dc.contributor.advisor | McDowd, Joan M. | |
dc.contributor.author | Hildreth, Jessica L. | |
dc.date.issued | 2019 | |
dc.date.submitted | 2019 Spring | |
dc.description | Title from PDF of title page viewed June 19, 2019 | |
dc.description | Thesis advisor: Joan McDowd | |
dc.description | Vita | |
dc.description | Includes bibliographical references (pages 45-54) | |
dc.description | Thesis (M.A.)--Department of Psychology. University of Missouri--Kansas City, 2019 | |
dc.description.abstract | Shared decision-making (SDM) is a tool suggested for improving patient-doctor
relationships, health decision satisfaction, and health outcomes in all patient populations. The
assumption that older patients desire purely directive care is a widespread misconception that
is inconsistent with patient-centered care. To better understand how older adults might
participate in and benefit from SDM, it is important to examine their preferences for SDM,
and their opportunities to participate. This study aimed to analyze health care decision
making processes with older and younger patients to point out any inequalities. To examine
factors that contribute to SDM preferences, and to assess perceived opportunities for SDM,
96 participants aged 20-79 years were recruited from two medical clinics in Kansas
University Medical Center. Participants completed a 45-minute self-report battery. It was
hypothesized that individual differences in preference for SDM would be explained by a
person’s health anxiety, information monitoring behaviors, self-efficacy of health literacy,
and actual health literacy; differences in preference would not be explained by age. It was
further hypothesized that perceived opportunities to participate in SDM would be negatively
related to age. We found that, as predicted, age was not related to patient preference for
SDM. However, health anxiety, information monitoring behaviors, confidence to participate,
and health literacy were also found to have no relationship with SDM preferences. Contrary
to hypothesis two, we found that all patients perceived equal opportunities to participate in
SDM. Follow up analyses were conducted to inspect potential demographic differences of
SDM preferences and opportunities. | eng |
dc.description.tableofcontents | Overview -- Review of the literature -- Methodology -- Results -- Discussion -- Appendix | |
dc.format.extent | ix, 55 pages | |
dc.identifier.uri | https://hdl.handle.net/10355/69007 | |
dc.publisher | University of Missouri -- Kansas City | eng |
dc.subject.lcsh | Patient-centered health care | |
dc.subject.lcsh | Health behavior -- Age factors | |
dc.subject.other | Thesis -- University of Missouri--Kansas City -- Psychology | |
dc.title | Preferences for Shared Decision-Making Between Physicians and Patients: Is Age a Factor? | eng |
dc.type | Thesis | eng |
thesis.degree.discipline | Psychology (UMKC) | |
thesis.degree.grantor | University of Missouri--Kansas City | |
thesis.degree.level | Masters | |
thesis.degree.name | M.A. (Master of Arts) | |