TY - JOUR TI - A community-based advance care planning intervention for the adult children of older adult Korean Americans DO - https://doi.org/doi:10.7282/t3-jfa5-2d17 PY - 2019 AB - Purpose: This quality improvement project aimed to increase engagement in advance care planning (ACP) and ACP behaviors among Korean Americans in New Jersey (NJ) by implementing a culturally-relevant ACP intervention targeted toward the adult children of Korean American older adults. Methodology: A single session ACP training event was held at an English-speaking Korean American church in central NJ. The training consisted of a short film about a woman's end-of-life journey, and an overview by a registered nurse of ACP concepts and how to use the Korean-English version of the "Five Wishes" advance directive to guide ACP conversations with a parent or loved one. The project used a pre- post- post-test design to measure ACP actions (i.e. ACP documentation and ACP conversations) and Advance Care Planning Engagement Survey (ACPES) scores before, immediately after (ACPES only), and two months after the intervention. Results: The convenience sample (n = 13) of participants was primarily female (54%), Korean American (85%), with a mean age of 40.5 years. Participants' aggregate ACPES scores increased 23% from baseline to two-month follow-up, (M = 3.31, M = 4.07). At two-month follow-up, 23% of participants had had a new ACP conversation with their parent or loved one, and 31% had completed a new ACP action. Additionally, after the intervention, 39% of participants reported not having completed an ACP action they previously reported before the intervention, suggesting a shift in participants' understanding of advance directives and ACP conversations following the intervention. Implications: Korean American older adults have low rates of ACP, placing them at increased risk for poor end-of-life care outcomes in a state that provides the most aggressive end-of-life medical care in the nation. The family unit plays a key role in ACP for Korean American older adults. This quality improvement project demonstrates that an ACP intervention by nurses to support adult children of older adult Korean Americans in engaging in semi-structured ACP conversations may help improve families' engagement in ACP and increase discussion of ACP wishes and values. KW - Leadership-Management KW - Advance care planning KW - Health planning KW - Korean Americans -- New Jersey -- Health and hygiene -- Planning KW - Children of immigrants -- New Jersey -- Health and hygiene -- Planning LA - English ER -