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Personal and Interpersonal Factors and Their Associations With Advance Care Planning Documentation: A Cross-sectional Survey of Older Adults in Australia.
J Pain Symptom Manage. 2020 Jun; 59(6):1212-1222.e3.JP

Abstract

CONTEXT

Personal and interpersonal factors may be influential in a person's decision to engage in advance care planning (ACP), including completion of ACP documentation.

OBJECTIVES

To conduct a cross-sectional survey of older adults accessing Australian general practices, hospitals, and residential aged care facilities, with the aim of describing associations between personal and interpersonal factors and self-reported ACP documentation completion.

METHODS

Eligible participants included in a national health record audit were approached to complete a survey measuring demographic and health characteristics, preferences for care, worries about the future, and experiences talking with others about ACP and completing ACP documentation.

RESULTS

Of 1082 people eligible to participate in the survey, 507 completed the survey (response rate = 47%; median age 82 years) and 54% (n = 272) reported having completed ACP documentation. Having ever discussed ACP with other people (anyone) or a doctor were both significant predictors of ACP documentation completion, whereas having previously spoken specifically to a partner about ACP, currently living with children compared to living alone, and being aged 55-69 versus 90-99 years were associated with reduced odds of ACP documentation completion.

CONCLUSION

Approximately half the participants reported having completed ACP documentation. The strongest predictor of ACP documentation completion was having spoken to anyone about ACP followed by having spoken to a doctor about ACP. These findings suggest that discussions about ACP are an important part of the process of completing ACP documentation.

Authors+Show Affiliations

Advance Care Planning Australia, Austin Health, Melbourne, Australia; Kolling Institute, Northern Clinical School, Faculty of Medicine, University of Sydney, Sydney, Australia. Electronic address: marcus.sellars@austin.org.au.Advance Care Planning Australia, Austin Health, Melbourne, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Australia.Centre of Excellence in Population Ageing Research, University of New South Wales, Sydney, Australia; Neuroscience Research Australia, Sydney, Australia.Australian Centre for Health Law Research, Faculty of Law, Queensland University of Technology, Brisbane, Australia.Advance Care Planning Australia, Austin Health, Melbourne, Australia.Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia.Kolling Institute, Northern Clinical School, Faculty of Medicine, University of Sydney, Sydney, Australia; HammondCare Centre for Learning & Research in Palliative Care, Greenwich Hospital and University of Sydney, Sydney, Australia.Advance Care Planning Australia, Austin Health, Melbourne, Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31899284

Citation

Sellars, Marcus, et al. "Personal and Interpersonal Factors and Their Associations With Advance Care Planning Documentation: a Cross-sectional Survey of Older Adults in Australia." Journal of Pain and Symptom Management, vol. 59, no. 6, 2020, pp. 1212-1222.e3.
Sellars M, Detering KM, Sinclair C, et al. Personal and Interpersonal Factors and Their Associations With Advance Care Planning Documentation: A Cross-sectional Survey of Older Adults in Australia. J Pain Symptom Manage. 2020;59(6):1212-1222.e3.
Sellars, M., Detering, K. M., Sinclair, C., White, B. P., Buck, K., Ruseckaite, R., Clayton, J. M., & Nolte, L. (2020). Personal and Interpersonal Factors and Their Associations With Advance Care Planning Documentation: A Cross-sectional Survey of Older Adults in Australia. Journal of Pain and Symptom Management, 59(6), 1212-e3. https://doi.org/10.1016/j.jpainsymman.2019.12.371
Sellars M, et al. Personal and Interpersonal Factors and Their Associations With Advance Care Planning Documentation: a Cross-sectional Survey of Older Adults in Australia. J Pain Symptom Manage. 2020;59(6):1212-1222.e3. PubMed PMID: 31899284.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Personal and Interpersonal Factors and Their Associations With Advance Care Planning Documentation: A Cross-sectional Survey of Older Adults in Australia. AU - Sellars,Marcus, AU - Detering,Karen M, AU - Sinclair,Craig, AU - White,Ben P, AU - Buck,Kimberly, AU - Ruseckaite,Rasa, AU - Clayton,Josephine M, AU - Nolte,Linda, Y1 - 2019/12/30/ PY - 2019/09/22/received PY - 2019/12/17/revised PY - 2019/12/18/accepted PY - 2020/1/4/pubmed PY - 2020/1/4/medline PY - 2020/1/4/entrez KW - Advance care planning KW - advance care directive KW - health behaviors KW - surveys and questionnaires SP - 1212 EP - 1222.e3 JF - Journal of pain and symptom management JO - J Pain Symptom Manage VL - 59 IS - 6 N2 - CONTEXT: Personal and interpersonal factors may be influential in a person's decision to engage in advance care planning (ACP), including completion of ACP documentation. OBJECTIVES: To conduct a cross-sectional survey of older adults accessing Australian general practices, hospitals, and residential aged care facilities, with the aim of describing associations between personal and interpersonal factors and self-reported ACP documentation completion. METHODS: Eligible participants included in a national health record audit were approached to complete a survey measuring demographic and health characteristics, preferences for care, worries about the future, and experiences talking with others about ACP and completing ACP documentation. RESULTS: Of 1082 people eligible to participate in the survey, 507 completed the survey (response rate = 47%; median age 82 years) and 54% (n = 272) reported having completed ACP documentation. Having ever discussed ACP with other people (anyone) or a doctor were both significant predictors of ACP documentation completion, whereas having previously spoken specifically to a partner about ACP, currently living with children compared to living alone, and being aged 55-69 versus 90-99 years were associated with reduced odds of ACP documentation completion. CONCLUSION: Approximately half the participants reported having completed ACP documentation. The strongest predictor of ACP documentation completion was having spoken to anyone about ACP followed by having spoken to a doctor about ACP. These findings suggest that discussions about ACP are an important part of the process of completing ACP documentation. SN - 1873-6513 UR - https://www.unboundmedicine.com/medline/citation/31899284/Personal_and_Interpersonal_Factors_and_Their_Associations_With_Advance_Care_Planning_Documentation:_A_Cross_sectional_Survey_of_Older_Adults_in_Australia_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0885-3924(19)31085-1 DB - PRIME DP - Unbound Medicine ER -
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