ArticleThe Gerontologist2022
Assessing What Matters Most in Older Adults With Multicomplexity.
Article in The Gerontologist, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Decision aids for the care of patients with multimorbidity: a systematic review.BMC primary care · 2025Pooled it
- Adapting the Geriatric Medicine 5Ms Framework to Geriatric Dermatology.Drugs & aging · 2026Review
- Rethinking sarcopenia: a conceptual shift towards a muscle health continuum.European geriatric medicine · 2026Review
- Sleep medicine for older adults: Applying the age-friendly health systems framework to sleep medicine clinics.Sleep medicine reviews · 2026Review
- A Case-Control Study of Virologic Failure Among People Living with HIV Enrolled in a NYC-Based Medicaid Special Needs Plan.AIDS and behavior · 2026Article
- 'It's given us the opportunity': Patient and clinician experiences of serious illness conversations in the NHS acute setting - Results from a UK Qualitative Study.Palliative care and social practice · 2026Article
- Unique Challenges of Shared Decision-Making in Colorectal Surgery for the Elderly Patient.Clinics in colon and rectal surgery · 2025Article
- Association of multimorbidity trajectories from early adulthood through middle age with middle-age physical function.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- The Pharmacists of Physical Activity: Physiotherapists Empowering Older Adults' Autonomy in the Self-Management of Aging with and Without Persistent Conditions.Healthcare (Basel, Switzerland) · 2025Article
- Development and evaluation of a 4M taxonomy from nursing home staff text messages using a fine-tuned generative language model.Journal of the American Medical Informatics Association : JAMIA · 2025Article
- Co-creating Humanistic AI AgeTech to Support Dynamic Care Ecosystems: A Preliminary Guiding Model.The Gerontologist · 2024Article
- Improving Collaborative Management of Multiple Mental and Physical Health Conditions: A Qualitative Inquiry into Designing Technology-Enabled Services for Eliciting Patients' Values.Proceedings of the ACM on human-computer interaction · 2024Article
- What patient-reported outcome measures may be suitable for research involving older adults with frailty? A scoping review.European geriatric medicine · 2024Article
- Enhancing social functioning in older veterans with PTSD: Rationale and design of an intervention and initial RCT.Contemporary clinical trials · 2024Article
- What matters most to older adults: Racial and ethnic considerations in values for current healthcare planning.Journal of the American Geriatrics Society · 2023Article
- The what matters most survey: A measurement evaluation of a self-reported patient values elicitation tool among cancer survivors.Patient education and counseling · 2023Observational
- Article
- Optimizing Medications with the Geriatrics 5Ms: An Age-Friendly Approach.Drugs & aging · 2023Article
- Trauma re-engagement and PTSD in older medically ill veterans: implications for trauma-informed care.Aging & mental health · 2023Article
- What matters most to older adults in skilled nursing facilities.Journal of the American Geriatrics Society · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
BACKGROUND AND
objectivesAbilities and activities that are often simultaneously valued may not be simultaneously achievable for older adults with multicomplexity. Because of this, the Geriatrics 5Ms framework prioritizes care on "what matters most." This study aimed to evaluate and refine the What Matters Most-Structured Tool (WMM-ST). RESEARCH DESIGN AND
methodsAbout 105 older adults with an average of 4 chronic conditions completed the WMM-ST along with open-ended questions from the Serious Illness Conversation Guide. Participants also provided demographic and social information, completed cognitive screening with the Telephone-Montreal Cognitive Assessment-Short and frailty screening with the Frail scale. Quantitative and qualitative analyses aimed to (a) describe values; (b) evaluate the association of patient characteristics with values; and (c) assess validity via the tool's acceptability, educational bias, and content accuracy.
resultsOlder adults varied in what matters most. Ratings demonstrated modest associations with social support, religiosity, cognition, and frailty, but not with age or education. The WMM-ST was rated as understandable (86%) and applicable to their current situation (61%) independent of education. Qualitative analyses supported the content validity of WMM-ST, while revealing additional content. DISCUSSION AND IMPLICATIONS: It is possible to assess what matters most to older adults with multicomplexity using a structured tool. Such tools may be useful in making an abstract process clearer but require further validation in diverse samples.
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