Do Personality Traits Moderate the Impact of Care Receipt on End-of-Life Care Planning?

Ha, Jae Jung; Pai, Manacy

doi:10.1093/geront/gns044

Cited by 12 publications

(10 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Individuals high on openness and agreeableness have been seen to utilize complementary and alternative medicine services more readily [12] and a large population-based study found that higher levels of both conscientiousness and agreeableness were associated with a greater likelihood of end-of-life care planning [13]. However, past research indicates that elevated levels of neuroticism may be particularly salient for health care providers to evaluate and consider when tailoring treatment.…”

Section: Introductionmentioning

confidence: 99%

Associations Between Personality and End-of-Life Care Preferences Among Men With Prostate Cancer: A Clustering Approach

Lattie

Asvat

Shivpuri

et al. 2016

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

Context Increased focus on patient-centered care models has contributed to greater emphasis on improving quality of life at the end of life through personalized medicine. However, little is known about individual-level factors impacting end-of-life care preferences. Objectives To examine whether the five-factor model of personality explains variation in preferences for end-of-life care in men with prostate cancer. Methods Two hundred twelve men with a prostate cancer diagnosis (mean age = 62 years) completed a measure of the five-factor model of personality –spanning the personality dimensions of neuroticism, agreeableness, extraversion, openness, and conscientiousness – and reported on end-of-life care preferences. Cluster analyses were used to partition the sample into groups with similar care preferences. Analyses of variance and Chi-square tests were used to evaluate differences in care preferences among the groups. Results Cluster analyses revealed three groups of participants: “Comfort-Oriented Patients,” “Service-Accepting Patients,” and “Service-Reluctant Patients.” Most (67%) were Comfort-Oriented, preferring palliative care and opposing life support services. A subset were Service-Accepting (17%), preferring both palliative care and life support, or were Service-Reluctant (16%), preferring neither. Service-Reluctant patients endorsed significantly higher levels of neuroticism (emotional instability and negativity) than Comfort-Oriented Patients. Comfort-Oriented patients endorsed significantly higher levels of agreeableness than Service-Accepting patients and Service-Reluctant patients. Conclusion Findings suggest that personality traits are associated with specific health care preferences. Individuals high on neuroticism are likely to report reluctance toward all forms of end-of-life care, and may benefit from in-depth information about the process and likely outcomes of receiving life support and palliative care services.

show abstract

Section: Introductionmentioning

confidence: 99%

Associations Between Personality and End-of-Life Care Preferences Among Men With Prostate Cancer: A Clustering Approach

Lattie

Asvat

Shivpuri

et al. 2016

Journal of Pain and Symptom Management

View full text Add to dashboard Cite

show abstract

“…This factor can be an important coping resource for stressed situations, making some individuals better prepared than others to deal with these conditions. Dedication and proactive planning are some characteristics of this factor that can support patients to follow medical commands and strict treatments easily …”

Section: Discussionmentioning

confidence: 99%

“…People with high agreeableness are qualified as more acceptable and tolerable and can be less likely to do things in their own way, cooperating more with their caregivers and following the health team recommendations . Another feature of this personality factor, “willingness to please others,” can lead people to speak openly about their doubts regarding treatment and request the opinion of family members and health professionals, causing a positive effect when these patients receive satisfactory and proper care …”

