Effectiveness of the SHARE Model in Improving the Knowledge of, Attitudes Toward, Intention to Provide, and Initiation of Hospice Care Among Caregivers of Terminally ill Patients With the Eight Major Non-Cancer Diseases.

This article focuses on evaluating the effectiveness of the SHARE model intervention in improving hospice care knowledge, attitudes, intentions to provide, and initiation of hospice care among caregivers of terminally ill patients with the eight major non-cancer diseases in Taiwan. Using a randomized pre-post-test design, the six-week SHARE intervention significantly enhanced caregivers' knowledge of hospice care, their intentions to provide hospice care, and the initiation of hospice care, including signing do-not-resuscitate (DNR) or advance care planning (ACP) orders, compared to a control group receiving routine care. The study also found that higher education levels and having signed DNR or ACP orders were positively correlated with better hospice care knowledge, attitudes, and intentions. These findings suggest that structured communication and decision aids like the SHARE model can support caregivers in making informed end-of-life care decisions for non-cancer terminal patients.