Effects of the Advance Care Planning Conversation Guide and the e-Learning on Advance Care Planning Self-efficacy among Residents: A Pilot Study
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Abstract
Objectives: (1) To evaluate the effectiveness of the advance care planning conversation guide (ACP-CG) on ACP self-efficacy; (2) To evaluate the effectiveness of the ACP-CG together with the e-Learning on ACP conversation guide (ACP e-Learning) on ACP self-efficacy; (3) To compare ACP self-efficacy between the ACP-CG group and the ACP-CG plus the ACP e-learning; (4) To analyze the barriers and recommendations for planning and developing future advanced care planning research.
Materials and methods: This was a quasi-experimental comparison group pretest-posttest research design. Participants consisted of 13 internal medicine residents who were purposively sampled. They were allocated into experimental group 1 (the ACP-CG only; n = 8) and experimental group 2 (the ACP-CG together with the ACP e-Learning; n = 5). After the intervention, qualitative data were collected from 15 participants who were purposively sampled. The instruments included (1) the ACP-CG (2) the ACP e-learning (3) the advance care planning self-efficacy scale-Thai version (ACP-SE-Thai) (Cronbach's α = 0.928), and (4) the interview record forms. Quantitative data were analyzed using the Wilcoxon signed-rank test and Mann-Whitney U test, while qualitative data were analyzed through content analysis.
Results: (1) The ACP-CG significantly increased residents’ ACP self-efficacy in experimental group 1 (p < 0.05). (2) The combination of the ACP-CG with ACP e-learning significantly increased ACP self-efficacy in experimental group 2 (p < 0.05). (3) There was no significant difference in ACP self-efficacy between the two groups at either baseline phase or at six-month follow-up phase. (4) The planning and development of ACP research included refining research tools, implementing participant follow-up, and facilitating group discussions on ACP.
Conclusion: This pilot study has limitations regarding generalizability and confirmation of the effectiveness
of the ACP-CG and the ACP e-learning. However, it successfully developed the prototype tools that may enhance ACP self-efficacy for residents who lack confidence in conducting ACP. Furthermore, it also resulted in ACPSE-
Thai with very high reliability.
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เรื่องที่ลงตีพิมพ์ในวารสารจิตวิทยาคลินิกแล้วถือเป็นลิขสิทธิ์การเผยแพร่โดยวารสารจิตวิทยาคลินิกแต่เพียงผู้เดียว การตีพิมพ์หรือเผยแพร่ซ้ำในที่อื่นต้องได้รับอนุญาตจากกองบรรณาธิการวารสารฯ
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