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

Détails

Ressource 1Télécharger: BIB_5CA0A96D6477.pdf (1199.85 [Ko])
Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_5CA0A96D6477
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Advance care planning dispositions: the relationship between knowledge and perception.
Périodique
BMC geriatrics
Auteur(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
Statut éditorial
Publié
Date de publication
24/04/2019
Peer-reviewed
Oui
Volume
19
Numéro
1
Pages
118
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
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.
Mots-clé
Advance care planning, Advance directives, Health care proxy, Knowledge, Perception
Pubmed
Web of science
Open Access
Oui
Création de la notice
03/05/2019 11:00
Dernière modification de la notice
20/08/2019 14:15
Données d'usage