ArticleJournal of pain and symptom management2016
"Doctor, Make My Decisions": Decision Control Preferences, Advance Care Planning, and Satisfaction With Communication Among Diverse Older Adults.
Article in Journal of pain and symptom management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
33 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- A systematic review of the effects of shared decision-making in the South Korean healthcare system.Frontiers in public health · 2025Pooled it
- Pooled it
- Pooled it
- Pooled it
- Patient Preferences for Code Status Discussions: A Randomized Trial of Information- vs. Patient Values-Centered Frameworks.Journal of general internal medicine · 2025Trial
- Patients' Preference for Participation in Medical Decision-Making: Secondary Analysis of the BEDSIDE-OUTSIDE Trial.Journal of general internal medicine · 2023Trial
- Patient-Provider Discussions About Online Health Information in the Health Information National Trends Survey.Health education & behavior : the official publication of the Society for Public Health Education · 2026Article
- Exploring older people's end-of-life care preferences over time: A scoping review.Palliative medicine · 2025Article
- Article
- Narrative-based learning for person-centred healthcare: the Caring Stories learning framework.Medical humanities · 2023Article
- Transforming a Negotiation Framework to Resolve Conflicts among Older Adults and Family Caregivers.Geriatrics (Basel, Switzerland) · 2023Article
- Patient-centeredness in the multimorbid elderly: a focus group study.BMC geriatrics · 2021Article
- Developing eHealth tools for diverse older adults: Lessons learned from the PREPARE for Your Care Program.Journal of the American Geriatrics Society · 2021Article
- Improving person-centered advance care planning conversation with older people: a qualitative study of core components perceived by healthcare professionals.Journal of rural medicine : JRM · 2021Article
- Factors associated with do-not-resuscitate document completion among patients hospitalized in geriatric ward.BMC geriatrics · 2021Article
- English and Spanish-speaking vulnerable older adults report many barriers to advance care planning.Journal of the American Geriatrics Society · 2021Article
- Preparation for Future Care Needs in Middle-Aged and Older Adults: What Promotes Feeling of Preparedness?The American journal of hospice & palliative care · 2021Article
- Reasons for discordance and concordance between POLST orders and current treatment preferences.Journal of the American Geriatrics Society · 2021Article
- A mixed-methods exploration of faith, spirituality, and health program interest among older African Americans with HIV.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2021Article
- The Emotional Status, Attitudes in Decision-Making Process, and Their Impact on Surgical Choices in Korean Breast Cancer Patients.Journal of oncology · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
contextCulturally diverse older adults may prefer varying control over medical decisions. Decision control preferences (DCPs) may profoundly affect advance care planning (ACP) and communication.
objectivesTo determine the DCPs of diverse, older adults and whether DCPs are associated with participant characteristics, ACP, and communication satisfaction.
methodsA 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.
resultsMean 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 with ACP, in-the-moment decisions, or communication satisfaction. Readiness was the only question-asking behavior associated (low: 3.8 ± 1.2, medium: 4.1 ± 1.2, high: 4.3 ± 1.2, P = 0.05).
conclusionNearly one-fifth of diverse, older adults want doctors to make their medical decisions. Older age and lower readiness to ask questions were the only demographic variables significantly associated with low DCPs. Yet, older adults with low DCPs still engaged in ACP, asked questions, and reported communication satisfaction. Clinicians can encourage ACP and questions for all patients, but should assess DCPs to provide the desired amount of decision support.
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Registered trials
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.