ArticleHealth expectations : an international journal of public participation in health care and health policy2015
Family meetings for older adults in intermediate care settings: the impact of patient cognitive impairment and other characteristics on shared decision making.
Article in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 4 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Shifting Perspectives on the Challenges of Shared Decision Making in Mental Health Care.Community mental health journal · 2024Pooled it
- Informing the development of a decision aid: Expectations and wishes from service users and psychiatrists towards a decision aid for antipsychotics in the inpatient setting.Health expectations : an international journal of public participation in health care and health policy · 2023Pooled it
- Barriers and facilitators for shared decision making in older patients with multiple chronic conditions: a systematic review.BMC geriatrics · 2021Pooled it
- Shared decision-making for people living with dementia in extended care settings: a systematic review.BMJ open · 2018Pooled it
- Association Between Cancer Screening Patterns and Carer Literacy in Individuals With Cognitive Decline: An Observational Study.Cancer medicine · 2024Observational
- Assuring patient participation and care continuity in intermediate care: Getting the most out of family meetings using the four habits model.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- Factors Associated With Patient Engagement in Shared Decision-Making for Stroke Prevention Among Older Adults with Atrial Fibrillation.Canadian geriatrics journal : CGJ · 2021Article
- Health-care professionals' experiences of patient participation among older patients in intermediate care-At the intersection between profession, market and bureaucracy.Health expectations : an international journal of public participation in health care and health policy · 2019Article
- The Shared Decision Making of Older Adults in Healthcare.Working with older people (Brighton, England) · 2019Article
- No question too small: development of a question prompt list for parents of critically ill infants.Journal of perinatology : official journal of the California Perinatal Association · 2018Article
- Few opportunities to influence decisions regarding the care and treatment of an older hospitalized family member: a qualitative study among family members.BMC health services research · 2017Article
- Costs and advance directives at the end of life: a case of the 'Coaching Older Adults and Carers to have their preferences Heard (COACH)' trial.BMC health services research · 2015Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClinicians, older adults and caregivers frequently meet to make decisions around treatment and lifestyle during an acute hospital admission. Patient age, psychological status and health locus of control (HLC) influence patient preference for consultation involvement and information but overall, a shared-decision-making (SDM) approach is favoured. However, it is not known whether these characteristics and the presence of cognitive impairment influence SDM competency during family meetings.
objectiveTo describe meetings between older adults, caregivers and geriatricians in intermediate care and explore patient and meeting characteristics associated with a SDM communication style.
methodsFifty-nine family meetings involving geriatricians, patients in an intermediate care setting following an acute hospital admission and their caregivers were rated using the OPTION system for measuring clinician SDM behaviour. The geriatric depression scale and multidimensional HLC scale were completed by patients. The mini-mental state exam (MMSE) assessed patient's level of cognitive impairment.
resultsMeetings lasted 38 min (SD 13) and scored 41 (SD 17) of 100 on the OPTION scale. Nine (SD 2.2) topics were discussed during each meeting, and most were initiated by the geriatrician. Meeting length was an important determinant of OPTION score, with higher SDM competency displayed in longer meetings. Patient characteristics, including MMSE, HLC and depression did not explain SDM competency.
conclusionWhilst SDM can be achieved during consultations frail older patients and their caregivers, an increased consultation time is a consequence of this approach.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.