Timing and facilitation of advanced directives in Japan

Arch Gerontol Geriatr. 2018 Nov-Dec;79:83-87. doi: 10.1016/j.archger.2018.08.003. Epub 2018 Aug 12.


Objectives: This study aimed to reveal Japanese elders' perspective on optimal timing and method of receiving unified guidance about advance directives (AD).

Methods: We convened 202 elders (average age 66) to learn about end-of-life at Kyoto University. They listened to a presentation and viewed two videos on advance care planning and AD; then 167 completed detailed questionnaires about unified timing and methods of providing such information.

Results: A majority of Japanese elders (79%) agreed with unified guidance in combination with the issue of health insurance cards at age 65 or 75. The most preferred method for receiving information was video presentation.

Conclusions: Japanese elders appear to welcome the idea of receiving information about AD when they are issued health insurance cards at age 65 or 75. Use of video materials holds great promise for educating elderly Japanese about their choices on AD.

Keywords: Advance care planning; Advance directives; Elderly; Japan; Video.

MeSH terms

  • Advance Care Planning*
  • Advance Directives*
  • Aged
  • Consumer Health Information*
  • Female
  • Humans
  • Japan
  • Male
  • Surveys and Questionnaires
  • Video Recording