TY - JOUR
T1 - Advance Care Planning Among Older Adults with Cognitive Impairment
AU - Rahemi, Zahra
AU - Malatyali, Ayse
AU - Adams, Swann A.
AU - Jarrín, Olga F.
AU - Demiris, George
AU - Parker, Veronica
AU - Ghaiumy Anaraky, Reza
AU - Dye, Cheryl J.
N1 - Publisher Copyright: © The Author(s) 2022.
PY - 2023/11
Y1 - 2023/11
N2 - In this study, we used data from the Health and Retirement Study (HRS) to investigate factors associated with older adults’ engagement with advance care planning (ACP) across varying levels of cognitive functioning status. Our analysis used a sample of 17,698 participants in the HRS 2014 survey. Survey descriptive procedures (Proc SurveyMeans, Proc SurveyFreq) and logistic regression procedures (Proc SurveyLogistic) were used. Race, ethnicity, level of cognition, education, age, and number of chronic diseases consistently predicted ACP. Participants with lower levels of cognition were less likely to have a living will and durable power of attorney for healthcare (DPOAH). African American and Hispanic participants, younger participants, and those with lower cognition and education levels were less likely to engage in ACP. Marital status and loneliness predicted ACP engagement. Some results varied across the cognition cohorts. Our results indicated that sociodemographic status, together with health and cognitive status, has a significant role in predicting ACP. The results can provide valuable insights on ACP for older adults with or at risk of Alzheimer’s disease and related dementia and other cognitive impairments, caregivers, families, and healthcare providers.
AB - In this study, we used data from the Health and Retirement Study (HRS) to investigate factors associated with older adults’ engagement with advance care planning (ACP) across varying levels of cognitive functioning status. Our analysis used a sample of 17,698 participants in the HRS 2014 survey. Survey descriptive procedures (Proc SurveyMeans, Proc SurveyFreq) and logistic regression procedures (Proc SurveyLogistic) were used. Race, ethnicity, level of cognition, education, age, and number of chronic diseases consistently predicted ACP. Participants with lower levels of cognition were less likely to have a living will and durable power of attorney for healthcare (DPOAH). African American and Hispanic participants, younger participants, and those with lower cognition and education levels were less likely to engage in ACP. Marital status and loneliness predicted ACP engagement. Some results varied across the cognition cohorts. Our results indicated that sociodemographic status, together with health and cognitive status, has a significant role in predicting ACP. The results can provide valuable insights on ACP for older adults with or at risk of Alzheimer’s disease and related dementia and other cognitive impairments, caregivers, families, and healthcare providers.
KW - Alzheimer’s disease and related dementia
KW - advance care planning
KW - durable power of attorney for healthcare
KW - end-of-life care
KW - health and retirement study
KW - living will
KW - older adults
KW - sociodemographic status
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U2 - 10.1177/10499091221146255
DO - 10.1177/10499091221146255
M3 - Article
C2 - 36541134
SN - 1049-9091
VL - 40
SP - 1182
EP - 1189
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 11
ER -