Identifying Phenotypes of Older Adults Planning for Alzheimer’s Disease Support
2024

Identifying Planning Types for Alzheimer's Support in Older Adults

Sample size: 293 publication Evidence: moderate

Author Information

Author(s): Miller-Winder Amber, Ramirez-Zohfeld Vanessa, Relerford Raven, Schierer Allison, Olvera Charlie, Murawski Alaine, Lindquist Lee

Primary Institution: Northwestern University

Hypothesis

What types of plans do older adults make for long-term care in the event of Alzheimer's Disease?

Conclusion

Different planning phenotypes exist among older adults regarding their long-term care in the event of Alzheimer's Disease.

Supporting Evidence

  • Almost half of the participants experienced cognitive decline.
  • Deniers are less likely to plan if they have no cognitive impairment.
  • Do-gooders are more likely to complete advanced directives.
  • Defeaters are less likely to plan due to low health activation scores.
  • Dumpers rely on family for planning and have limited health literacy.

Takeaway

Older adults think differently about planning for help if they get Alzheimer's, and understanding these differences can help caregivers provide better support.

Methodology

Mixed analytic methods including qualitative coding and generalized linear mixed models (GLMM).

Potential Biases

Potential biases in self-reported data from participants.

Limitations

The study may not capture all factors influencing planning due to its observational nature.

Participant Demographics

Mean age 73.5 years, 72.7% female, 40.4% underrepresented minorities.

Statistical Information

P-Value

p < 0.05

Confidence Interval

1.20-2.54

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2275

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