Care Managers' Awareness and Practice of Advance Care Planning by Web-based Questionnaire Survey after 5 Years of Dissemination Activities in City M

Abstract

Five years have passed since creating the 'My Life Notebook' as a community dissemination activity for ACP in M City. We conducted an online anonymous questionnaire survey to clarify the level of awareness of ACP among care managers and the state of practice in five years, and to identify challenging issues for the dissemination of ACP. We received 162 responses (response rate: 35%). 58.6% were aware of the ACP and 75.3% were aware of "My Life Notebook". The five categories were generated as challenges to improving the ability of care managers to implement ACP: [Improving the knowledge and skills of care managers to disseminate ACP], [Building trusting relationships with users and their families], [Work environment improvement and multidisciplinary collaboration for ACP initiatives that respect the wishes of users and their families], [Supporting users and their families to start ACP at an early stage], and [Building a system for proactive ACP initiatives from care managers towards users' families]. It is necessary to consider ACP dissemination activities and to create references and practical manuals to facilitate care managers' efforts in ACP and to create an environment that facilitates their use.