FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1549698802> ?p ?o ?g. }

• W1549698802 endingPage "1554" @default.
• W1549698802 startingPage "1552" @default.
• W1549698802 abstract "To the Editor: In recent years, patients have been increasingly encouraged to participate in clinical decision-making, but the extent to which they wish to be involved differs, with older adults preferring a less-active role.1, 2 Most older adults prefer their physician to make the final decisions about their medical care, although they wish to be informed and want their physician to take their concerns and wishes into account when making care decisions.3 Therefore, it is important, as a first step toward shared decision-making, to know what a particular patient values most and what his or her care-related goals are. Because few studies have examined the goals of frail older adults, the primary aim of this study was to give an overview of the care-related goals of community-dwelling frail older adults. Data collected during two studies conducted in the Province of Gelderland, the Netherlands, were used.4, 5 Participants in the first study were community-dwelling frail older adults (≥70) whose general practitioners referred them for problems with cognition, nutrition, behavior, mood, or mobility;4 participants in the second study were frail older adults suspected of being cognitively impaired.5 In the intervention arm of each study, a nurse used the EASYcare assessment6 for in-home geriatric assessment. This assessment included an item aimed at identifying participants' goals: “If there is one thing we can do for you to improve your situation, what would you like?” These goals were retrospectively identified from the case record forms. Two of the authors reviewed them independently (SR and MP) and classified them according to the taxonomy for goal-setting as developed previously.7 This taxonomy characterizes goals on domain, specificity, time frame, and level of challenge. Because the databases did not include data concerning time frame and level of challenge as perceived by the patient, goals were not classified on these attributes. In case of disagreement about classification, consensus was reached through discussion. There were 366 participants in the intervention groups of both studies. For 119 participants, no information was recorded on whether goals were discussed or identified. Of the remaining 247 participants, 146 (59.1%) were reported to have identified one or more goals, and these goals were recorded for 140 participants. The mean age of participants was 81.2 (range 61–99), 75 participants (30.4%) were male, and mean Mini-Mental State Examination score was 23.1 (range 9–30; recorded for 207 participants). No significant differences were found on these baseline characteristics between participants who identified a goal and those who did not. Participants identified a total of 162 goals. Interrater agreement (SR and MP) about the domain classification of these goals was 87.7%. Goals relating to health problems (20.4%), living accommodation (18.5%), social and family relationships (17.3%), and mobility (15.4%) were mentioned most frequently. Other goals mentioned concerned emotions (9.9%), independence and autonomy (3.7%), activities (4.9%), healthcare and welfare services (6.2%), and finances (1.2%). Illustrative examples of these goals are provided in Table 1. Participants' goals varied in specificity for each domain (Table 1). Interrater agreement on specificity was 79.0%. Of the 162 goals mentioned, 12.3% were global (e.g., staying healthy), 50.6% were intermediate (e.g., not forgetting so much), and 37.0% were specific (e.g., a referral to the department of geriatric medicine to examine cognitive problems). This study has shown that care-related goals of community-dwelling frail older adults differ between individuals and cover domains that concern well-being just as much as they concern health and functioning. This agrees with previous research, in which participants stated that, except for maintaining health and functioning, maintaining independence and well-being were the most important goals.8, 9 Participants' goals were classified according to an existing taxonomy for goals.7 However, some additions to its domains were required, especially on the subject of well-being. Therefore, the domains living accommodation, activities, and health and welfare services were added, because many participants mentioned goals relating explicitly to these subjects. This study had some limitations. Because studying goals of frail older adults was not the primary aim of the studies used, nurses were not trained in goal-setting, which resulted in less attention being given to eliciting participants' goals and case records sometimes lacking data concerning goals. In conclusion, this study has demonstrated that care-related goals of frail community-dwelling older adults are diverse and highly individual. This stresses the importance of discussing goals with patients in everyday clinical practice. The authors would like to thank Hanny Hordijk, Marleen Lenkens, and Leny Theunisse for recording the data in the two studies used. Conflict of Interest: The editor in chief has reviewed the conflict of interest checklist provided by the authors and has determined that the authors have no financial or any other kind of personal conflicts with this paper. This work was supported by a grant from the Dutch National Care for the Elderly Program, coordinated and sponsored by ZonMw (the organization for health research and development), the Netherlands (Grant 60-61900-98-129). Author Contributions: Concept and design: S.H.M. Robben and M. Perry. Analysis and interpretation of the data: S.H.M. Robben and M. Perry. Drafting of the article: S.H.M. Robben. Critical revision of the article: M. Perry; M.G.M. Olde Rikkert, M.M. Heinen, and R.J.F. Melis. Sponsor's Role: None." @default.
