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Arts & Sciences Electronic Theses and Dissertations
Serious illness, surrogate decision making, shared decision making, substituted judgment, health state valuation
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Full-Text Articles in Geropsychology
Projecting, Persuading, & Protecting: A Mixed Methods Analysis Of Adult Children’S Predictions Of Parents’ Quality-Of-Life Valuations In Serious Illness States, Jessica Hahne
Arts & Sciences Electronic Theses and Dissertations
Older adults often face complex serious illness decisions and involve their adult children as shared or surrogate decision makers. However, previous research asking family members to predict older adults’ treatment preferences in serious illness situations typically shows poor concordance with older adults’ actual preferences. In the current mixed methods analysis, we surveyed older adults (n = 38) on their health state valuations in five serious illness scenarios. Two of their adult children (n = 76) predicted their parent’s preferences. Families also participated in a semi-structured conversation to discuss their preferences and predictions.
Quantitative analyses showed that parents’ average valuations were …