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307 - Exploratory Study on Healthcare Decision-Making Capacity Assessment
| Content Provider | Scilit |
|---|---|
| Author | Amaral, Ana Saraiva Afonso, Rosa Marina Simões, Mário R. Freitas, Sandra |
| Copyright Year | 2020 |
| Abstract | Mild cognitive impairment (MCI) and Alzheimer’s Disease (AD) prevalence is expected to continue to increase, due to the population ageing. MCI and AD may impact patients’ decision-making capacities, which should be assessed through the disease course. These medical conditions can affect the various areas of decision-making capacity in different ways. Decision-making capacity in healthcare is particularly relevant among this population. Elders often suffer from multimorbidity and are frequently asked to make healthcare decisions, which can vary from consenting a routine diagnostic procedure to decide receiving highly risk treatments.To assess this capacity in elders with MCI or AD, we developed the Healthcare Decision-Making Capacity Assessment Instrument (IACTD-CS - Instrumento de Avaliação da Capacidade de Tomada de Decisão em Cuidados de Saúde). This project is funded by Portuguese national funding agency for science, research and technology, FCT (SFRH/BD/139344/2018). IACTD-CS was developed based on Appelbaum and Grisso four abilities model, literature review and review of international assessment instruments. After IACTD-CS first version development, an exploratory study with focus groups was conducted. This study included focus groups with healthcare professionals and nursing homes’ professionals.The focus groups main goals were: 1) understand the participants perception regarding healthcare decision-making capacity, 2) distinguish relevant aspects of decision-making, 3) discuss the abilities and items included in IACTD-CS and 4) identify new aspects or items to be added to IACTD-CS. A content analysis of the focus groups results, with resource to MAXQDA, was conducted afterwards. This exploratory study allowed to identify professionals’ perceptions on healthcare decision-making and its results were a significant contribute to IACTD-CS development. The proposed communication aims to describe the methodology used and present the results of content analysis. |
| Related Links | https://www.cambridge.org/core/services/aop-cambridge-core/content/view/46E352CB767EC8F075D6DBA3A1BBC368/S1041610220002070a.pdf/div-class-title-307-exploratory-study-on-healthcare-decision-making-capacity-assessment-div.pdf |
| Ending Page | 65 |
| Page Count | 1 |
| Starting Page | 65 |
| ISSN | 10416102 |
| e-ISSN | 1741203X |
| DOI | 10.1017/s1041610220002070 |
| Journal | International Psychogeriatrics |
| Issue Number | S1 |
| Volume Number | 32 |
| Language | English |
| Publisher | Cambridge University Press (CUP) |
| Publisher Date | 2020-10-01 |
| Access Restriction | Open |
| Subject Keyword | International Psychogeriatrics Iactd Cs Healthcare Decision Making Capacity Making Capacity Assessment Cs Was Developed |
| Content Type | Text |
| Resource Type | Synopsis |
| Subject | Gerontology Clinical Psychology Geriatrics and Gerontology Psychiatry and Mental Health |