Table 2 TPB theoretical framework construction for proposing ACP implementation for CHSCs
Belief | Recommendation |
|---|---|
Behavioral beliefs | Publicize ACP related information to CHWs, patients and their families. Improve the cognition level of ACP in Mainland China, popularize the concept of “optimal death”, and guide CHWs to form a positive attitude towards ACP. |
Normative beliefs | Form multidisciplinary team collaboration to provide ACP decision support. |
Control beliefs | 1. Take the government as the lead, formulate ACP practice guidelines in accordance with China’s national conditions, and guarantee the legal and economic implementation of ACP. 2. Strengthen training of talent pool of community health service centers to supplement the shortage of human resources. 3. Organize CHWs to attend ACP professional knowledge training and academic seminars. 4. Improve the communication ability of CHWs, and select appropriate ACP communication mode and opportunity. |