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Older Chinese Americans show a notably lower completion rate of advance directives than older adults overall, indicating a need for culturally responsive support. A one-group pretest-posttest mixed-methods study evaluated the feasibility of Heart-to-Heart (HTH) Café for Chinese American adults, delivered virtually in Mandarin over five weeks.",{"@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/heart-to-heart-cafe-an-innovative-intervention-to-promote-advance-care-planning-among-chinese-americans/424907/",{"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/heart-to-heart-cafe-an-innovative-intervention-to-promote-advance-care-planning-among-chinese-americans/424907.png","ImageObject",300,407,{"name":92,"@type":93},"LangkahRina","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-28",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 advance care planning important for end-of-life care?","Question",{"text":112,"@type":113},"Advance care planning is associated with improved end-of-life care quality, reduced use of aggressive medical treatments, and lower decisional burden for healthcare surrogates.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What problem motivates the Heart-to-Heart (HTH) Café intervention?",{"text":117,"@type":113},"Older Chinese Americans have a significantly lower completion rate of advance directives than older Americans in general, so a culturally responsive intervention is needed.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the feasibility results of the HTH Café program?",{"text":121,"@type":113},"Seventeen participants enrolled, and 15 (88%) attended at least three sessions and completed the post-test survey, with significant improvements in ACP and palliative care knowledge and reduced fear of death.","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},424907,1790763962,{"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":14,"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":24,"preview_page_count":4},962090893776,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","1128 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.3786  \nHEART-TO-HEART CAFÉ: AN INNOVATIVE INTERVENTION TO PROMOTE ADVANCE CARE PLANNING AMONG CHINESE AMERICANS  \nKaipeng Wang1, Yaolin Pei2, Xiaoyouxiang Li1, Aprille Arena1, Jina Park1, Leslie Hasche1, and Sandy Stokes3, 1. University of Denver, Denver, Colorado, United States, 2. The University of Texas at Austin, Austin, Texas, United States, 3. Chinese American Coalition for Compassionate Care, Cupertino, California, United States  \nAdvance care planning (ACP) is associated with improved end-of-life (EOL) care quality, reduced use of aggressive medical treatments, and lower decisional burden for healthcare surrogates. Older Chinese Americans have a significantly lower  \nInnovation in Aging, 2025, Vol. 9, No. S2 1129  \ncompletion rate of advance directives (ADs) compared to older Americans in general. Thus, a culturally responsive intervention is needed to promote ACP among Chinese Americans. Using a one-group pretest-posttest mixed methods design, this project aims to study the feasibility of Heart-to-Heart (HTH) Café on attitude and readiness regarding ACP among Chinese American adults with a family member aged 60 or older. The program consists of four sessions: (1) HTH Café card games,(2) legal documents lecture, (3) palliative and hospice care lecture, and  \n(4) AD completion workshop. All sessions were virtually offered in Mandarin over a total of five weeks. We evaluated the program’s feasibility using a mixed-methods approach, incorporating pre-post surveys, focus groups, and individual interviews.  \nSeventeen participants were successfully enrolled in the program, and 15 (88%) attended at least three sessions and completed the post-test survey. The results of paired t-tests showed statistically significant improvements in knowledge of ACP and palliative care, as well as a decrease in fear of death. While supporting these results, qualitative findings from thematic analysis further revealed the high feasibility of the program, participants’improved knowledge of ACP, and enhanced readiness for discussions about death and ACP. Findings highlight the feasibility of a culturally innovative group approach and underscore the need for continued community outreach in ACP promotion among Chinese Americans.","cbCaijegYU8nGzAA","https://ap.wps.com/l/cbCaijegYU8nGzAA","pdf",1946419,"English","# Abstract\n## Background and Rationale\n## Intervention Design (HTH Café)\n## Study Methods and Evaluation\n## Results and Key Findings","[{\"question\":\"Why is advance care planning important for end-of-life care?\",\"answer\":\"Advance care planning is associated with improved end-of-life care quality, reduced use of aggressive medical treatments, and lower decisional burden for healthcare surrogates.\"},{\"question\":\"What problem motivates the Heart-to-Heart (HTH) Café intervention?\",\"answer\":\"Older Chinese Americans have a significantly lower completion rate of advance directives than older Americans in general, so a culturally responsive intervention is needed.\"},{\"question\":\"What were the feasibility results of the HTH Café program?\",\"answer\":\"Seventeen participants enrolled, and 15 (88%) attended at least three sessions and completed the post-test survey, with significant improvements in ACP and palliative care knowledge and reduced fear of death.\"}]","HEART-TO-HEART CAFÉ - An Innovative Intervention to Promote Advance Care Planning Among Chinese Americans | PDF",1790635692]