Matches in SemOpenAlex for { <https://semopenalex.org/work/W2113147266> ?p ?o ?g. }
- W2113147266 endingPage "e58663" @default.
- W2113147266 startingPage "e58663" @default.
- W2113147266 abstract "Background Culture shapes how people understand illness and death, but few studies examine whether acculturation influences patients’ end-of-life treatment preferences and medical care. Methods and Findings In this multi-site, prospective, longitudinal cohort study of terminally-ill cancer patients and their caregivers (n = 171 dyads), trained interviewers administered the United States Acculturation Scale (USAS). The USAS is a 19-item scale developed to assess the degree of “Americanization” in first generation or non-US born caregivers of terminally-ill cancer patients. We evaluated the internal consistency, concurrent, criterion, and content validity of the USAS. We also examined whether caregivers’ USAS scores predicted patients’ communication, treatment preferences, and end-of-life medical care in multivariable models that corrected for significant confounding influences (e.g. education, country of origin, English proficiency). The USAS measure was internally consistent (Cronbach α = 0.98); and significantly associated with US birthplace (r = 0.66, P<0.0001). USAS scores were predictive of patients’ preferences for prognostic information (AOR = 1.31, 95% CI:1.00–1.72), but not comfort asking physicians’ questions about care (AOR 1.23, 95% CI:0.87–1.73). They predicted patients’ preferences for feeding tubes (AOR = 0.68, 95% CI:0.49–0.99) and wish to avoid dying in an intensive care unit (AOR = 1.36, 95% CI:1.05–1.76). Scores indicating greater acculturation were also associated with increased odds of patient participation in clinical trials (AOR = 2.20, 95% CI:1.28–3.78), compared with lower USAS scores, and greater odds of patients receiving chemotherapy (AOR = 1.59, 95% CI:1.20–2.12). Conclusion The USAS is a reliable and valid measure of “Americanization” associated with advanced cancer patients’ end-of-life preferences and care. USAS scores indicating greater caregiver acculturation were associated with increased odds of patient participation in cancer treatment (chemotherapy, clinical trials) compared with lower scores. Future studies should examine the effects of acculturation on end-of-life care to identify patient and provider factors that explain these effects and targets for future interventions to improve care (e.g., by designing more culturally-competent health education materials)." @default.
- W2113147266 created "2016-06-24" @default.
- W2113147266 creator A5005766860 @default.
- W2113147266 creator A5007867524 @default.
- W2113147266 creator A5013534769 @default.
- W2113147266 creator A5023585330 @default.
- W2113147266 creator A5031537278 @default.
- W2113147266 creator A5032378308 @default.
- W2113147266 creator A5045421873 @default.
- W2113147266 creator A5065695316 @default.
- W2113147266 creator A5071781938 @default.
- W2113147266 creator A5075610995 @default.
- W2113147266 creator A5080434143 @default.
- W2113147266 creator A5089424683 @default.
- W2113147266 date "2013-03-11" @default.
- W2113147266 modified "2023-10-16" @default.
- W2113147266 title "United States Acculturation and Cancer Patients’ End-of-Life Care" @default.
- W2113147266 cites W1590726065 @default.
- W2113147266 cites W16138400 @default.
- W2113147266 cites W1964444087 @default.
- W2113147266 cites W1973949780 @default.
- W2113147266 cites W1979191101 @default.
- W2113147266 cites W1981622703 @default.
- W2113147266 cites W1982761682 @default.
- W2113147266 cites W1993634966 @default.
- W2113147266 cites W2000445173 @default.
- W2113147266 cites W2003260377 @default.
- W2113147266 cites W2007769372 @default.
- W2113147266 cites W2009169005 @default.
- W2113147266 cites W2011377597 @default.
- W2113147266 cites W2013877308 @default.
- W2113147266 cites W2014055951 @default.
- W2113147266 cites W2016725888 @default.
- W2113147266 cites W2022346271 @default.
- W2113147266 cites W2028531625 @default.
- W2113147266 cites W2028545454 @default.
- W2113147266 cites W2034728078 @default.
- W2113147266 cites W2036293995 @default.
- W2113147266 cites W2036950974 @default.
- W2113147266 cites W2038470850 @default.
- W2113147266 cites W2039135400 @default.
- W2113147266 cites W2039450889 @default.
- W2113147266 cites W2041150529 @default.
- W2113147266 cites W2042472927 @default.
- W2113147266 cites W2045943501 @default.
- W2113147266 cites W2048747368 @default.
- W2113147266 cites W2060670220 @default.
- W2113147266 cites W2064558028 @default.
- W2113147266 cites W2067920563 @default.
- W2113147266 cites W2068649102 @default.
- W2113147266 cites W2073429174 @default.
- W2113147266 cites W2074048861 @default.
- W2113147266 cites W2075463597 @default.
- W2113147266 cites W2076787415 @default.
- W2113147266 cites W2083645756 @default.
- W2113147266 cites W2093068734 @default.
- W2113147266 cites W2098905831 @default.
- W2113147266 cites W2099705687 @default.
- W2113147266 cites W2108805951 @default.
- W2113147266 cites W2119537576 @default.
- W2113147266 cites W2121087740 @default.
- W2113147266 cites W2125566488 @default.
- W2113147266 cites W2130876452 @default.
- W2113147266 cites W2133054856 @default.
- W2113147266 cites W2144204711 @default.
- W2113147266 cites W2150911970 @default.
- W2113147266 cites W2155028375 @default.
- W2113147266 cites W2156492915 @default.
- W2113147266 cites W2159451395 @default.
- W2113147266 cites W2168642831 @default.
- W2113147266 cites W2169767089 @default.
- W2113147266 cites W2333478622 @default.
- W2113147266 cites W1900446693 @default.
- W2113147266 doi "https://doi.org/10.1371/journal.pone.0058663" @default.
- W2113147266 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3594172" @default.
- W2113147266 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23536809" @default.
- W2113147266 hasPublicationYear "2013" @default.
- W2113147266 type Work @default.
- W2113147266 sameAs 2113147266 @default.
- W2113147266 citedByCount "16" @default.
- W2113147266 countsByYear W21131472662015 @default.
- W2113147266 countsByYear W21131472662016 @default.
- W2113147266 countsByYear W21131472662017 @default.
- W2113147266 countsByYear W21131472662019 @default.
- W2113147266 countsByYear W21131472662020 @default.
- W2113147266 countsByYear W21131472662021 @default.
- W2113147266 countsByYear W21131472662022 @default.
- W2113147266 crossrefType "journal-article" @default.
- W2113147266 hasAuthorship W2113147266A5005766860 @default.
- W2113147266 hasAuthorship W2113147266A5007867524 @default.
- W2113147266 hasAuthorship W2113147266A5013534769 @default.
- W2113147266 hasAuthorship W2113147266A5023585330 @default.
- W2113147266 hasAuthorship W2113147266A5031537278 @default.
- W2113147266 hasAuthorship W2113147266A5032378308 @default.
- W2113147266 hasAuthorship W2113147266A5045421873 @default.
- W2113147266 hasAuthorship W2113147266A5065695316 @default.
- W2113147266 hasAuthorship W2113147266A5071781938 @default.
- W2113147266 hasAuthorship W2113147266A5075610995 @default.