Table 2.

Recommendations for How to Normalize Advance Care Planning among Spanish-language Speakers in the U.S., by Site

Outside of the Healthcare Delivery Systemo

Who

• Community-based organizations for healthy aging

• Target friends and family

Where: Community Workshops & Spiritual Communities

• Potential Locations

∘ Spanish-speaking churches

∘ Religious gathering places

∘ Spanish Community Centers

∘ Kiosk at a town/city fair with ACP material

Communication Media: Radio & Social Media

• Television and radio commercials

• Personal social media accounts (e.g. planning ahead for who manages your Facebook account after you die)

• Social media advertisements

Inside the Healthcare Delivery System

Who

• Primary care provider who spends the most time with the patient

• A Spanish-speaking person at the medical center who can have specific days that they approach patients about ACP and give them resources

• A social worker

Where and How

• Clinic workshops for providers and patients

• Commercial/presentation about ACP in waiting rooms at the clinic

• ACP workshops in nursing homes