Section: Discussionmentioning

confidence: 99%

Predictive factors of treatment adherence in cancer outpatients

2018

View full text Add to dashboard Cite

Objective: Identify which variables are predictors of treatment adherence in cancer patients.Methods: Two hundred twenty cancer outpatients were evaluated by the following instruments: questionnaire on sociodemographic and clinical data, NEO-FFI Personality Inventory Revised (NEO-FFI-R), Multidimensional Health Locus of Control (MHLC) scale, Hospital Anxiety and Depression Scale (HADS), patient's knowledge about cancer disease questionnaire, and Adherence Determinants Questionnaire (ADQ). A logistic regression analysis was applied to verify the predictive power of the variables, and network analyses were conducted through the qgraph package. Results:The sample was composed of 138 (62.7%) women and 82 (37.3%) men.The mean age of participants was 54.66 (SD = 13.30), and the education level mean was 8.32 (DP = 3.76) years of study. Powerful others locus of control (LOC) and the personality factors conscientiousness and agreeableness are presented as predictors of high treatment adherence. The variable family cancer history, on the other hand, was a predictor of lower adherence levels. Conclusions: The powerful others LOC may be connected with more trust and dependence in the health team, leading to better adherence. Specific characteristics of personality factors can help individuals to cooperate with their caregivers and to follow medical orders. The evaluated factors are interrelated and should be taken into account by health professionals when developing interventions to modify healthrelated behaviors and treatment adherence. KEYWORDS agreeableness, cancer, conscientiousness, locus of control, oncology, treatment adherence 1 | BACKGROUND Adherence of treatment can be defined as a rigorous following of health professional's recommendations, which include orientations about medicines, lifestyle changes, and preventive measures. The adherence is an attitude and a behavior: like attitude, it implies a willingness to follow the prescription recommendations; as a behavior, it is associated with the attainment of specific orientations. 1The concept is not related only to patients taking medication or not. Besides that, it is related to how a patient administers his/her own treatment, behavior factors, perceptions and ways of coping with adversity, and elements related to the health system that takes care of the individual. Thus, both aspects related to patient or disease/treatment can influence treatment adherence. 2 In this way, it is possible to understand that it is difficult to define which factors have major significance and how they interact when

show abstract

“…Those who regularly interact with health care providers are more likely to complete advance directives ( Rao et al, 2014 ). Experiencing day-to-day discriminatory treatment has also been found to decrease agreeableness and conscientiousness in older adults ( Sutin, Stephan, & Terracciano, 2016 ), personality traits which have been linked to willingness to engage in ACP ( Carr, 2012 ; Ha & Pai, 2012 ). Major discriminatory events may impact health behaviors, including ACP, by undermining trust in health and other institutions as well as contributing to the accumulation of disadvantages in informational, financial, and social resources that leads to health disparities ( Phelan, Link, & Tehranifar, 2010 ).…”

Section: Background and Objectivesmentioning

confidence: 99%

A Question of Trust: Does Mistrust or Perceived Discrimination Account for Race Disparities in Advance Directive Completion?

Koss

Baker

2017

Innovation in Aging

View full text Add to dashboard Cite

Background and ObjectivesAdvance directive completion is associated with end-of-life quality indicators such as dying at home and receiving hospice care. Black older adults are less likely to complete advance directives than their white counterparts. The underlying reasons for these race disparities are not well understood.Research Design and MethodsIn two related studies, data from the Health and Retirement Study were used to examine whether mistrust in health care providers and/or perceived discrimination accounted for lower rates of advance directive completion by black older adults in the United States. Odds of advance directive completion were modeled using logistic regression and multiple measures of trust in health care providers and both medical and nonmedical perceived discriminatory treatment.ResultsIn Study 1 (n = 699), controlling for medical mistrust did not reduce the gap between black and white participants’ odds of possessing advance directives. In Study 2 (n = 2,736), higher percentages of black participants reported experiencing medical and nonmedical discriminatory treatment. However, none of the measures of discrimination accounted for black participants’ lower odds of possessing advance directives.Discussion and ImplicationsThese results call into question the common assertion that mistrust in medical providers or the health care system contributes to lower rates of advance care planning by black older adults. Future research should examine the potential relationships between advance directive completion and other dimensions of discrimination.

show abstract

Do Personality Traits Moderate the Impact of Care Receipt on End-of-Life Care Planning?

Abstract: Health practitioners should take into account older adults' care needs and differing personality traits while helping older adults make successful EOLCP.

Cited by 12 publications

References 27 publications

Associations Between Personality and End-of-Life Care Preferences Among Men With Prostate Cancer: A Clustering Approach

Associations Between Personality and End-of-Life Care Preferences Among Men With Prostate Cancer: A Clustering Approach

Predictive factors of treatment adherence in cancer outpatients

A Question of Trust: Does Mistrust or Perceived Discrimination Account for Race Disparities in Advance Directive Completion?

Contact Info

Product

Resources

About