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Views on advance care planning of family members of older adults with Turkish and Moroccan backgrounds : an exploratory interview study

(2024) PALLIATIVE MEDICINE. 38(9). p.1000-1009
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Organization
Abstract
Background: Significantly fewer individuals with migration backgrounds than native-born individuals undertake advance care planning. Older adults with Turkish and Moroccan backgrounds represent one of the largest ageing non-Western minority groups in Europe. Their relatives could play important roles in facilitating or hindering advance care planning, but their views remain underexplored. Aim: To explore advance care planning knowledge, experience, views, facilitators and barriers among older Turkish and Moroccan adults’ relatives in Belgium. Design: Qualitative thematic analysis of semi-structured interview data. Setting/participants: Twenty-two relatives of older Turkish and Moroccan adults in Brussels, Mechelen and Antwerp, recruited via general practitioners. Results: Participants had limited advance care planning knowledge and had not discussed it with healthcare professionals. Some found discussing end-of-life preferences with relatives beneficial; others opposed the discussion of specific topics or felt discussions were unnecessary, as they felt responsible for caregiving and trusted by their relatives to make future decisions. Barriers included personal and relational characteristics, emotional difficulty and perceived non-urgency. Facilitators included information in older adults’ native languages, general practitioners’ cautious initiation and the involvement of several family members. Conclusions: Relatives of older people with Turkish and Moroccan backgrounds are unfamiliar with advance care planning and have highly variable views on it. People should be given opportunities to discuss advance care planning in a culturally appropriate manner, and the diversity of perspectives regarding whether and how to engage in such planning should be recognised.
Keywords
Advance care planning, end-of-life care, family member, migrant, qualitative study, SURROGATE DECISION-MAKERS, PERSPECTIVES, DEMENTIA, COMMUNICATION, DIRECTIVES, BELGIUM

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Citation

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MLA
Demirkapu, Hakki, et al. “Views on Advance Care Planning of Family Members of Older Adults with Turkish and Moroccan Backgrounds : An Exploratory Interview Study.” PALLIATIVE MEDICINE, vol. 38, no. 9, 2024, pp. 1000–09, doi:10.1177/02692163241261207.
APA
Demirkapu, H., Edally, W., De Vleminck, A., Van den Block, L., De Maesschalck, S., & Devroey, D. (2024). Views on advance care planning of family members of older adults with Turkish and Moroccan backgrounds : an exploratory interview study. PALLIATIVE MEDICINE, 38(9), 1000–1009. https://doi.org/10.1177/02692163241261207
Chicago author-date
Demirkapu, Hakki, Wael Edally, Aline De Vleminck, Lieve Van den Block, Stéphanie De Maesschalck, and Dirk Devroey. 2024. “Views on Advance Care Planning of Family Members of Older Adults with Turkish and Moroccan Backgrounds : An Exploratory Interview Study.” PALLIATIVE MEDICINE 38 (9): 1000–1009. https://doi.org/10.1177/02692163241261207.
Chicago author-date (all authors)
Demirkapu, Hakki, Wael Edally, Aline De Vleminck, Lieve Van den Block, Stéphanie De Maesschalck, and Dirk Devroey. 2024. “Views on Advance Care Planning of Family Members of Older Adults with Turkish and Moroccan Backgrounds : An Exploratory Interview Study.” PALLIATIVE MEDICINE 38 (9): 1000–1009. doi:10.1177/02692163241261207.
Vancouver
1.
Demirkapu H, Edally W, De Vleminck A, Van den Block L, De Maesschalck S, Devroey D. Views on advance care planning of family members of older adults with Turkish and Moroccan backgrounds : an exploratory interview study. PALLIATIVE MEDICINE. 2024;38(9):1000–9.
IEEE
[1]
H. Demirkapu, W. Edally, A. De Vleminck, L. Van den Block, S. De Maesschalck, and D. Devroey, “Views on advance care planning of family members of older adults with Turkish and Moroccan backgrounds : an exploratory interview study,” PALLIATIVE MEDICINE, vol. 38, no. 9, pp. 1000–1009, 2024.
@article{01J2V93HVRFH7AM0K7MBZFRW5F,
  abstract     = {{Background:
Significantly fewer individuals with migration backgrounds than native-born individuals undertake advance care planning. Older adults with Turkish and Moroccan backgrounds represent one of the largest ageing non-Western minority groups in Europe. Their relatives could play important roles in facilitating or hindering advance care planning, but their views remain underexplored.
Aim:
To explore advance care planning knowledge, experience, views, facilitators and barriers among older Turkish and Moroccan adults’ relatives in Belgium.
Design:
Qualitative thematic analysis of semi-structured interview data.
Setting/participants:
Twenty-two relatives of older Turkish and Moroccan adults in Brussels, Mechelen and Antwerp, recruited via general practitioners.
Results:
Participants had limited advance care planning knowledge and had not discussed it with healthcare professionals. Some found discussing end-of-life preferences with relatives beneficial; others opposed the discussion of specific topics or felt discussions were unnecessary, as they felt responsible for caregiving and trusted by their relatives to make future decisions. Barriers included personal and relational characteristics, emotional difficulty and perceived non-urgency. Facilitators included information in older adults’ native languages, general practitioners’ cautious initiation and the involvement of several family members.
Conclusions:
Relatives of older people with Turkish and Moroccan backgrounds are unfamiliar with advance care planning and have highly variable views on it. People should be given opportunities to discuss advance care planning in a culturally appropriate manner, and the diversity of perspectives regarding whether and how to engage in such planning should be recognised.}},
  author       = {{Demirkapu, Hakki and Edally, Wael and De Vleminck, Aline and Van den Block, Lieve and De Maesschalck, Stéphanie and Devroey, Dirk}},
  issn         = {{0269-2163}},
  journal      = {{PALLIATIVE MEDICINE}},
  keywords     = {{Advance care planning,end-of-life care,family member,migrant,qualitative study,SURROGATE DECISION-MAKERS,PERSPECTIVES,DEMENTIA,COMMUNICATION,DIRECTIVES,BELGIUM}},
  language     = {{eng}},
  number       = {{9}},
  pages        = {{1000--1009}},
  title        = {{Views on advance care planning of family members of older adults with Turkish and Moroccan backgrounds : an exploratory interview study}},
  url          = {{http://doi.org/10.1177/02692163241261207}},
  volume       = {{38}},
  year         = {{2024}},
}

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