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dc.contributor.authorMartin, Vicki Clinedinsten_US
dc.date.accessioned2014-03-14T20:19:24Z
dc.date.available2014-03-14T20:19:24Z
dc.date.issued2004-10-12en_US
dc.identifier.otheretd-11302004-184830en_US
dc.identifier.urihttp://hdl.handle.net/10919/29803
dc.description.abstractThis study investigated the stability of health care decisions and the influencing values of 21 competent older adults. Face to face interviews were conducted initially (T1) followed by taped, telephone interviews seven years later (T2). Each participant was presented with a list of value indicators from which they were asked to identify the five most influential values to their health care decision-making process. They were also instructed to make decisions regarding five health care treatment and five life-sustaining treatment scenarios across two health states and three different levels of prognosis. Using open ended questions, participants described why they would or would not consent to medical or life-sustaining treatments. No significant change in healthcare decisions was found for life-sustaining treatments over the seven year period. The only significant change for health care treatments was an increase in the proportion of individuals "not consenting" to hip replacement surgery from T1 to T2 regardless of health state or prognosis. Similarly, change occurred between T1 and T2 with more participants refusing cataract surgery with a prognosis of 50/50. High stability was noted with the values selected by participants. Four out of the top five values selected at the initial interview were also selected seven years later. Data from the interview transcripts revealed congruence between the values chosen on the values inventory and those described as factors determining whether or not consent was given to the medical or life-sustaining treatments at T1 and T2.en_US
dc.publisherVirginia Techen_US
dc.relation.haspartVickiFinalDocument(2).pdfen_US
dc.relation.haspartTitlePagesforETD(2).pdfen_US
dc.rightsI hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Virginia Tech or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report.en_US
dc.subjectDecision-Makingen_US
dc.subjectStabilityen_US
dc.subjectOlder Adultsen_US
dc.subjectValuesen_US
dc.titleExploring Health Care Decison-Making of Older Adults: Consistency and Clarification of Responses Over Timeen_US
dc.typeDissertationen_US
dc.contributor.departmentHuman Developmenten_US
dc.description.degreePh. D.en_US
thesis.degree.namePh. D.en_US
thesis.degree.leveldoctoralen_US
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen_US
thesis.degree.disciplineHuman Developmenten_US
dc.contributor.committeechairRoberto, Karen A.en_US
dc.contributor.committeememberBlieszner, Rosemaryen_US
dc.contributor.committeememberSingh, Kusumen_US
dc.contributor.committeememberStevenson, Michelle L.en_US
dc.contributor.committeememberHulton, Lindaen_US
dc.identifier.sourceurlhttp://scholar.lib.vt.edu/theses/available/etd-11302004-184830/en_US
dc.date.sdate2004-11-30en_US
dc.date.rdate2004-12-15
dc.date.adate2004-12-15en_US


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