Values of older adults related to primary and secondary prevention

Future research is needed in the field covered by this review, including exploration of differences between age groups within the older adult population, tools to measure values and preferences, and identification of what helps and hinders older adults' ability to engage in shared decisionmakin...

Full description

Bibliographic Details
Main Author: Butler, Mary
Corporate Authors: United States Agency for Healthcare Research and Quality, Minnesota Evidence-based Practice Center
Format: eBook
Language:English
Published: Rockville, MD Agency for Healthcare Research and Quality [2011], 2011
Series:Evidence synthesis/technology assessment
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
LEADER 04490nam a2200385 u 4500
001 EB002001843
003 EBX01000000000000001164744
005 00000000000000.0
007 tu|||||||||||||||||||||
008 210907 r ||| eng
100 1 |a Butler, Mary 
245 0 0 |a Values of older adults related to primary and secondary prevention  |h Elektronische Ressource  |c prepared for Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services ; prepared by Minnesota Evidence-based Practice Center ; investigators, Mary Butler ... [et al.] 
246 3 1 |a Values of older adults related to prevention 
260 |a Rockville, MD  |b Agency for Healthcare Research and Quality  |c [2011], 2011 
300 |a 1 online resource 
505 0 |a Includes bibliographical references 
653 |a Age Factors 
653 |a Patient Acceptance of Health Care / psychology 
653 |a Preventive Health Services 
653 |a Attitude to Health 
653 |a Risk Assessment 
653 |a Aged / psychology 
710 2 |a United States  |b Agency for Healthcare Research and Quality 
710 2 |a Minnesota Evidence-based Practice Center 
041 0 7 |a eng  |2 ISO 639-2 
989 |b NCBI  |a National Center for Biotechnology Information 
490 0 |a Evidence synthesis/technology assessment 
500 |a Title from PDF title pages (viewed Aug. 30, 2011). - "March 2011." 
856 4 0 |u https://www.ncbi.nlm.nih.gov/books/NBK53769  |3 Volltext  |n NLM Bookshelf Books  |3 Volltext 
082 0 |a 610 
082 0 |a 100 
520 |a Future research is needed in the field covered by this review, including exploration of differences between age groups within the older adult population, tools to measure values and preferences, and identification of what helps and hinders older adults' ability to engage in shared decisionmaking 
520 |a The literature on shared decisionmaking for preventive services for older adults demonstrated favorable response to such interventions and no indication whether older adults as a group have a different level of interest compared to other age groups. Not every older adult wants to engage in shared decisionmaking in the same way; clinicians need to determine how much an individual patient wants to be involved in his or her own screening choices. The studies largely used qualitative or descriptive analysis methods with small purposive samples. CONCLUSIONS: People's values for preventive services and their attendant benefits, risks, and harms reflect all sorts of inputs, including prior experiences, habits, strengths, and other idiosyncrasies. This individual variation makes generalizations dangerous. Patient-centered care may not always require shared decisionmaking; clinicians need to better understand how patients value their own role in clinical decisionmaking.  
520 |a OBJECTIVES: To inform the U.S. Preventive Services Task Force deliberations on recommendations around preventive care for older persons by assessing how older adults value the potential benefits of clinical preventive services, what attitudes older adults have about potential harms of clinical preventive services, how older adults understand the balance of risks and benefits of clinical preventive services, and how clinicians should engage in shared decisionmaking related to clinical preventive services for older adults. DATA SOURCES: We searched Ovid MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, PsychINFO, the Cochrane Database of Systematic Reviews, and EconLit databases, and consulted with experts in the field.  
520 |a REVIEW METHODS: We selected English-language articles on preferences, lay understanding, choice behavior, patient/provider relationships, and shared decisionmaking regarding primary and secondary prevention that focused on a population aged 65 years and older. RESULTS: Very little literature exists addressing older people's perceived benefits and harms of preventive services, their decisional balance, and shared decisionmaking for preventive services. The literature identified in this review yielded a broad range of perceived benefits and harms for primary and secondary prevention, differing by those who had or had not received preventive services, the disease addressed by the intervention, and age group (e.g., the young old versus the old old). The values older adults placed on clinical preventive services were similarly variable and resistant to generalization.