ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 12
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Development of training videos of advance care planning
communication for Japanese primary care professionals
Ms Michiko Abe1, Prof Machiko Inoue1, Christine Kistler1,2
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Hamamatsu University School of Medicine, 2University of North Carolina
Background
Japan has the oldest ageing population in the world, yet engagement of healthcare professionals in
advance care planning (ACP) is low. This study describes the development of training videos of ACP
communication for Japanese primary care professionals based on US-based training videos.
Methods
Preceding Japanese video development, US-based ACP communication skills training workshops
were conducted in Japan in 2022. While the workshops were adapted from US-based training for
Japanese primary care professionals, they contained English language training videos with American
actors set in a US primary care clinic with Japanese subtitles. Based on qualitative feedback from
participants, we developed two eight-minute videos to promote ACP communication by reflecting the
reality of Japanese practice settings.
Results
Japanese primary care participants’ feedback on the US-based training videos included: (1) initiating
ACP is challenging for physicians in the busy outpatient setting; (2) it should be a multidisciplinary
collaboration in Japan; (3) Japanese patients may be more reluctant to express their feelings and goals
of care; and (4) families may hesitate to discuss ACP with the patient. The adaptation strategies for
the Japanese-based videos were: (1) to divide the scenes into two parts to present continuous ACP
communication in short clinical visits; (2) to include a nurse to facilitate the ACP discussion; (3) to let
the patient and family address hesitation in discussing ACP; and (4) to cast well-experienced clinicians
as healthcare professionals to provide a real-world example for Japanese primary care professionals.
(Parts of the videos will be presented.)
Conclusion
ACP training videos for Japanese primary care professionals were developed from US-based training
workshops for the real-world setting. Because ACP remains a new communication approach, adapting
the training content to the Japanese context may maximise its relevance for Japanese primary care
professionals.
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