A population-based study on advance directive completion and completion intention among citizens of the western Canadian province of Alberta

J Palliat Care. 2013 Spring;29(1):5-12.

Abstract

Determining what proportion of the public has completed an advance directive and which population subgroups complete or do not complete such a directive is crucially important for planning purposes. Our research objective was to examine and compare advance directive completion, intention to complete, and noncompletion rates among citizens of one Canadian province. A telephone survey was conducted with 1,203 Albertans who met gender, age, and other requirements for a representative sample. When asked, "Do you have a living will or personal directive?" 43.6 percent reported having completed a directive and 42.1 percent indicated that they planned or intended to complete one. Completion rates increased with age. Widowed, self-employed, and retired people, and those who had lost a family member or friend and had other select end-of-life experiences and viewpoints were significantly more likely to have completed one. Although older people more often had an advance directive, personal life-and-death experiences should be recognized as major influences on directive completion.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Advance Directives* / statistics & numerical data
  • Aged
  • Alberta
  • Attitude to Health*
  • Cross-Sectional Studies
  • Female
  • Humans
  • Intention*
  • Logistic Models
  • Male
  • Middle Aged
  • Socioeconomic Factors