Factors influencing the engagement of older adults with neurocognitive disorders in the design of decision aids: A qualitative descriptive study.

Autor: Blanchette V; VITAM - Research Centre on Sustainable Health, Quebec City, Canada; Department of Human Kinetic and Podiatric Medicine, Université du Québec à Trois-Rivières, Trois-Rivières, Canada., Maranda-Pelletier S; University Laval, Quebec City, Canada; School of Psychology, University Laval, Quebec City, Canada., Bilodeau G; University Laval, Quebec City, Canada., Giguere A; VITAM - Research Centre on Sustainable Health, Quebec City, Canada; Department of Family Medicine and Emergency Medicine, Université Laval, Quebec City, Canada. Electronic address: anik.giguere@fmed.ulaval.ca.
Jazyk: angličtina
Zdroj: Patient education and counseling [Patient Educ Couns] 2024 Feb; Vol. 119, pp. 108061. Date of Electronic Publication: 2023 Nov 20.
DOI: 10.1016/j.pec.2023.108061
Abstrakt: Objective: To identify factors influencing the engagement of older adults with neurocognitive disorders (NCDs) in the design of decision aids (DAs).
Methods: We conducted a qualitative descriptive study using semi-structured interviews with 23 older adults with NCDs who were accompanied by 27 caregivers. This is a secondary analysis of a published study to identify the features of DAs designed for this population and their caregivers.
Results: Several behaviours and attitudes of caregivers and researchers hindered the older adults' engagement in the DA design process. Specific communication strategies can be employed to support their engagement and overcome the communication challenges inherent to this population, such as memory, attention, hearing, or visual impairments. Adopting the appropriate attitude, taking the time, and providing guidance to the older person can help them focus on the topic, while developing trust between participants is a facilitator to obtain their feedback.
Conclusion: Findings from this project could serve to inform the communication and co-design of DAs with older people with NCDs and their caregivers.
Practice Implications: Caregivers and researchers have key roles to play in facilitating communication with older persons with NCDs so they are empowered to help in co-designing DAs.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. The study funders played no role in the study design, collection, analysis and interpretation of data, writing of the manuscript or in the decision to submit the manuscript for publication.
(Crown Copyright © 2023. Published by Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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