Evidence map›Paper›PMID 34509339›Full record

ArticlePatient education and counseling2022

Patient values in healthcare decision making among diverse older adults.

Andrea M Kurasz, Glenn E Smith, Rosie E Curiel, Warren W Barker, Raquel C Behar, Alexandra Ramirez, Melissa J Armstrong

Open access · greenAbstract read
In one paragraph

Article in Patient education and counseling, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Emergency hernia hospitalizations in older adults with and without multimorbidity.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  4. Empowering Older Patients in Advance Care Planning: Evaluating MyCare™ as a Decision Support Tool.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. The goals of care in acute setting for geriatric patients in case of a hip fracture.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Andrea M KuraszDepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.
Glenn E SmithDepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.
Rosie E CurielDepartment of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
Warren W BarkerWien Center for Alzheimer's Disease and Memory Disorders, Mount Sinai Medical Center, Miami Beach, FL USA.
Raquel C BeharWien Center for Alzheimer's Disease and Memory Disorders, Mount Sinai Medical Center, Miami Beach, FL USA.
Alexandra RamirezDepartment of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA.
Melissa J ArmstrongDepartment of Neurology, University of Florida College of Medicine, Gainesville, FL, USA. Electronic address: Melissa.Armstrong@neurology.ufl.edu.
University of Florida Health · USMount Sinai Medical Center · USUniversity of Florida · USUniversity of Miami · US

Funding

Social Determinants of Health, Race/Ethnicity, and White Matter HyperintensitiesP30AG066506 · NIA · UNIVERSITY OF FLORIDA · PI Rosie E Curiel Cid · 2020 to 2026
$25.6M
University of Florida - Mt. Sinai Medical Center AD Research CenterP50AG047266 · NIA · UNIVERSITY OF FLORIDA · PI LOEWENSTEIN, DAVID · 2015 to 2019
$7.3M
Research Training in Non-Pharmacological Interventions for Cognition in Aging, MCI, and Alzheimer's DiseaseT32AG020499 · NIA · UNIVERSITY OF FLORIDA · PI MARSISKE, MICHAEL, SMITH, GLENN E. · 2003 to 2024
$3.7M
Identifying Factors Predicting ACcurately End-of-Life in Dementia with Lewy Bodies and Promoting Quality End-of-Life Experiences: the PACE-DLB StudyR01AG068128 · NIA · UNIVERSITY OF FLORIDA · PI ARMSTRONG, MELISSA JO · 2020 to 2024
$3.4M
AHRQ HHS K08 HS024159NIA NIH HHS P30 AG066506NIA NIH HHS P50 AG047266NIA NIH HHS R01 AG068128NIA NIH HHS T32 AG020499
6 · The paper itself

Abstract

objectiveTo provide high-quality healthcare, it is essential to understand values that guide the healthcare decisions of older adults. We investigated the types of values that culturally diverse older adults incorporate in medical decision making.

methodsFocus groups were held with older adults who varied in cognitive status (mildly impaired versus those with normal cognition) and ethnicity (Hispanic and non-Hispanic). Investigators used a qualitative descriptive approach to analyze transcripts and identify themes.

resultsForty-nine individuals (49% with cognitive impairment; 51% Hispanic) participated. Participants expressed a wide range of values relating to individual factors, familial/cultural beliefs and expectations, balancing risks and benefits, receiving decisional support, and considering values other than their own. Participants emphasized that values are individual-specific, influenced by aging, and change throughout life course. Participants described barriers and facilitators that interfere with or promote value solicitation and incorporation during medical encounters.

conclusionStudy findings highlight that in older adults with various health experiences, cognitive and physical health status, and sociocultural backgrounds, medical decisions are influenced by a variety of values. PRACTICAL IMPLICATIONS: Clinicians should take time to elicit, understand, and reassess the different types of values of older adults.

Indexed as

CognitionHispanic or LatinoAgedDecision MakingDelivery of Health CareFocus GroupsHumansQualitative ResearchDecision-makingElders/elderlyEthnic groupsHealth priorities

Identifiers

PMID34509339
PMCPMC8980797
OpenAlexW3197945563

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.