[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-426893-105":59,"doc-detail-426893-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","changing-perceptions-of-end-of-life-care-among-older-chinese-americans-role-of-acculturation-research-findings-and-communication-support","CHANGING PERCEPTIONS OF END-OF-LIFE CARE AMONG OLDER CHINESE AMERICANS: ROLE OF ACCULTURATION - Research findings and communication support","","End-of-life (EOL) care remains underutilized among older Chinese Americans despite their growing presence in the United States. This study examines how acculturation shapes perceptions of EOL care, with a focus on shifting cultural views, increasing autonomy in decision-making, and greater willingness to discuss death and dying. Seven focus groups with 46 Chinese Americans aged 60+ in 2024 were recorded, transcribed, and thematically analyzed, showing how immigration history and acculturation influence evolving preferences for life-prolonging care. Results highlight culturally attuned clinician communication and tailored decision support tools.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/changing-perceptions-of-end-of-life-care-among-older-chinese-americans-role-of-acculturation-research-findings-and-communication-support/426893/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/changing-perceptions-of-end-of-life-care-among-older-chinese-americans-role-of-acculturation-research-findings-and-communication-support/426893.png","ImageObject",300,407,{"name":92,"@type":93},"nayy☆","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-19","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is end-of-life care underutilized among older Chinese Americans, according to the study context?","Question",{"text":112,"@type":113},"Despite being one of the largest and fastest-growing immigrant groups in the U.S., Chinese Americans have disproportionately low uptake of end-of-life (EOL) care.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How did the researchers study acculturation’s influence on EOL perceptions?",{"text":117,"@type":113},"They conducted seven focus groups (in person or via Zoom) with 46 Chinese Americans aged 60+ in 2024, recorded and transcribed interviews, then used open coding for thematic analysis.",{"name":119,"@type":110,"acceptedAnswer":120},"What major changes in EOL perceptions were reported after immigration and acculturation?",{"text":121,"@type":113},"Findings include limited awareness of EOL care before immigrating, increased understanding of palliative and hospice care through social networks, greater autonomy in decision-making, and growing openness to discussing death and dying.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426893,1790815770,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},962090893153,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Innovation in Aging, 2025, Vol. 9, No. S2 1111  \npost-immigration,(3) adaptation of traditional Chinese cultural views, such as filial piety, which influenced EOL preferences for life-prolonging care, (4) a shift toward greater autonomy and control in EOL decision-making, and (5) growing openness to discuss death and dying. Findings highlight the role of immigration history and acculturation in shaping Chinese American older adults’ evolving perceptions of end-of-life care, underscoring the need for clinicians to adopt culturally attuned communication strategies and decision-making support tools tailored to the values and experiences of immigrant older adults.  \nAbstract citation ID: igaf122.3730  \nCHANGING PERCEPTIONS OF END-OF-LIFE CARE  \nAMONG OLDER CHINESE AMERICANS: ROLE OF  \nACCULTURATION  \nPeiyuan Zhang1, Jing Wang2, Fei Sun3, Xiaoyouxiang Li4, Yaofeng Chen5, and Kaipeng Wang4, 1. University of Alabama, Tuscaloosa, Alabama, United States, 2. University of New Hampshire, Durham, New Hampshire, United States, 3.  \nMichigan State University, East Lansing, Michigan, United States, 4. University of Denver, Denver, Colorado, United States, 5. huazhong university of science and technology, huazhong university of science and technology, Hubei, China (People’s Republic)  \nChinese Americans are one of the largest and fastest-growing immigrant groups in the United States, yet end-of-life (EOL) care remains disproportionately underutilized among this population.  \nThis study explores perceptions of end-of-life care and how they were shaped by acculturation among older Chinese Americans.  \nResearchers conducted seven focus groups in person or via Zoom with 46 Chinese Americans aged 60 or above living in the United States in 2024. The study included three Mandarin (n = 22; mean years lived in the US: 18), two Cantonese (n= 9; mean years lived  \nin the US: 33), and two English (n = 15; mean years lived in the  \nUS: 53) focus groups. All interviews were recorded, transcribed, and thematically analyzed using open coding. Major findings were (1) limited awareness of EOL care before immigrating to the U.S., (2) increased understanding of palliative and hospice care through the experiences of informal social networks","cbCaidYg1Vs1NU8a","https://ap.wps.com/l/cbCaidYg1Vs1NU8a","pdf",979593,"English","# CHANGING PERCEPTIONS OF END-OF-LIFE CARE AMONG OLDER CHINESE AMERICANS: ROLE OF ACCULTURATION\n## Background: EOL care underutilization\n## Study aim and design\n## Focus group methods and analysis\n## Key findings and implications for clinician support","[{\"question\":\"Why is end-of-life care underutilized among older Chinese Americans, according to the study context?\",\"answer\":\"Despite being one of the largest and fastest-growing immigrant groups in the U.S., Chinese Americans have disproportionately low uptake of end-of-life (EOL) care.\"},{\"question\":\"How did the researchers study acculturation’s influence on EOL perceptions?\",\"answer\":\"They conducted seven focus groups (in person or via Zoom) with 46 Chinese Americans aged 60+ in 2024, recorded and transcribed interviews, then used open coding for thematic analysis.\"},{\"question\":\"What major changes in EOL perceptions were reported after immigration and acculturation?\",\"answer\":\"Findings include limited awareness of EOL care before immigrating, increased understanding of palliative and hospice care through social networks, greater autonomy in decision-making, and growing openness to discussing death and dying.\"}]","CHANGING PERCEPTIONS OF END-OF-LIFE CARE AMONG OLDER CHINESE AMERICANS: ROLE OF ACCULTURATION - Research findings and communication support | PDF",1790642121]