{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T22:53:19Z","timestamp":1777935199346,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"crossref","award":["T32 HS026122"],"award-info":[{"award-number":["T32 HS026122"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"crossref","award":["5UL1TR002243-03"],"award-info":[{"award-number":["5UL1TR002243-03"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Low-income communities are at higher risk for adverse childhood experiences and have low rates of advance care planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>This study explored subsidized housing residents\u2019 perceptions of the trauma-informed components of an advance care planning intervention to address these inequities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>We used a qualitative descriptive design to analyze the post-intervention qualitative interviews.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Subjects:<\/jats:title>\n                    <jats:p>In a Southeast Nashville subsidized housing community, we recruited adult (aged 18+) residents who had not completed an advance directive to participate in an intervention study. Interviews were conducted in an on-site apartment reserved for community service and research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements:<\/jats:title>\n                    <jats:p>An expert-informed and Substance Abuse and Mental Health Services Administration trauma-informed care model-informed semi-structured guide was used to conduct face-to-face, audio-recorded, and one-time post-intervention debrief interviews. Using thematic analysis, two trained coders coded transcripts, resulting in a hierarchical codebook. Codes were individually reapplied as coding evolved. The final themes were inductively informed by participant quote patterns and deductively informed by the trauma-informed care model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Most interview participants (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 29) identified as male (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 15), Black or African American (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 18), and Christian (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 26) (median age: 60). Three themes emerged:\n                      <jats:italic toggle=\"yes\">Meet me where I am, I don\u2019t want anyone in my business, and this was an eye-opener<\/jats:italic>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This study expanded the advance care planning literature by using a trauma-informed lens, suggesting a strong need for privacy with aging adults across socioeconomic levels. Research, policy, and practice recommendations are discussed to spread trauma-informed processes at the organizational and community levels.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218251395872","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T01:31:46Z","timestamp":1764034306000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Participant Perceptions of a Trauma-Informed Advanced Care Planning Intervention: A Qualitative Study"],"prefix":"10.1177","author":[{"given":"Christine C.","family":"Kimpel","sequence":"first","affiliation":[{"name":"College of Nursing, The Ohio State University, Columbus, Ohio, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Finamore","sequence":"additional","affiliation":[{"name":"Nursing Department, University at Buffalo - North Campus, Amherst, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Clouse","sequence":"additional","affiliation":[{"name":"School of Nursing, University of North Carolina at Greensboro, Greensboro, North Carolina, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049909118812431"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/NJH.0000000000000870"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002782"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18314"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18287"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-023-08579-5"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.29063"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/01634372.2016.1229709"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2016.6751"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/07334648241230024"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2018.2537"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/bul0000270"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2022.105951"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0000000000000545"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2022.115194"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231206998"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_4_19_2","volume-title":"SAMHSA\u2019s Concept of Trauma and Guidance for a Trauma-Informed Approach","author":"Substance Abuse and Mental Health Services Administration","year":"2014","unstructured":"Substance Abuse and Mental Health Services Administration. 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