Advance care planning behavioral intentions predict older adults’ cardiopulmonary resuscitation preferences

Abstract

Whether to perform cardiopulmonary resuscitation (CPR) in emergencies is a critical discussion in advance care planning (ACP). Few studies have investigated the relationship between older adults’ ACP behavioral intention and CPR preferences. The study aimed to understand whether ACP behavioral intention predicts CPR preferences in older adults. Cross-sectional secondary data was applied. Two hundred twenty participants from two studies completed an ACP behavioral intention assessment and a cartoon version of the life support preferences questionnaire. Among the participants, 78 preferred CPR and 142 did not. Responses differed significantly by sex (X² = 3.870, p = 0.049), age (X² = 6.105, p = 0.013), and ACP behavioral intention (t = 2.933, p = 0.004). The logistic regression results indicated that older adults who tended to undertake ACP did not like to receive CPR (OR = 0.534, p = 0.035). ACP intervention methods should differ depending on CPR preference. Future research should develop ACP interventions for individuals with different CPR preferences.

Keywords:

• Advance care planning
• Older adults
• Behavioral intention
• Cardiopulmonary resuscitation