Presentation Schedule
Timing Preferences of Care Workers for Initiating Advance Care Planning with Chinese Elderly Residents in Japan (104332)
Tuesday, 24 March 2026 13:15
Session: Poster Session 1
Room: Orion Hall (5F)
Presentation Type: Poster Presentation
Aim: The number of immigrants in Japan is increasing, with 22.8% of them being Chinese. As the population ages, it is becoming increasingly important for care professionals to promote advance care planning (ACP) for elderly foreign residents living in Japan. This study aimed to explore timing preferences for initiating ACP discussions among workers providing care for Chinese elderly individuals. Method:The subjects were one staff member from 499 long-term care insurance facilities for Chinese elderly individuals. An anonymous, self-administered postal questionnaire survey was conducted. Responses to seven potential timings for initiating ACP were obtained on a 4-point Likert scale (4= 'very easy'; 1= 'fairly hard'), and free-text responses were collected to identify other timings. Results: We analyzed 124 responses. Seventy-seven participants (62%) had two parents of Chinese descent and five (4%) had one. Forty-three respondents (35%) had never heard of ACP.
The highest average scores for ACP initiation timing were 2.91 for "upon discharge from hospital", 2.74 for "after medical consultation", and 2.56 for "at the time of a funeral or memorial service for relatives". The lowest average value was for "on their birthday". The two most frequent responses in the free-text section were "when the person brings up the topic" and "when their health condition deteriorates". Mann-Whitney U test revealed no significant differences in timing preferences according to sociodemographic characteristics. Conclusions: Care workers suggested several appropriate opportunities to initiate ACP with Chinese elderly individuals. Their daily contact places them in a key position to initiate sensitive end-of-life discussions.
Authors:
Qijun Yan, Gunma University, Japan
Noriko Tsukagoshi, Gunma University, Japan
Mitsuko Ushikubo, Gunma University, Japan
About the Presenter(s)
QIJUN YAN is currently a PhD student at the Graduate School of Health Sciences, Gunma University, Japan.
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