Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/108448
Title: Knowledge, attitudes and practices of the advance medical directive in a residential estate in Singapore
Authors: Tay, M.
Chia, S.E. 
Sng, J. 
Keywords: Decision making
Predictors
Issue Date: Jun-2010
Citation: Tay, M.,Chia, S.E.,Sng, J. (2010-06). Knowledge, attitudes and practices of the advance medical directive in a residential estate in Singapore. Annals of the Academy of Medicine Singapore 39 (6) : 424-428. ScholarBank@NUS Repository.
Abstract: Introduction: This study investigates the knowledge, attitudes and practices of residents in a residential estate in Singapore on the Advance Medical Directive (AMD). Materials and Methods: A community-based cross-sectional study was conducted with residents in the residential estate of Toa Payoh Lorong 6, Singapore. A stratified random sampling was conducted to obtain a representative sample of the estate. Only residents aged 21 years and older were included. An interviewer-administered questionnaire was conducted, and only those who understood the AMD sufficiently were further evaluated on their knowledge, attitudes and practices. Results: A total of 414 residents were enrolled (50.1% response rate). Only 37.9% of the participants knew about the AMD prior to this study. Participants who had a higher knowledge level of AMD, did not wish "for an artificially prolonged life", "to be kept alive indefinitely on a life-support machine", wished to "lessen the financial burden of loved ones", "avoid prolonged suffering" and accepted the "imminence of death" were more willing to sign an AMD. However, "religious beliefs", "personal ethical views", "dissuasion by family members" and "unclear terminology in the AMD" discouraged the participants from signing an AMD. After adjusting for significant factors, participants who did not wish "to be kept alive indefinitely on a life-support machine" and accepted the "imminence of death" were found to correlate significantly with the willingness to sign an AMD [Prevalence Rate Ratio (PRR) = 2.050 [1.140-3.685], P = 0.016; PRR = 2.669 [1.449-4.917], P = 0.02, respectively]. Conclusions: There is a need to increase awareness on the AMD. Public education methods can be improved to inform residents on the implications of the AMD.
Source Title: Annals of the Academy of Medicine Singapore
URI: http://scholarbank.nus.edu.sg/handle/10635/108448
ISSN: 03044602
Appears in Collections:Staff Publications

Show full item record
Files in This Item:
There are no files associated with this item.

Page view(s)

95
checked on Nov 16, 2018

Google ScholarTM

Check


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.