Ramona L. Rhodes|Tori Knox-Rice
The Evaluation of Health Literacy, Spiritual Coping, and Advance Care Planning Following a Culturally Sensitive Intervention for African American Cancer Patients (FR421A)
The University of Texas Southwestern Medical Center|The University of Texas Southwestern Medical Center
present results pilotintervention designed increase advance care planning acp engagement within african american cancer populationdescribe investigation health literacy religious coping context acp intention assessing barriers impact completion advance directives prior investigations disparities advance care planning acp among african americans aas suggest need develop interventions increase engagement acp process test intervention designed increase awareness intention complete advance directives ad medical power attorney mpoa among cohort aa cancer patients aa breast lung colon prostate cancer patients stage ii iii iv randomized intervention versus usual care control group intervention participants met aa lay health advisor lha facilitated viewing video addressed barriers completion acp subsequent discussion change stage intent complete admpoa measured transtheoretical stages change model linear regression conducted evaluate whether intervention associated change stage intent complete acp baseline 1month assessment cancer health literacy religious coping analyzed potential moderators fiftysix patients enrolled 28 intervention group 28 control group majority patients 71 found high cancerrelated health literacy high religious coping 53 intervention associated progression stage intent complete ads one month b 083 t47 279 p 0007 versus controls increased intent appoint mpoa 1 month statistically significant health literacy religious coping associated change intention culturally sensitive intervention associated progression stage intent complete ads 1month followup assessment health literacy religious coping considered moderators