Advance care planning dispositions : the relationship between knowledge and perception

Cattagni Kleiner, Anne (Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland) ; Santos-Eggimann, Brigitte (Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland) ; Fustinoni, Sarah (Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland) ; Dürst, Anne-Véronique (Lausanne University Hospital (CHUV), Switzerland) ; Haunreiter, Katja (Haute école de travail social et de la santé EESP Lausanne, HES-SO) ; Rubli-Truchard, Eve (Lausanne University Hospital (CHUV), Switzerland) ; Seematter-Bagnoud, Laurence (Center for Primary Care and Public Health (Unisanté), University of Lausanne, Switzerland)

Background: Legal dispositions for advance care planning (ACP) are available but used by a minority of older adults in Switzerland. Some studies found that knowledge of and perception of those dispositions are positively associated with their higher usage. The objective of the present study is to test the hypothesis of an association between increased knowledge of ACP dispositions and a more positive perception of them. Methods: Data collected in 2014 among 2125 Swiss community-dwellers aged 71 to 80 of the Lausanne cohort 65+ (Lc65+), a population-based longitudinal study on aging and frailty. Data collection was conducted through a questionnaire on knowledge, use and perception of lasting power of attorney, advance directives and designation of a health care proxy. Covariables were extracted from the Lc65+ database. Bivariable and multivariable regression analyses assessed the association between level of knowledge and perception. Results: Half the participants did not know about legal dispositions for ACP; filing rates were 14% for advance directives, 11% for health care proxy and 6% for lasting power of attorney. Level of knowledge about the dispositions was associated with a more positive perception of them, even when adjusting for confounding factors. Conclusion: Although the direction of the association’s causality needs more investigation, results indicate that better knowledge on ACP dispositions could improve the perception older people have of them. Communication on dispositions should take into account individual knowledge levels and address commonly enunciated barriers that seem to diminish with increased knowledge.


Keywords:
Article Type:
scientifique
Faculty:
Travail social
Branch:
Travail social
School:
HETSL
Institute:
LaReSS - Laboratoire de Recherche Santé - Social, HETSL
Subject(s):
Travail social
Date:
2019-04
Pagination:
11 p.
Published in:
BMC geriatrics
Numeration (vol. no.):
2019, no. 19, article no. 118, pp. 1-11
DOI:
ISSN:
1471-2318
Appears in Collection:



 Record created 2019-08-23, last modified 2020-11-19

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