In Japan, there is no decision-making guide regarding long-term tube feeding that specifically targets individuals making decisions on behalf of cognitively impaired older persons (substitute decision makers). The objective of this study was to describe the development and evaluation of such a decision aid.
Methods:
In this before-and-after study, participants comprised substitute decision makers for 13 cognitively impaired inpatients aged 65 years and older who were being considered for placement of a percutaneous endoscopic gastrostomy tube in acute care hospitals and mixed-care hospitals in Japan.
Questionnaires were used to compare substitute decision makers’knowledge, decisional conflict, and predisposition regarding feeding tube placement before and after exposure to a decision aid. The acceptability of the decision aid was also assessed.
Paired t-tests were used to compare participants’knowledge and decisional conflict scores before and after using the decision aid.
Results:
Substitute decision makers showed significantly increased knowledge (P
Conclusions:
The decision aid facilitated the decision-making process of substitute decision makers by decreasing decisional conflict and increasing knowledge.
Author: Yumiko KuraokaKazuhiro Nakayama
Credits/Source: BMC Geriatrics 2014, 14:16
Published on: 2014-02-05
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News Provider: EUPB – European Press Bureau
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