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dc.contributor.authorMilte, Catherine M
dc.contributor.authorRatcliffe, Julie
dc.contributor.authorDavies, Owen
dc.contributor.authorWhitehead, Craig Hamilton
dc.contributor.authorMasters, Stacey Cynthia
dc.contributor.authorCrotty, Maria
dc.date.accessioned2016-02-25T00:18:51Z
dc.date.available2016-02-25T00:18:51Z
dc.date.issued2013-05-20
dc.identifier.citationMilte CM, Ratcliffe J, Davies O, Whitehead C, Masters S, Crotty M. Family meetings for older adults in intermediate care settings: the impact of patient cognitive impairment and other characteristics on shared decision making. Health Expectations. 2015 Oct;18(5):1030-40. doi: 10.1111/hex.12076.en
dc.identifier.issn1369-6513
dc.identifier.urihttp://hdl.handle.net/2328/35987
dc.description"This is the peer reviewed version of the following article: [Milte CM, Ratcliffe J, Davies O, Whitehead C, Masters S, Crotty M. Family meetings for older adults in intermediate care settings: the impact of patient cognitive impairment and other characteristics on shared decision making. Health Expectations. 2015 Oct;18(5):1030-40. ], which has been published in final form at [http://dx.doi.org/10.1111/hex.12076]. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. http://olabout.wiley.com/WileyCDA/Section/id-820227.html#terms"en
dc.description.abstractBACKGROUND: Clinicians, older adults and caregivers frequently meet to make decisions around treatment and lifestyle during an acute hospital admission. Patient age, psychological status and health locus of control (HLC) influence patient preference for consultation involvement and information but overall, a shared-decision-making (SDM) approach is favoured. However, it is not known whether these characteristics and the presence of cognitive impairment influence SDM competency during family meetings. OBJECTIVE: To describe meetings between older adults, caregivers and geriatricians in intermediate care and explore patient and meeting characteristics associated with a SDM communication style. METHODS: Fifty-nine family meetings involving geriatricians, patients in an intermediate care setting following an acute hospital admission and their caregivers were rated using the OPTION system for measuring clinician SDM behaviour. The geriatric depression scale and multidimensional HLC scale were completed by patients. The mini-mental state exam (MMSE) assessed patient's level of cognitive impairment. RESULTS: Meetings lasted 38 min (SD 13) and scored 41 (SD 17) of 100 on the OPTION scale. Nine (SD 2.2) topics were discussed during each meeting, and most were initiated by the geriatrician. Meeting length was an important determinant of OPTION score, with higher SDM competency displayed in longer meetings. Patient characteristics, including MMSE, HLC and depression did not explain SDM competency. CONCLUSION: Whilst SDM can be achieved during consultations frail older patients and their caregivers, an increased consultation time is a consequence of this approach.en
dc.language.isoen
dc.publisherJohn Wiley & Sons Ltden
dc.relationhttp://purl.org/au-research/grantsNHMRC/402791en
dc.rightsCopyright © 2013 John Wiley & Sons Ltden
dc.subjectCognitive impairment
dc.subjectAged
dc.subjectHealth services
dc.titleFamily meetings for older adults in intermediate care settings: the impact of patient cognitive impairment and other characteristics on shared decision makingen
dc.typeArticleen
dc.relation.grantnumberNHMRC/402791
dc.identifier.doihttps://doi.org/10.1111/hex.12076en
local.contributor.authorOrcidLookupCrotty, Maria: https://orcid.org/0000-0002-2996-5135en_US
local.contributor.authorOrcidLookupMasters, Stacey Cynthia: https://orcid.org/0000-0002-6733-6962en_US


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