Cognitive abilities and engagement in advance care planning among older adults: Results of a Swiss populational study.
Details
Serval ID
serval:BIB_02EC3D8DDAC0
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Cognitive abilities and engagement in advance care planning among older adults: Results of a Swiss populational study.
Journal
Psychology and aging
ISSN
1939-1498 (Electronic)
ISSN-L
0882-7974
Publication state
Published
Issued date
03/2024
Peer-reviewed
Oui
Volume
39
Number
2
Pages
199-207
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
Individuals often wait until the last moment to plan their end-of-life (EOL) care. Yet, decision-making capacity decreases with age, which could compromise engagement in and the effectiveness of advance care planning (ACP). Little is known about the association between cognitive abilities and the steps involved in the multifaceted process of ACP in older adults. The present study aims to better understand the association of global cognitive competence with engagement in ACP in a nationally representative sample of older adults in Switzerland. Global cognitive competence was measured via verbal fluency, immediate and delayed memory, basic calculation skills, and temporal orientation. Engagement in ACP included approving advance directives, having discussed EOL preferences, having a living will, and having a health care proxy. We analyzed data of 1,936 respondents aged 55+ from a paper-and-pencil questionnaire that was administered as part of Wave 6 (2015) of the Survey of Health, Ageing and Retirement in Europe in Switzerland using logistic regression models. Respondents with reduced global cognitive competence are less likely to have discussed their EOL preferences with others and to have a living will. Our results also indicate an interaction between age and cognition with respect to having a living will. Individuals with lower global cognitive competence in the oldest age group-adults aged 75 and older-are less likely to have a living will. Our findings highlight that low global cognitive competence can be seen as a barrier to engagement in ACP, particularly among adults 75 years and older. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
Keywords
Humans, Aged, Switzerland, Aging, Advance Care Planning, Advance Directives, Cognition
Pubmed
Web of science
Create date
07/02/2024 17:14
Last modification date
24/04/2024 9:36