journal of the Transcultural Nursing Society. Pages 10436596261465561. Jul 15, 2026. Epub Jul 15, 2026.

Abstract

Introduction: Family caregivers of people with dementia play an essential role in advance care planning (ACP), yet engagement remains low among socioeconomically disadvantaged caregivers. This study evaluated a brief video- and leaflet-based ACP intervention. Methods: A single-group pretest-posttest study was conducted with 47 dementia caregivers recruited from public health centers providing home-visiting services. Participants received a 30-minute ACP intervention. Outcomes included decisional conflict, ACP engagement, and ACP-related perspectives, assessed at baseline and 1-month post-intervention using paired t-tests. Results: Participants demonstrated significant improvements in ACP-related knowledge (d = 0.37, p = .014), decisional conflict (d = 0.44, p = .004), and ACP engagement (d = 0.64, p < .001) at 1-month follow-up. No significant changes were found in ACP-related attitudes, perceived benefits, or perceived barriers. Discussion: Brief ACP education reduced decisional conflict and improved engagement, indicating its potential value. Further controlled studies are needed to assess long-term psychosocial effects.

PMID:
42454473
Bibliographic data and abstract were imported from PubMed on 15 Jul 2026.

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