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Centre for Policy on Ageing | |
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Assessment of patient preferences
— integrating treatments and outcomes | | Author(s) | Terri R Fried, Elizabeth H Bradley, Virginia R Towle |
| Journal title | Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, vol 57B, no 6, November 2002 |
| Pages | pp S348-S354 |
| Keywords | Patients ; Attitude ; Therapeutics ; Terminal care ; Evaluation ; United States of America. |
| Annotation | The development of the Willingness to Accept Life Sustaining Treatment instrument (WALT), a patient-centred measure of treatment preference applicable across a range of illnesses and treatment decisions is reported. Development was based on previous research supplemented by open-ended interviews and focus groups. The instrument's psychometric properties were determined by administration to 125 people aged 60+ with limited life expectancy secondary to congestive heart failure, chronic obstructive pulmonary disease or cancer. Test-retest and inter-rater reliability (ranges 73 to 95, and 49 to 93 respectively) were established using intraclass correlation coefficients. Construct validity was established by examining associations of the measure with a single-item question regarding treatment goals and with age, ethnicity, and functional impairment, characteristics known to be associated with preferences. The WALT instrument consists of 6 scenarios in which respondents weigh treatment burden against treatment outcomes expressed in terms of the likelihood of different health status and length of life following treatment. (RH). |
| Accession Number | CPA-021216269 A |
| Classmark | LF: DP: LL: LV: 4C: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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