We investigated associations between personality and health cognitions and behaviors related to preparation for future care among 355 primary care patients who were 65 years of age and older. Path analyses examined the effects of the personality traits of neuroticism, extraversion, openness to experience, agreeableness, and conscientiousness on health cognitions about future care (avoidance, awareness), health-planning behaviors (gathering information, decision making, and planning), and beliefs about planning, while covarying age, gender, education, medical burden, functional status, and depression-symptom severity. Higher levels of neuroticism, openness, and agreeableness were associated with greater awareness of care needs; higher openness was also associated with more gathering of information and less avoidance. Extraversion and conscientiousness were not related to future-oriented health cognitions. Depression was inversely associated with the gathering of information. Age and education were related to more positive beliefs about the planning. Neither concrete planning nor decision making were related to personality variables. Health professionals should consider the impact of individual differences when addressing preparation for future care with older adults.
KeywordsLong-term care planning; Personality traits; Primary care; Future care needs; Decision-making; Health cognitions As Populations age worldwide, the need to plan for future health care and residential adjustments will continue to grow. For example, 21% of persons aged 70 years and older who have no functional limitations can be expected to develop disabling limitations over a 2-year period (Anderson, James, Miller, Worley, & Longino, 1998), and 30% are likely to become disabled over a 6-year period (Sonn, Grimby, & Svanborg, 1996). Because planning enhances access to choices and helps individuals to gain control over their environment, the extent to which older adults prepare for future care needs will likely play a role in their ability to enhance their health-related quality of life and could even prevent disease progression. Nevertheless, surprisingly few older adults engage in care-planning behaviors (Sörensen & Pinquart, 2000a, 2000c, and there is little awareness among aged adults that failure to plan may lead to crisis decision making (Maloney, Finn, Bloom, & Andresen, 1996) (Pinquart & Sörensen, 2002b;Steele, Pinquart, & Sörensen, 2003). Thus one public health challenge in aging services may be to help older adults overcome their reluctance to engage in preventive health behaviors. Engaging in behaviors that promote or protect health requires an awareness of the risks for disease-related disability (Gerrard, Gibbons, Benthin, & Hessling, 1996;Harrison, Mullen, & Green, 1992), such as by understanding that one's vision loss may limit independent living, and willingness to act on these and other health cognitions, such as by choosing a more supportive living environment.The proactive coping model suggests that preparation for fu...