ArticleJournal of the American Geriatrics Society2025
Instruments for Value Elucidation in Older Adults in Clinical Practice-A Scoping Review.
Article in Journal of the American Geriatrics Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
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Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundTo ensure appropriate care for the individual older adult, an ideal treatment should align with patients' values. However, healthcare professionals struggle with how to elucidate patient values effectively. To offer guidance to healthcare professionals, we performed a scoping review, thereby mapping and categorizing instruments specifically developed to elucidate values of older adults in clinical practice.
methodsA systematic search was conducted from inception up to October 2023 in PubMed, Psychinfo, CINAHL, and Cochrane Library. Articles on instruments clarifying older adults' values in a clinical setting were included. Articles on instruments elucidating patients' wishes, preferences, or goals were excluded.
resultsAfter screening 7759 eligible studies, we included 37 studies outlining unique instruments. Instruments were subdivided into the following categories, based on the setting in which the instruments were used: "instruments with a general scope," "health record-based interventions," "advance directives," "advance care planning programs," and "decision support tools." Values were made plain in different ways, and instruments promoted different approaches. We further categorized these approaches alongside different axes: "open versus closed," "process-oriented versus decision-oriented," "confronting versus nonconfronting," and "explicit versus implicit." Some instruments focused on establishing a process of deliberation, whereas others focused on achieving treatment decisions.
conclusionWe found and categorized a large range of instruments, which promoted different ways to elucidate older adults' values. This scoping review serves as an introduction for healthcare professionals to available instruments, which help to clarify patients' values. By categorizing the instruments along different axes of approaching value clarification, we offer healthcare professionals guidance for selecting an appropriate instrument.
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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.