"Doctor, Make My Decisions": Decision Control Preferences, Advance Care Planning, and Satisfaction With Communication Among Diverse Older Adults

Journal of Pain and Symptom Management
Catherine ChiuRebecca L Sudore

Abstract

Culturally diverse older adults may prefer varying control over medical decisions. Decision control preferences (DCPs) may profoundly affect advance care planning (ACP) and communication. To determine the DCPs of diverse, older adults and whether DCPs are associated with participant characteristics, ACP, and communication satisfaction. A total of 146 participants were recruited from clinics and senior centers in San Francisco. We assessed DCPs using the control preferences scale: doctor makes all decisions (low), shares with doctor (medium), makes own decisions (high). We assessed associations between DCPs and demographics; prior advance directives; ability to make in-the-moment goals of care decisions; self-efficacy, readiness, and prior asked questions; and satisfaction with patient-doctor communication (on a five-point Likert scale), using Chi-square and Kruskal-Wallis analysis of variance. Mean age was 71 ± 10 years, 53% were non-white, 47% completed an advance directive, and 70% made goals of care decisions. Of the sample, 18% had low DCPs, 33% medium, and 49% high. Older age was the only characteristic associated with DCPs (low: 75 ± 11 years, medium: 69 ± 10 years, high: 70 ± 9 years, P = 0.003). DCPs were not associated...Continue Reading

References

Sep 1, 1992·Journal of Clinical Epidemiology·L F Degner, J A Sloan
Apr 22, 1992·JAMA : the Journal of the American Medical Association·E J Emanuel, L L Emanuel
Sep 13, 1995·JAMA : the Journal of the American Medical Association·L J BlackhallS Azen
Nov 14, 2000·JAMA : the Journal of the American Medical Association·J Lynn
Jul 21, 2001·Health Affairs·C HoganJ Lynn
Jun 7, 2005·Journal of the American Geriatrics Society·Gary S WinzelbergJames A Tulsky
Aug 11, 2005·JAMA : the Journal of the American Medical Association·Cynthia M BoydAlbert W Wu
May 12, 2006·Journal of General Internal Medicine·Vernee N BelcherMary E Tinetti
Aug 16, 2006·Cancer·Howard S GordonJulianne Souchek
Oct 19, 2007·Patient Education and Counseling·Rebecca L SudoreDean Schillinger
Nov 23, 2007·Journal of the American Geriatrics Society·Daniel P SulmasyMarie T Nolan
Sep 13, 2008·Patient Education and Counseling·Sarah T HawleySteven J Katz
Oct 2, 2008·The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry·Erica L O'NealStephen J Bartels
Nov 11, 2008·Heart & Lung : the Journal of Critical Care·Keri L RodriguezRobert M Arnold
Jun 18, 2010·Community Mental Health Journal·Sapana R Patel, Suzanne Bakken
Aug 17, 2010·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Yuhai ZhangYongyong Xu
Nov 9, 2010·Journal of General Internal Medicine·Urmimala SarkarRebecca Sudore
Jan 27, 2011·Journal of the American Medical Directors Association·Christine Perret-GuillaumeUlrich M Vischer
Jun 24, 2011·Journal of Medical Ethics·Grace S ChungDavid O Meltzer
Sep 22, 2011·JAMA : the Journal of the American Medical Association·Michael J Barry
Dec 20, 2011·Patient Education and Counseling·Barbara Joyce Davison, Erin Breckon
Nov 28, 2012·Journal of Pain and Symptom Management·Sriram YennurajalingamEduardo Bruera
May 29, 2013·JAMA Internal Medicine·Alexander K SmithRebecca Sudore
Aug 27, 2013·Journal of Pain and Symptom Management·Rebecca L SudoreDeborah E Barnes

❮ Previous
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Citations

Aug 16, 2016·The Journal of Hand Surgery·Agnes Z DardasRyan P Calfee
Oct 11, 2016·The European Journal of General Practice·Oriol YugueroJorge Soler-González
Jun 29, 2017·The American Journal of Hospice & Palliative Care·Nancy R DowningNoelle Carlozzi
Jun 5, 2018·Journal of Psychosocial Oncology·Allen C ShermanJames Y Suen
Oct 31, 2018·Health & Social Care in the Community·Deborah LambotteUNKNOWN D-SCOPE Consortium
Jul 22, 2018·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Abby J SchwartzCristina C Hendrix
May 10, 2019·SAGE Open Medicine·Daniel PelletierMichael Heberer
Aug 8, 2020·Japanese Journal of Clinical Oncology·Shao-Yi ChengRaymond Ng
Jul 12, 2017·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Dana L AldenSupanida Limpongsanurak
Oct 15, 2020·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Allysha C Maragh-BassAmy R Knowlton
Mar 25, 2021·Journal of the American Geriatrics Society·Susan E HickmanGreg A Sachs
Jan 26, 2018·Journal of Pain and Symptom Management·Cindy L CainMarjorie Kagawa-Singer
Jun 2, 2021·Journal of the American Geriatrics Society·Linda H PhungRebecca L Sudore
Jun 4, 2021·Journal of the American Geriatrics Society·Charlotte ScheerensRebecca L Sudore
Dec 24, 2020·The American Journal of Hospice & Palliative Care·Stacy W YunMolly Maxfield

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