Global Exemplar SeriesFactors Associated With Life Discussions Among Friends and Family in Japanese Depopulated AreasOhama, Etsuko MS; Fukui, Sakiko PhD Author Information Etsuko Ohama, MS, is PhD student in Osaka University, Graduate School of Medicine Division of Health Sciences, Japan. Sakiko Fukui, PhD, is professor in Osaka University, Graduate School of Medicine Division of Health Sciences, Japan. Address correspondence to Sakiko Fukui, PhD, Division of Health Sciences, Graduate School of Medicine, Osaka University, 1-7, Yamadaoka, Suita, Japan ([email protected]). This work was supported by JSPS KAKENHI (grant JP23390526). The study funders had no role in the process of preparing the research for publication. The authors have no conflicts of interest to disclose. Journal of Hospice & Palliative Nursing: April 2020 - Volume 22 - Issue 2 - p 159-165 doi: 10.1097/NJH.0000000000000633 Buy Metrics Abstract Advance care planning is spreading globally, but it is still a difficult task for healthy, community-dwelling Japanese residents. In Japan, it is called “life discussion,” and the first step is a discussion on goals, values, and preferences of medical care among family or other close persons, as knowledge on this topic is limited. This study aimed to explore the factors associated with the degree of engagement in life discussions among friends and family in depopulated areas. In 2 areas of Japan, 2466 individuals (aged 40-79 years) participated in this survey. Health/life habits, such as collecting health information and participating in some community activities, were significantly associated with the discussions more than attitude to medical/long-term care and community. Additionally, it was discussed how local governments could intervene to encourage advance care planning in depopulated areas. In conclusion, health habits or attitudes for care such as preference and desire for care among community-dwelling adults were associated with engaging in the discussions. It was proposed that local governments should motivate individuals to consider end-of-life experiences from a first-person perspective for creating advance care planning directives, and nurses could facilitate the discussion when death is imminent. Copyright © 2020 by The Hospice and Palliative Nurses Association. All rights reserved.