Efficacy of a Church-Based, Culturally Tailored Program to Promote Completion of Advance Directives Among Asian Americans

Angela Sun, Quynh Bui, Janice Y. Tsoh, Ginny Gildengorin, Joanne Chan, Joyce Cheng, Ky Lai, Stephen McPhee, Tung Nguyen

Research output: Contribution to journalArticle

6 Scopus citations


Having an Advance Directive (AD) can help to guide medical decision-making. Asian Americans (AA) are less likely than White Americans to complete an AD. This pilot study investigated the feasibility and efficacy of a church-based intervention to increase knowledge and behavior change related to AD among Chinese and Vietnamese Americans. This study utilized a single group pre- and post-intervention design with 174 participants from 4 churches. Domain assessed: demographics; AD-related knowledge, beliefs, attitudes, and intentions; AD completion; and conversations with a healthcare proxy. Data were analyzed using Chi square and multiple logistic regression techniques. We observed significant increases in participants’ AD-related knowledge, intentions, and a gain in supportive beliefs and attitudes about AD, resulting in 71.8 % AD completion, and 25.0 % having had a proxy conversation. Providing culturally-tailored intervention and step-by-step guidance can help to achieve significant changes in AD related knowledge and behavior in AA church goers.

Original languageEnglish (US)
Pages (from-to)1-11
Number of pages11
JournalJournal of Immigrant and Minority Health
StateAccepted/In press - Apr 21 2016



  • Advance Directives
  • Advance health care planning
  • Asian Americans
  • Church-based
  • Culturally tailored

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

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