Siobhan M. Case|Terri R. Fried|John O’Leary
How to ask: Older adults’ preferred tools in health outcome prioritization
Yale University|Yale University|VA Connecticut Healthcare System|VA Connecticut Healthcare System|Yale University
assess older adults attitudes toward eliciting health outcome priorities observational cohort study 356 communityliving adults age 65 included three tools 1 health outcomes ranking four outcomes survival function freedom pain freedom symptoms 2 vs later rating importance current versus future quality life 3 attitude scale agreement statements health outcomes current versus future health whereas 41 preferred health outcomes 40 preferred attitude scale 712 rated tool hard hard bivariate analysis participants nonwhite race lower education health literacy functional status significantly likely rate least one tools easy p 05 across tools 17 participants believed tools would change care main reason thinking would change satisfaction existing care 62 variability older persons wish asked health outcome priorities find task difficult difficulty greater among participants lower health literacy education health status offering different tools healthcare providers help patients clarify health outcome priorities