臺大公衛學院為加強宣導本院教師之學術成果，進而提升本院國際能見度，由陳端容老師撰寫下列文章投稿至ASPPH Friday Letter.

該文目前已刊登於  ASPPH Friday Letter, September 15, 2023

篇名：

Associations of Health Literacy, Personality, and Pro-Individualism with the Willingness to Complete Advance Directives

作者：Duan-Rung Chen✉️ (本所專任教師陳端容教授), Hui-Ching Weng 

期刊：BMC Palliative Care

Background

Studies indicated that patients with advance directives (ADs) have a generally better quality of life near death. Yet, the concept of ADs is relatively new in East Asian countries. This study examined the associations between health literacy, pro-individualism in end-of-life (EOL) decisions (i.e., EOL pro-individualism), and master-persistence personality traits with the willingness to complete ADs.

Methods

The data is from a representative data of 1478 respondents from the 2022 Taiwan Social Change Survey. Generalized structural equation modeling (GSEM) was used to conduct path analysis.

Results

Nearly half of the respondents (48.7%) were willing to complete ADs. Health literacy has direct and indirect effects through EOL pro-individualism values on the willingness to complete ADs. Noncognitive factors such as mastery-persistence personality traits and EOL pro-individualism values enhanced the willingness to complete ADs.

Conclusion

A personalized communication strategy, mindful of personality dimensions and cultural values, can address individual fears and concerns, promoting the benefits of advance care planning (ACP). These influences can provide a roadmap for healthcare providers to customize their approach to ACP discussions, improving patient engagement in AD completion.