Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in Japan
Abstract Background Japan is implementing awareness-raising of advance care planning for older adults; however, only 451 out of 1 741 municipalities were engaged in advance care planning awareness-raising activities among residents, according to a 2017 survey. This study examined advance care planni...
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BMC
2024-12-01
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| Series: | BMC Palliative Care |
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| Online Access: | https://doi.org/10.1186/s12904-024-01635-9 |
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| author | Masayo Kashiwagi Noriko Morioka Miho Terajima Kyoko Hanari Takehiro Sugiyama Ryota Inokuchi Nanako Tamiya |
| author_facet | Masayo Kashiwagi Noriko Morioka Miho Terajima Kyoko Hanari Takehiro Sugiyama Ryota Inokuchi Nanako Tamiya |
| author_sort | Masayo Kashiwagi |
| collection | DOAJ |
| description | Abstract Background Japan is implementing awareness-raising of advance care planning for older adults; however, only 451 out of 1 741 municipalities were engaged in advance care planning awareness-raising activities among residents, according to a 2017 survey. This study examined advance care planning awareness-raising activities among community residents by local governments after the 2018 revision of the government guidelines, as well as utilization of the revised guidelines, issues in awareness-raising activities, and directions for future activities. Methods This cross-sectional questionnaire survey was conducted in prefectures and municipalities nationwide in 2022. Questions included the status, content, and issues of advance care planning awareness-raising activities for community residents. A multi-level logistic regression analysis was used to examine the characteristics of municipalities engaged in activities. Results Responses were received from 43 prefectures (response rate: 91.5%) and 912 municipalities (response rate: 53.1%). Of the municipalities, 63.6% (n = 580) reported “active” advance care planning awareness-raising. A high financial capability index and implementation of awareness-raising activities in the prefecture where the municipality was located were significantly associated with its awareness-raising activities. Municipalities engaged in awareness-raising activities reported experiencing issues related to the objectives, methods, and outcome evaluation of the activities. Conclusions Five-hundred eighty municipalities engaged in awareness-raising activities—a number that had increased significantly since the 2017 survey. Municipalities that could not engage in awareness-raising activities should receive financial support and other forms of support from prefectures. Furthermore, to ensure that municipalities clarify the purpose of awareness-raising and the desired outcomes, indices for quantitatively measuring results and achievements should be developed. |
| format | Article |
| id | doaj-art-9c77d12457584ae4815ebb14f22f410d |
| institution | Kabale University |
| issn | 1472-684X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj-art-9c77d12457584ae4815ebb14f22f410d2025-01-05T12:49:55ZengBMCBMC Palliative Care1472-684X2024-12-0123111010.1186/s12904-024-01635-9Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in JapanMasayo Kashiwagi0Noriko Morioka1Miho Terajima2Kyoko Hanari3Takehiro Sugiyama4Ryota Inokuchi5Nanako Tamiya6Department of Nursing Health Services Research, Graduate School of Health Care Sciences, Tokyo Medical and Dental UniversityDepartment of Nursing Health Services Research, Graduate School of Health Care Sciences, Tokyo Medical and Dental UniversityDepartment of Nursing Health Services Research, Graduate School of Health Care Sciences, Tokyo Medical and Dental UniversityHealth Services Research and Development Center, University of TsukubaDepartment of Health Services Research, Institute of Medicine, University of TsukubaDepartment of Health Services Research, Institute of Medicine, University of TsukubaDepartment of Health Services Research, Institute of Medicine, University of TsukubaAbstract Background Japan is implementing awareness-raising of advance care planning for older adults; however, only 451 out of 1 741 municipalities were engaged in advance care planning awareness-raising activities among residents, according to a 2017 survey. This study examined advance care planning awareness-raising activities among community residents by local governments after the 2018 revision of the government guidelines, as well as utilization of the revised guidelines, issues in awareness-raising activities, and directions for future activities. Methods This cross-sectional questionnaire survey was conducted in prefectures and municipalities nationwide in 2022. Questions included the status, content, and issues of advance care planning awareness-raising activities for community residents. A multi-level logistic regression analysis was used to examine the characteristics of municipalities engaged in activities. Results Responses were received from 43 prefectures (response rate: 91.5%) and 912 municipalities (response rate: 53.1%). Of the municipalities, 63.6% (n = 580) reported “active” advance care planning awareness-raising. A high financial capability index and implementation of awareness-raising activities in the prefecture where the municipality was located were significantly associated with its awareness-raising activities. Municipalities engaged in awareness-raising activities reported experiencing issues related to the objectives, methods, and outcome evaluation of the activities. Conclusions Five-hundred eighty municipalities engaged in awareness-raising activities—a number that had increased significantly since the 2017 survey. Municipalities that could not engage in awareness-raising activities should receive financial support and other forms of support from prefectures. Furthermore, to ensure that municipalities clarify the purpose of awareness-raising and the desired outcomes, indices for quantitatively measuring results and achievements should be developed.https://doi.org/10.1186/s12904-024-01635-9Advance care planningAwareness-raising activitiesCross-sectional surveyFinancial capability indexMunicipalities |
| spellingShingle | Masayo Kashiwagi Noriko Morioka Miho Terajima Kyoko Hanari Takehiro Sugiyama Ryota Inokuchi Nanako Tamiya Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in Japan BMC Palliative Care Advance care planning Awareness-raising activities Cross-sectional survey Financial capability index Municipalities |
| title | Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in Japan |
| title_full | Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in Japan |
| title_fullStr | Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in Japan |
| title_full_unstemmed | Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in Japan |
| title_short | Awareness-raising activities of advance care planning for community residents: a nationwide cross-sectional survey in Japan |
| title_sort | awareness raising activities of advance care planning for community residents a nationwide cross sectional survey in japan |
| topic | Advance care planning Awareness-raising activities Cross-sectional survey Financial capability index Municipalities |
| url | https://doi.org/10.1186/s12904-024-01635-9 |
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