{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T06:06:09Z","timestamp":1766729169925,"version":"3.48.0"},"reference-count":28,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1478951525101284_sec1a\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study aims to examine the awareness, attitudes, and acceptability of medical aid in dying (MAiD) among healthcare professionals in Pakistan, a predominantly Muslim country where cultural and religious values heavily influence medical ethics and end-of-life decisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101284_sec2b\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional survey was conducted online among 70 healthcare professionals, including physicians, nurses, and allied health workers in Pakistan. Data were collected via a structured, self-administered online questionnaire assessing knowledge, attitudes, and willingness to participate in MAiD-related actions. Descriptive and correlational analyses were conducted to identify patterns and associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101284_sec3c\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants demonstrated moderate knowledge about MAiD (M = 17.13, SD = 3.42) and moderate support for its legalization (M = 18.89, SD = 4.99). However, levels of negative attitudes (M = 32.21, SD = 6.11) and legal and ethical concerns (M = 24.73, SD = 3.66) were high. Behavioral willingness to engage in MAiD-related actions remained low (M = 2.42, SD = 3.38), with limited intent to assist (M = 0.39), refer (M = 0.64), or approve physician-assisted MAID (M = 0.81). A significant negative correlation emerged between knowledge and support for legalization (r = \u2212 .25, p = .037), while no significant associations were observed between knowledge and willingness to participate in MAiD. Gender and profession did not significantly influence attitudes or willingness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1478951525101284_sec4d\">\n                    <jats:title>Significance of results<\/jats:title>\n                    <jats:p>While Pakistani healthcare professionals display a conceptual understanding of MAiD, their readiness to participate remains low, primarily due to ethical, legal, and religious concerns. These findings highlight the need for creating awareness regarding MAiD and for providing culturally sensitive education, structured training in palliative care, and the development of clear legal frameworks to guide end-of-life decision-making in Muslim-majority contexts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1478951525101284","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T06:04:19Z","timestamp":1766729059000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Perceptions about medical aid in dying among healthcare workers in Pakistan"],"prefix":"10.1017","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1059-9764","authenticated-orcid":false,"given":"Habiba","family":"Zaheer","sequence":"first","affiliation":[{"name":"The Aga Khan University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad Atif","family":"Waqar","sequence":"additional","affiliation":[{"name":"The Aga Khan University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5532-2069","authenticated-orcid":false,"given":"Tushar","family":"Subash","sequence":"additional","affiliation":[{"name":"The Aga Khan University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adil","family":"Elahi","sequence":"additional","affiliation":[{"name":"Baptist Hospitals of Southeast Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiza","family":"Atif","sequence":"additional","affiliation":[{"name":"The Aga Khan University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aisha","family":"Ambreen","sequence":"additional","affiliation":[{"name":"The Aga Khan University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2215-1412","authenticated-orcid":false,"given":"Asra","family":"Taj","sequence":"additional","affiliation":[{"name":"The Aga Khan University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismat","family":"Jabeen","sequence":"additional","affiliation":[{"name":"The Aga Khan University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"S1478951525101284_ref1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1075.45448"},{"key":"S1478951525101284_ref13","doi-asserted-by":"publisher","DOI":"10.1017\/asjcl.2019.34"},{"key":"S1478951525101284_ref7","article-title":"Medically assisted dying in Canada and unjust social conditions: a response to Wiebe and Mullin","author":"Christie","year":"2023","journal-title":"Journal of Medical 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Britannica."},{"key":"S1478951525101284_ref10","first-page":"747","article-title":"Pros and cons of physician aid in dying","volume":"92","author":"Dugdale","year":"2019","journal-title":"Yale Journal of Biology and Medicine"},{"key":"S1478951525101284_ref11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h4481"},{"key":"S1478951525101284_ref20","first-page":"178","article-title":"Perceptions, knowledge and attitudes towards the concept and principles of palliative care among caregivers in Pakistan: a cross-sectional study","volume":"19","author":"Khan","year":"2020","journal-title":"BMC Palliative Care"},{"key":"S1478951525101284_ref12","first-page":"1136","article-title":"Medical aid in dying in Pakistan","volume":"4","author":"Elahi","year":"2024","journal-title":"Journal of Oncology"},{"key":"S1478951525101284_ref17","doi-asserted-by":"publisher","DOI":"10.3389\/ijph.2023.1606538"},{"key":"S1478951525101284_ref26","doi-asserted-by":"publisher","DOI":"10.1159\/000509119"},{"key":"S1478951525101284_ref27","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-024-01063-7"},{"key":"S1478951525101284_ref14","doi-asserted-by":"publisher","DOI":"10.1080\/11287462.2022.2118977"},{"key":"S1478951525101284_ref4","doi-asserted-by":"publisher","DOI":"10.1080\/15265160701220907"},{"key":"S1478951525101284_ref8","doi-asserted-by":"publisher","DOI":"10.11157\/anzswj-vol37iss2id1233"}],"container-title":["Palliative and Supportive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1478951525101284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T06:04:21Z","timestamp":1766729061000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1478951525101284\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,26]]},"references-count":28,"alternative-id":["S1478951525101284"],"URL":"https:\/\/doi.org\/10.1017\/s1478951525101284","relation":{},"ISSN":["1478-9515","1478-9523"],"issn-type":[{"value":"1478-9515","type":"print"},{"value":"1478-9523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,26]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e7"}}