Catherine Chiu|Mariko Feuz|Ryan Mcmahan|Yinghui Miao|Rebecca L. Sudore
“Doctor, Make My Decisions”: Decision Control Preferences, Advance Care Planning, and Satisfaction With Communication Among Diverse Older Adults
University of California, San Francisco|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center|University of California, San Francisco|San Francisco VA Medical Center
culturally diverse older adults may prefer varying control medical decisions decision control preferences dcps may profoundly affect advance care planning acp communicationto determine dcps diverse older adults whether dcps associated participant characteristics acp communication satisfactiona total 146 participants recruited clinics senior centers san francisco assessed dcps using control preferences scale doctor makes decisions low shares doctor medium makes decisions high assessed associations dcps demographics prior advance directives ability make inthemoment goals care decisions selfefficacy readiness prior asked questions satisfaction patientdoctor communication fivepoint likert scale using chisquare kruskalwallis analysis variancemean age 71 10 years 53 nonwhite 47 completed advance directive 70 made goals care decisions sample 18 low dcps 33 medium 49 high older age characteristic associated dcps low 75 11 years medium 69 10 years high 70 9 years p 0003 dcps associated acp inthemoment decisions communication satisfaction readiness questionasking behavior associated low 38 12 medium 41 12 high 43 12 p 005nearly onefifth diverse older adults want doctors make medical decisions older age lower readiness ask questions demographic variables significantly associated low dcps yet older adults low dcps still engaged acp asked questions reported communication satisfaction clinicians encourage acp questions patients assess dcps provide desired amount decision support