Predictors of Agreement With Writing Advance Directives Among Older Korean Adults

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Abstract

Purpose:

To determine the predictors of agreement with writing advance directives (ADs) among older Korean adults.

Design:

This was a secondary analysis of a study that compared the differences in knowledge, experience, and preference about ADs between community and facility-dwelling older adults. Data were collected through self-reported questionnaires. In this study, after 25 cases were excluded from the original sample (N = 181) for incomplete data, a sample of 156 was analyzed using multiple logistic regression analysis.

Results:

Older adults' experiences with having thought about life-sustaining treatments, odds ratio (OR) = 4.02, 95% confidence interval (CI) [1.56, 10.38], agreements with legalization of ADs, OR = 4.68, 95% CI [1.69, 12.96], and wishes to obtain information about medical status, OR = 3.78, 95% CI [1.66, 8.64], were identified as the predictors of agreement with writing ADs.

Implications for Practice:

Discussion channels and educational programs about ADs should be developed for older Korean adults.

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