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Shared Decision Making for Elective Surgical Procedures in Older Adults with and without Cognitive Insufficiencies

Author

Listed:
  • K. D. Valentine

    (Massachusetts General Hospital, Boston, MA, USA
    Harvard Medical School, Boston, MA, USA)

  • Ha Vo

    (Massachusetts General Hospital, Boston, MA, USA)

  • Brittney Mancini

    (Massachusetts General Hospital, Boston, MA, USA)

  • Richard D. Urman

    (Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women’s Hospital, Boston, MA, USA)

  • Franchesca Arias

    (Department of Clinical and Health Psychology, University of Florida, Gainesville, FL, USA)

  • Michael J. Barry

    (Massachusetts General Hospital, Boston, MA, USA
    Harvard Medical School, Boston, MA, USA)

  • Karen R. Sepucha

    (Massachusetts General Hospital, Boston, MA, USA
    Harvard Medical School, Boston, MA, USA)

Abstract

Purpose Older adults are prone to cognitive impairment, which may affect their ability to engage in aspects of shared decision making (SDM) and their ability to complete surveys about the SDM process. This study examined the surgical decision-making processes of older adults with and without cognitive insufficiencies and evaluated the psychometric properties of the SDM Process scale. Methods Eligible patients were 65 y or older and scheduled for a preoperative appointment before elective surgery (e.g., arthroplasty). One week before the visit, staff contacted patients via phone to administer the baseline survey, including the SDM Process scale (range 0–4), SURE scale (top scored), and the Montreal Cognitive Assessment Test version 8.1 BLIND English (MoCA-blind; score range 0–22; scores 

Suggested Citation

  • K. D. Valentine & Ha Vo & Brittney Mancini & Richard D. Urman & Franchesca Arias & Michael J. Barry & Karen R. Sepucha, 2023. "Shared Decision Making for Elective Surgical Procedures in Older Adults with and without Cognitive Insufficiencies," Medical Decision Making, , vol. 43(6), pages 656-666, August.
    • Handle: RePEc:sae:medema:v:43:y:2023:i:6:p:656-666
    DOI: 10.1177/0272989X231182436
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