Long-term Outcome of Advance Care Plan Training Among Palliative and Renal Healthcare Professionals in Thailand

Authors

  • Niyom Boonthan Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Ananyaporn Jenviriyakul Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Natchaya Bualakorn Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Prakaipetch Kaw-in Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Srivieng Pairojkul Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Attakorn Raksasataya Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
  • Jaruwan Thawarungrueang Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

Keywords:

Advance care planning, Knowledge, Attitude, Practice

Abstract

Background and rationale: Advance care planning (ACP) is crucial for palliative care (PC) patients. Nonetheless, integrating ACP into clinical practice remains challenging in Thailand. Adequate knowledge, attitude, and practice (KAP) among healthcare professionals (HCP) are essential for effective ACP communication.

Objective: To evaluate the effectiveness of the modified Serious Illness Conversation Guide (mSICG) training on KAP for HCP to deliver ACP for PC and chronic kidney disease (CKD) across Thailand’s 12 health regions.

Methods: A quasi-experimental study was conducted between 16 October 2023 to 31 March 2024. The mSICG-ACP workshops included interactive lectures, video feedback, and role-play sessions. Participants completed KAP assessments at pre-training (T0), immediately post-training (T1), and three months post-training (T2). Descriptive statistics and repeated-measures analysis were conducted using a general linear model, with Bonferroni adjustments performed for pairwise comparisons.

Results: Of 779 participants, 167 completed all three KAP assessments. In the knowledge domain, mean scores declined over time (7.89±1.13, 7.90±1.01, and 7.33±1.00; p<0.001). In the attitude domain, the overall mean score increased at T1 and decreased at T2 (3.69±0.48, 3.85±0.58, 3.52±0.42, p<0.001). For practice, the overall mean score showed an increasing trend through T1 and T2 (3.32±1.34, 3.36±1.43, 3.61±1.17, p=0.005), especially in CKD HCP (2.11±1.42, 2.45±1.43, 2.83±1.31, p=0.005).

Conclusions and recommendation: The mSICG-ACP workshop enhanced participants’ knowledge and attitudes in the short term, but these effects decreased over time, whereas ACP practices showed a positive long-term trend. These findings support expanding mSICG-ACP training to other chronic disease HCP and reinforcement to sustain KAP.

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Author Biographies

Niyom Boonthan, Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

 

   

Ananyaporn Jenviriyakul, Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

 

 

Natchaya Bualakorn, Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

 

 

Prakaipetch Kaw-in, Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

 

 

Srivieng Pairojkul, Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

 

 

Attakorn Raksasataya, Karunruk Palliative Care Center, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. /Karunruk Palliative Care Research Collaboration Center (KPCRCC), Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.

 

   

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Published

2025-12-24

How to Cite

Boonthan, N., Jenviriyakul, A. ., Bualakorn, N. ., Kaw-in, P. ., Pairojkul, S., Raksasataya, A., & Thawarungrueang, J. (2025). Long-term Outcome of Advance Care Plan Training Among Palliative and Renal Healthcare Professionals in Thailand. Community Health Development Quarterly Khon Kaen University, 13(4), 34–47. retrieved from https://he05.tci-thaijo.org/index.php/CHDMD_KKU/article/view/6903

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Vol. 13 No. 4 (2025): October-Decamber 2025

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Original Article

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