Asian Oncol Nurs.  2020 Mar;20(1):39-49. 10.5388/aon.2020.20.1.39.

The Effect of Video Education on Cancer Patient Advance Directive Writing

  • 1Wonkwang University Hospital, Iksan, Korea.
  • 2College of Nursing · Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Korea.


This study was conducted to examine the role of video education on cancer patient advance directive writing.
To evaluate the effects of video education on cancer patient advance directive knowledge, attitude, writing intention and writing, this study employed a non-equivalent control group and non-synchronized design as a quasi-experimental study. The target population of this study were adults aged ≥50 years old, diagnosed with cancer in South Korea. The proximity population were also cancer patients who visited a university hospital. The control group (n=31) were educated verbally using a leaflet and the experimental group (n=30) were educated by a video program developed by the National Bioethics Policy Institute for 10 minutes, supplemented with a leaflet. The advance directives video program form provided by the Korean Ministry of Health and Welfare was used.
The experimental group showed a positive change in knowledge level (F=52.82, p<.001, effect size=0.96), attitude (F=12.21, p<.001, effect size=0.46), the intention to write (F=18.22, p<.001, effect size=0.56) advance directives and a higher proportion of writing (χ2=13.87, p<.001) than the control group.
The results of this research show that providing information through video is a more effective educational medium for retention of knowledge, attitude, writing intention, and writing of cancer patient's advance directives.


Video audio media; Education; Cancer; Advance directives; Writing
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