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Table 4 Race/ethnicity analysis: planned purposive sampling and hypothetical joint display reporting mixed methods integration

From: Comparing two advance care planning conversation activities to motivate advance directive completion in underserved communities across the USA: The Project Talk Trial study protocol for a cluster, randomized controlled trial

ACP behavior

Race

Hypothetical common themes

Hypothetical arm-specific themes

Hypothetical conclusions from integration

Yes

Black (n=40)

• Values ACP conversations

• Family important

• Experience with end-of-life decisions

• Family as support system

Black participants who described strong family support were 5 times more likely than white participants to complete an ACP behavior (p<0.01)

Regardless of racial/ethnic background, those who described negative experiences within healthcare were 5 times less likely to complete an ACP behavior (p<0.01)

White (n=40)

• Positive experiences with healthcare

Hispanic (n=20)

• Community roles in decision-making

No

Black (n=40)

• Distrust of healthcare system

• Funeral planning important

• Skeptical about the value of ACP

• Prior negative experiences within healthcare system

White (n=40)

• Strong social networks besides family

• Prior negative experiences within healthcare system

Hispanic (n=20)

• Distrust of legal documents