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Advance care planning dispositions: the relationship between knowledge and perception
BACKGROUND: 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 te...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480869/ https://www.ncbi.nlm.nih.gov/pubmed/31014271 http://dx.doi.org/10.1186/s12877-019-1113-3 |
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author | Cattagni Kleiner, Anne Santos-Eggimann, Brigitte Fustinoni, Sarah Dürst, Anne-Véronique Haunreiter, Katja Rubli-Truchard, Eve Seematter-Bagnoud, Laurence |
author_facet | Cattagni Kleiner, Anne Santos-Eggimann, Brigitte Fustinoni, Sarah Dürst, Anne-Véronique Haunreiter, Katja Rubli-Truchard, Eve Seematter-Bagnoud, Laurence |
author_sort | Cattagni Kleiner, Anne |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. |
format | Online Article Text |
id | pubmed-6480869 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-64808692019-05-02 Advance care planning dispositions: the relationship between knowledge and perception Cattagni Kleiner, Anne Santos-Eggimann, Brigitte Fustinoni, Sarah Dürst, Anne-Véronique Haunreiter, Katja Rubli-Truchard, Eve Seematter-Bagnoud, Laurence BMC Geriatr Research Article BACKGROUND: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. BioMed Central 2019-04-24 /pmc/articles/PMC6480869/ /pubmed/31014271 http://dx.doi.org/10.1186/s12877-019-1113-3 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Cattagni Kleiner, Anne Santos-Eggimann, Brigitte Fustinoni, Sarah Dürst, Anne-Véronique Haunreiter, Katja Rubli-Truchard, Eve Seematter-Bagnoud, Laurence Advance care planning dispositions: the relationship between knowledge and perception |
title | Advance care planning dispositions: the relationship between knowledge and perception |
title_full | Advance care planning dispositions: the relationship between knowledge and perception |
title_fullStr | Advance care planning dispositions: the relationship between knowledge and perception |
title_full_unstemmed | Advance care planning dispositions: the relationship between knowledge and perception |
title_short | Advance care planning dispositions: the relationship between knowledge and perception |
title_sort | advance care planning dispositions: the relationship between knowledge and perception |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6480869/ https://www.ncbi.nlm.nih.gov/pubmed/31014271 http://dx.doi.org/10.1186/s12877-019-1113-3 |
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