Do Older Adults Know Their Spouses' End-of-Life Treatment Preferences? (ICPSR 25701)
Published: Jun 23, 2009
Principal Investigator(s):
Sara M. Moorman, University of Wisconsin-Madison;
Robert M. Hauser, University of Wisconsin-Madison;
Deborah S. Carr, Rutgers University
https://doi.org/10.3886/ICPSR25701.v1
Version V1
Summary
When terminally ill patients become mentally incapacitated, their surrogates often make treatment decisions in collaboration with health care providers. The authors examined how surrogates' errors in reporting their spouses' preferences are affected by their gender, status as durable power of attorney for health care (DPAHC), whether they and their spouses discussed end-of-life preferences, and their spouses' health status. Structural equation models were applied to data from married couples in their mid-60s from the 2004 wave of the Wisconsin Longitudinal Study. Surrogates reported their spouses' preferences incorrectly 13 percent and 26 percent of the time in end-of-life scenarios involving cognitive impairment and physical pain, respectively. Surrogates projected their own preferences onto their spouses'. Similar patterns emerged regardless of surrogate gender and status as DPAHC, marital discussions about end-of-life preferences, or spousal health status. Implications for the process of surrogate decision-making and for future research are discussed.
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Funding
United States Department of Health and Human Services. National Institutes of Health. National Institute on Aging (T32-AG000129)
Subject Terms
Geographic Coverage
Distributor(s)
Inter-university Consortium for Political and Social ResearchData Collection Notes
A zipped package contains a syntax and system file (both in SPSS format), and documentation (in Word and text formats) needed to replicate the results of the study.
These data are part of ICPSR's Publication-Related Archive and are distributed exactly as they arrived from the data depositor. ICPSR has not checked or processed this material. Users should consult the investigators if further information is desired.
Original Release Date
2009-06-23
Version Date
2009-06-23
Notes
These data are flagged as replication datasets and are distributed exactly as they arrived from the data depositor. ICPSR has not checked or processed this material. Users should consult the investigator(s) if further information is desired.
The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.
This study is provided by ICPSR. ICPSR provides leadership and training in data access, curation, and methods of analysis for a diverse and expanding social science research community.