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dc.contributor.authorEtkind, Simonen
dc.contributor.authorBone, Anna Een
dc.contributor.authorLovell, Natashaen
dc.contributor.authorHigginson, Irene Jen
dc.contributor.authorMurtagh, Fliss EMen
dc.date.accessioned2020-11-27T00:30:17Z
dc.date.available2020-11-27T00:30:17Z
dc.date.issued2018-05en
dc.identifier.issn0002-8614
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/313413
dc.description.abstractOBJECTIVES: To determine and explore the influences on care preferences of older people with advanced illness and integrate our results into a model to guide practice and research. DESIGN: Systematic review using Medline, Embase, PsychINFO, Web of Science, and OpenGrey databases from inception to February 2017 and reference and citation list searching. Included articles investigated influences on care preference using qualitative or quantitative methodology. Thematic synthesis of qualitative articles and narrative synthesis of quantitative articles were undertaken. SETTING: Hospital and community care settings. PARTICIPANTS: Older adults with advanced illness, including people with specific illnesses and markers of advanced disease, populations identified as in the last year of life, or individuals receiving palliative care (N = 15,164). MEASUREMENTS: The QualSys criteria were used to assess study quality. RESULTS: Of 12,142 search results, 57 articles were included. Family and care context, illness, and individual factors interact to influence care preferences. Support from and burden on family and loved ones were prominent influences on care preferences. Mechanisms by which preferences are influenced include the process of trading-off between competing priorities, making choices based on expected outcome, level of engagement, and individual ability to form and express preferences. CONCLUSION: Family is particularly important as an influence on care preferences, which are influenced by complex interaction of family, individual, and illness factors. To support preferences, clinicians should consider older people with illnesses and their families together as a unit of care.
dc.description.sponsorshipCicely Saunders International Atlantic Philanthropies. Grant Number: 24610 Collaboration for Leadership in Applied Health Research and Care, South London National Institute for Health Research (NIHR) King's Health Partners St. George's University London St George's Healthcare National Health Service (NHS) Trust
dc.format.mediumPrint-Electronicen
dc.languageengen
dc.rightsAttribution-NonCommercial 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/
dc.subjectHumansen
dc.subjectChronic Diseaseen
dc.subjectPalliative Careen
dc.subjectSeverity of Illness Indexen
dc.subjectFamilyen
dc.subjectQualitative Researchen
dc.subjectAgeden
dc.subjectPatient Preferenceen
dc.titleInfluences on Care Preferences of Older People with Advanced Illness: A Systematic Review and Thematic Synthesis.en
dc.typeArticle
prism.endingPage1039
prism.issueIdentifier5en
prism.publicationDate2018en
prism.publicationNameJournal of the American Geriatrics Societyen
prism.startingPage1031
prism.volume66en
dc.identifier.doi10.17863/CAM.60520
dcterms.dateAccepted2017-12-18en
rioxxterms.versionofrecord10.1111/jgs.15272en
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2018-05en
dc.contributor.orcidEtkind, Simon [0000-0003-2863-8893]
dc.contributor.orcidLovell, Natasha [0000-0001-6594-799X]
dc.contributor.orcidHigginson, Irene J [0000-0002-3687-1313]
dc.contributor.orcidMurtagh, Fliss EM [0000-0003-1289-3726]
dc.identifier.eissn1532-5415
rioxxterms.typeJournal Article/Reviewen


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Attribution-NonCommercial 4.0 International
Except where otherwise noted, this item's licence is described as Attribution-NonCommercial 4.0 International