Medical decision-making abilities in older adults with chronic partial epilepsy

Bambara, Jennifer K.; Griffith, H. Randall; Martin, Roy C.; Faught, Edward; Wadley, Virginia G.; Marson, Daniel C.

doi:10.1016/j.yebeh.2006.10.003

Cited by 12 publications

(10 citation statements)

References 28 publications

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“…In contrast, Okonkwo et al(Okonkwo et al, 2008) found that short term verbal memory was the most relevant cognitive domain to medical decision making capacity, followed by a lesser degree by executive functioning. Bambara et al (Bambara et al, 2007) found that DRS-2 Total Score was significantly correlated with ability to understand and appreciate the consequences of treatment choice on a measure of consent capacity in individuals with chronic partial epilepsy. There are no comparison articles that we are aware of with the DRS-2 and decision making ability in MCI or dementia.…”

Section: Discussionmentioning

confidence: 99%

Predicting functional ability in mild cognitive impairment with the Dementia Rating Scale-2

Greenaway

Duncan

Hanna

et al. 2012

Int. Psychogeriatr.

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BACKGROUND We examined the utility of cognitive evaluation to predict instrumental activities of daily living (IADLs) and decisional ability in Mild Cognitive Impairment (MCI). METHODS Sixty-seven individuals with single domain amnestic MCI were administered the Dementia Rating Scale-2 as well as the Everyday Cognition (ECog) form to assess functional ability. RESULTS DRS-2 Total Scores and Initiation/Perseveration and Memory subscales were found to be predictive of IADLs, with Total Scores accounting for 19% of the variance in IADL performance on average. Additionally, DRS-2 Initiation/Perseveration and Total Score were predictive of ability to understand information, and DRS-2 Conceptualization helped predict ability to communicate with others, both key variables in decision making ability. CONCLUSIONS These findings suggest that performance on the DRS-2, and specific subscales related to executive function and memory, is significantly related to IADLs in individuals with MCI. These cognitive measures are also associated in decision making related abilities in MCI.

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Section: Discussionmentioning

confidence: 99%

Predicting functional ability in mild cognitive impairment with the Dementia Rating Scale-2

Greenaway

Duncan

Hanna

et al. 2012

Int. Psychogeriatr.

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“…After the presentation of each vignette, the written consent is removed and patients are asked a series of questions assessing their consent abilities. The CCTI has been used in a variety of different populations such as individuals with AD, Parkinson's disease, epilepsy, and traumatic brain injury (Bambara et al, 2007;Dreer, DeVivo, Novack, Krzywanski, & Marson, 2008;Griffith et al, 2010;Martin et al, 2008;Triebel, Martin, Nabors, & Marson, 2009). In addition, age independent and ageadjusted normative data were recently published for the CCTI to assist clinicians in comparing a patient's performance on the CCTI with that of other adults irrespective of age and/or to same age peers (Gerstenecker, Niccolai, Marson, & Triebel, 2016).…”

Section: Capacity Instrumentsmentioning

confidence: 99%

Assessment of Healthcare Decision-making Capacity

Palmer

Harmell

2016

Arch Clin Neuropsychol

114

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It is often necessary for neuropsychologists, clinical psychologists, and other healthcare professionals to assess an individual's capacity to consent to treatment related to healthcare. This task can be challenging and requires a delicate balance of both respect for individuals' autonomy, as well as the protection of individuals with diminished capacity to make an autonomous decision. The purpose of the present review is to provide an overview of the conceptual model of decisional capacity as well as a brief summary of some of the currently available instruments designed to help evaluate medical decision making. In addition, current empirical literature on the relationship between neuropsychological abilities and decision-making capacity is discussed and a brief set of recommendations is provided to further aid clinicians or consultants when they are required to complete the ethically important but difficult task of making determinations about healthcare decision-making capacity.

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“…A wide range of studies, across several populations, have documented that overall cognitive test performance is correlated with level of decisional capacity (Bambara et al, 2007;Barton et al, 1996;Dunn et al, 2007a;Fisher et al, 2006;Fitten & Waite, 1990;Grisso & Appelbaum, 1995;Karlawish et al, 2005;Kim & Caine, 2002;Kovnick et al, 2003;Marson et al, 1995b;Palmer et al, 2005Palmer et al, , 2007Raymont et al, 2004;Resnick et al, 2007). Yet, if neuropsychological data are to inform development of improved consent procedures, as well as to contribute to the evolution of decisional capacity as a meaningful applied construct, it is important to go beyond establishing the presence of a general relationship, by taking into account the role of specific neurocognitive abilities in decisional capacity.…”

Section: Introductionmentioning

confidence: 99%

The association of specific neuropsychological deficits with capacity to consent to research or treatment

Palmer

Savla

2007

J Int Neuropsychol Soc

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Informed consent is key to ethical clinical research and treatment, but partially rests on the ability of individual patients or research participants to use disclosed information to make a meaningful choice. Although the construct of decisional capacity emerged from legal and philosophical traditions, several investigators have begun examining the relationship of specific neuropsychological abilities to decisional capacity. This line of research may foster development of better consent procedures, as well as aid in refining the construct of decisional capacity toward a form that better reflects the underlying neurocognitive processes. We conducted a systematic search of the published literature and thereby identified and reviewed 16 published reports of empirical studies that examined the relationship between specific neuropsychological abilities and capacity to consent to research or treatment. Significant relationships between neuropsychological scores and decisional capacity were present across all the reviewed studies. The degree to which specific neuropsychological abilities have particular relevance to decisional capacity remains uncertain, but the existing studies provide a solid basis for a priori hypotheses for future investigations. These ongoing efforts represent an important conceptual and empirical bridge between bioethical, legal, and neuropsychological approaches to understanding meaningful decision-making processes.

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Medical decision-making abilities in older adults with chronic partial epilepsy

Cited by 12 publications

References 28 publications

Predicting functional ability in mild cognitive impairment with the Dementia Rating Scale-2

Predicting functional ability in mild cognitive impairment with the Dementia Rating Scale-2

Assessment of Healthcare Decision-making Capacity

The association of specific neuropsychological deficits with capacity to consent to research or treatment

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