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>Promoting advance care planning in African American faith communities: literature review and assessment of church-based programs
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Promoting advance care planning in African American faith communities: literature review and assessment of church-based programs
Advance care planning is under-used among Black Americans, often because ofexperiences of racism in the health care system, resulting in a lower quality of care at theend of life. African American faith communities are trusted institutions where such sensitiveconversations may take place safely. Our search of the literature identified five articlesdescribing faith-based advance care planning education initiatives for Black Americans thathave been implemented in local communities. We conducted a content analysis to identify keythemes related to the success of a program’s implementation and sustainability. Our analysisshowed that successful implementation of advance care planning programs in Black Americancongregations reflected themes of building capacity, using existing ministries, involving faithleadership, exhibiting cultural competency, preserving a spiritual/Biblical context, addressinghealth disparities, building trust, selectively using technology, and fostering sustainability. Wethen evaluated five sets of well-known advance care planning education program materialsthat are frequently used by pastors, family caregivers, nurse’s aides, nurses, physicians, socialworkers, and chaplains from a variety of religious traditions. We suggest ways these materialsmay be tailored specifically for Black American faith communities, based on the key themesidentified in the literature on local faith-based advance care planning initiatives for Blackchurches. Overall, the goal is to achieve better alignment of advance care planning educationmaterials with the African American faith community and to increase implementation andsuccess of advance care planning education initiatives for all groups.
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