Predictors of Intention to Participate in Advance Care Planning Among People with Cancer in a University Hospital in Bangkok, Thailand: A Cross-Sectional Study
Issued Date
2026-07-01
Resource Type
ISSN
19068107
eISSN
25868373
Scopus ID
2-s2.0-105041683244
Journal Title
Pacific Rim International Journal of Nursing Research
Volume
30
Issue
3
Start Page
572
End Page
583
Rights Holder(s)
SCOPUS
Bibliographic Citation
Pacific Rim International Journal of Nursing Research Vol.30 No.3 (2026) , 572-583
Suggested Citation
Teerananukul W., Chaiviboontham S., Pokpalagon P. Predictors of Intention to Participate in Advance Care Planning Among People with Cancer in a University Hospital in Bangkok, Thailand: A Cross-Sectional Study. Pacific Rim International Journal of Nursing Research Vol.30 No.3 (2026) , 572-583. 583. doi:10.60099/prijnr.2026.280146 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/117428
Title
Predictors of Intention to Participate in Advance Care Planning Among People with Cancer in a University Hospital in Bangkok, Thailand: A Cross-Sectional Study
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Author's Affiliation
Corresponding Author(s)
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Abstract
The rising incidence of cancer in Thailand, the poor prognosis of people with advanced-stage disease, and cultural barriers to discussions about death all contribute to insuff icient awareness of the advance care planning process among the Thai population. This cross-sectional study examined factors influencing the intention to participate in advance care planning among people with cancer in a university hospital setting. A total of 155 people with cancer were recruited through simple random sampling from the oncology outpatient unit of a university hospital in Bangkok, Thailand, during November 2024 and February 2025. The following instruments were employed: the Mini-Cog assessment for cognitive screening, the Personal and Health-Related Information Questionnaire, and the Advance Care Planning Questionnaire, which comprises measures of knowledge, attitudes, subjective norms, and intention to participate regarding care planning. The data were examined through descriptive statistics and multiple regression analysis. The results indicate that knowledge, attitudes, subjective norms, and covariates collectively and signif icantly predicted intention to participate in the advance care planning process among people with cancer, accounting for 42.1% of variance. Attitudes towards advance care planning were the strongest predictor, followed by subjective norms and knowledge. The f indings highlight the need to cultivate positive attitudes, strengthen understanding, and actively involve key influencers to improve participationin advance care planning within this population. In particular, nursing practice should prioritize early assessment of patients’ attitudes and engage family influencers in advance care planning discussions, ensuring alignment with Thai cultural values and promoting greater engagement among individuals with cancer.