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Title: Personal and interpersonal factors and their associations with advance care planning documentation: A cross-sectional survey of older adults in Australia.
Austin Authors: Sellars, Marcus ;Detering, Karen M ;Sinclair, Craig;White, Ben;Buck, Kimberly ;Ruseckaite, Rasa;Clayton, Josephine M;Nolte, Linda 
Affiliation: HammondCare Centre for Learning & Research in Palliative Care, Greenwich Hospital and University of Sydney, Sydney, Australia
Centre of Excellence in Population Ageing Research, University of New South Wales, Sydney, Australia
Neuroscience Research Australia, Sydney, Australia
Advance Care Planning Australia, Austin Health, Heidelberg, Victoria, Australia
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia
Australian Centre for Health Law Research, Faculty of Law, Queensland University of Technology, Brisbane, Australia
Kolling Institute, Northern Clinical School, Faculty of Medicine, University of Sydney, Sydney, Australia
Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Parkville, Australia
Issue Date: Jun-2020 2019-12-30
Publication information: Journal of Pain and Symptom Management 2020; 59(6): 1212-1222.e3
Abstract: Personal and interpersonal factors may be influential in a person's decision to engage in advance care planning (ACP), including completion of ACP documentation. 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 factors and self-reported ACP documentation completion. 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. 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 of age were associated with reduced odds of ACP documentation completion. 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.
DOI: 10.1016/j.jpainsymman.2019.12.371
ORCID: 0000-0002-1884-7272
PubMed URL: 31899284
Type: Journal Article
Subjects: advance care directive
advance care planning
health behaviors
surveys and questionnaires
Appears in Collections:Journal articles

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