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INVOLVING FAMILY TO IMPROVE COMMUNICATION IN PRIMARY CARE FOR OLDER ADULTS WITH COGNITIVE IMPAIRMENT
Journal article   Open access   Peer reviewed

INVOLVING FAMILY TO IMPROVE COMMUNICATION IN PRIMARY CARE FOR OLDER ADULTS WITH COGNITIVE IMPAIRMENT

J.L. Wolff, H. Amjad, C. Boyd, D. Echavarria, L.N. Gitlin, D. Roter, K. Smith and J. Vick
Innovation in aging, v 1(Suppl 1), pp 1368-1368
30 Jun 2017
DOI: https://doi.org/10.1093/geroni/igx004.5033
url
https://academic.oup.com/innovateage/article-pdf/1/suppl_1/1368/26112362/igx004.5033.pdfView
Published, Version of Record (VoR) Open
url
https://doi.org/10.1093/geroni/igx004.5033View
Published, Version of Record (VoR) Open

Abstract

Abstracts
Older adults with cognitive impairment face significant challenges when communicating with health care providers and navigating today’s health care environment. Few interventions specifically capitalize on the fact that many older adults with cognitive impairment attend medical visits with a family companion. This presentation highlights modifications to an evidence-based, agenda-setting communication intervention that: (1) elicits and aligns patient and companion perspectives regarding patient health issues to discuss with the doctor and (2) stimulates discussion about the companion’s role in the visit. A prior trial that excluded older adults with cognitive impairment found the intervention improved the patient-centeredness of visit communication. We will discuss refinements to the intervention based on qualitative findings from in-depth interviews with older adult-family companion dyads (n=20) and primary care providers (n=10). Preliminary results from a trial to test the communication intervention among older primary care patients with cognitive impairment and their companions will be presented.

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