• W1549698802 created "2016-06-24" @default.
• W1549698802 creator A5022950285 @default.
• W1549698802 creator A5029136789 @default.
• W1549698802 creator A5056253791 @default.
• W1549698802 creator A5062494839 @default.
• W1549698802 creator A5079601717 @default.
• W1549698802 date "2011-08-01" @default.
• W1549698802 modified "2023-10-16" @default.
• W1549698802 title "CARE-RELATED GOALS OF COMMUNITY-DWELLING FRAIL OLDER ADULTS" @default.
• W1549698802 cites W1592102337 @default.
• W1549698802 cites W2008046801 @default.
• W1549698802 cites W2027742484 @default.
• W1549698802 cites W2046991340 @default.
• W1549698802 cites W2054066210 @default.
• W1549698802 cites W2081140340 @default.
• W1549698802 cites W2299358227 @default.
• W1549698802 doi "https://doi.org/10.1111/j.1532-5415.2011.03515.x" @default.
• W1549698802 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/21848824" @default.
• W1549698802 hasPublicationYear "2011" @default.
• W1549698802 type Work @default.
• W1549698802 sameAs 1549698802 @default.
• W1549698802 citedByCount "28" @default.
• W1549698802 countsByYear W15496988022012 @default.
• W1549698802 countsByYear W15496988022013 @default.
• W1549698802 countsByYear W15496988022015 @default.
• W1549698802 countsByYear W15496988022016 @default.
• W1549698802 countsByYear W15496988022017 @default.
• W1549698802 countsByYear W15496988022018 @default.
• W1549698802 countsByYear W15496988022019 @default.
• W1549698802 countsByYear W15496988022020 @default.
• W1549698802 countsByYear W15496988022021 @default.
• W1549698802 countsByYear W15496988022022 @default.
• W1549698802 crossrefType "journal-article" @default.
• W1549698802 hasAuthorship W1549698802A5022950285 @default.
• W1549698802 hasAuthorship W1549698802A5029136789 @default.
• W1549698802 hasAuthorship W1549698802A5056253791 @default.
• W1549698802 hasAuthorship W1549698802A5062494839 @default.
• W1549698802 hasAuthorship W1549698802A5079601717 @default.
• W1549698802 hasConcept C17744445 @default.
• W1549698802 hasConcept C1862650 @default.
• W1549698802 hasConcept C199539241 @default.
• W1549698802 hasConcept C2779473830 @default.
• W1549698802 hasConcept C71924100 @default.
• W1549698802 hasConcept C74909509 @default.
• W1549698802 hasConcept C79544238 @default.
• W1549698802 hasConceptScore W1549698802C17744445 @default.
• W1549698802 hasConceptScore W1549698802C1862650 @default.
• W1549698802 hasConceptScore W1549698802C199539241 @default.
• W1549698802 hasConceptScore W1549698802C2779473830 @default.
• W1549698802 hasConceptScore W1549698802C71924100 @default.
• W1549698802 hasConceptScore W1549698802C74909509 @default.
• W1549698802 hasConceptScore W1549698802C79544238 @default.
• W1549698802 hasIssue "8" @default.
• W1549698802 hasLocation W15496988021 @default.
• W1549698802 hasLocation W15496988022 @default.
• W1549698802 hasOpenAccess W1549698802 @default.
• W1549698802 hasPrimaryLocation W15496988021 @default.
• W1549698802 hasRelatedWork W1965680226 @default.
• W1549698802 hasRelatedWork W1982277466 @default.
• W1549698802 hasRelatedWork W1996085591 @default.
• W1549698802 hasRelatedWork W2036082741 @default.
• W1549698802 hasRelatedWork W2097957635 @default.
• W1549698802 hasRelatedWork W2142852218 @default.
• W1549698802 hasRelatedWork W2170039557 @default.
• W1549698802 hasRelatedWork W2804445200 @default.
• W1549698802 hasRelatedWork W2937045539 @default.
• W1549698802 hasRelatedWork W3013373921 @default.
• W1549698802 hasVolume "59" @default.
• W1549698802 isParatext "false" @default.
• W1549698802 isRetracted "false" @default.
• W1549698802 magId "1549698802" @default.
• W1549698802 workType "article" @default.