Advance care planning dispositions: the relationship between knowledge and perception.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_5CA0A96D6477
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Advance care planning dispositions: the relationship between knowledge and perception.
Journal
BMC geriatrics
Author(s)
Cattagni Kleiner A., Santos-Eggimann B., Fustinoni S., Dürst A.V., Haunreiter K., Rubli-Truchard E., Seematter-Bagnoud L.
ISSN
1471-2318 (Electronic)
ISSN-L
1471-2318
Publication state
Published
Issued date
24/04/2019
Peer-reviewed
Oui
Volume
19
Number
1
Pages
118
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Legal dispositions for advance care planning (ACP) are available but used by a minority of older adults in Switzerland. Some studies found that knowledge of and perception of those dispositions are positively associated with their higher usage. The objective of the present study is to test the hypothesis of an association between increased knowledge of ACP dispositions and a more positive perception of them.
Data collected in 2014 among 2125 Swiss community-dwellers aged 71 to 80 of the Lausanne cohort 65+ (Lc65+), a population-based longitudinal study on aging and frailty. Data collection was conducted through a questionnaire on knowledge, use and perception of lasting power of attorney, advance directives and designation of a health care proxy. Covariables were extracted from the Lc65+ database. Bivariable and multivariable regression analyses assessed the association between level of knowledge and perception.
Half the participants did not know about legal dispositions for ACP; filing rates were 14% for advance directives, 11% for health care proxy and 6% for lasting power of attorney. Level of knowledge about the dispositions was associated with a more positive perception of them, even when adjusting for confounding factors.
Although the direction of the association's causality needs more investigation, results indicate that better knowledge on ACP dispositions could improve the perception older people have of them. Communication on dispositions should take into account individual knowledge levels and address commonly enunciated barriers that seem to diminish with increased knowledge.
Keywords
Advance Care Planning, Advance Directives, Aged, Aged, 80 and over, Communication, Cross-Sectional Studies, Female, Health Knowledge, Attitudes, Practice, Health Status, Humans, Longitudinal Studies, Male, Perception, Random Allocation, Surveys and Questionnaires, Switzerland/epidemiology, Advance care planning, Advance directives, Health care proxy, Knowledge
Pubmed
Web of science
Open Access
Yes
Create date
03/05/2019 12:00
Last modification date
30/01/2020 7:20
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