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Promoting advance planning for health care and research among older adults: A randomized controlled trial |
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| Authors: | Gina Bravo Marcel Arcand Danièle Blanchette Anne-Marie Boire-Lavigne Marie-France Dubois Maryse Guay Paule Hottin Julie Lane Judith Lauzon Suzanne Bellemare |
| Affiliation: | 1. Department of Community Health Sciences, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada 2. Research Centre on Aging, University Institute of Geriatrics of Sherbrooke, Sherbrooke, QC, Canada 3. Department of Family Medicine, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada 4. Department of Accounting Sciences and Taxation, Faculty of Business Administration, University of Sherbrooke, Sherbrooke, QC, Canada 5. Department of Psychiatry, Faculty of Medicine and Health Sciences, University of Sherbrooke, Sherbrooke, QC, Canada 6. Department of Coordination and Academic Affairs, Health and Social Services Centre - University Institute of Geriatrics of Sherbrooke, Sherbrooke, QC, Canada 7. Member of the Québec Bar, Province of Quebec, Canada |
| Abstract: | BackgroundFamily members are often required to act as substitute decision-makers when health care or research participation decisions must be made for an incapacitated relative. Yet most families are unable to accurately predict older adult preferences regarding future health care and willingness to engage in research studies. Discussion and documentation of preferences could improve proxies' abilities to decide for their loved ones. This trial assesses the efficacy of an advance planning intervention in improving the accuracy of substitute decision-making and increasing the frequency of documented preferences for health care and research. It also investigates the financial impact on the healthcare system of improving substitute decision-making. |
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