DOES COGNITIVE MISPERCEPTION AFFECT THE TIMING OF COMPLETING ADVANCE DIRECTIVES?
2024

Cognitive Misperception and Advance Directives Timing

Sample size: 3675 publication Evidence: moderate

Author Information

Author(s): Lou Yifan, Lin Zhuoer, Chen Xi

Hypothesis

Does cognitive misperception affect the timing of completing advance directives?

Conclusion

Cognitive misperception significantly influences when older adults complete advance directives, with overconfidence delaying completion and conservatism prompting earlier action.

Supporting Evidence

  • Being conservative on cognition motivated older adults to file living wills 8.62 months earlier.
  • Being overconfident delayed older adults to file living wills by 7.25 months.
  • Overconfidence increased the likelihood of filing living wills by 34% and Durable Power of Attorney by 40%.

Takeaway

Older people who think they remember things well might wait longer to make important health decisions, while those who are more cautious tend to make these decisions sooner.

Methodology

The study used linear and logistic regression models to analyze data from older adults regarding their advance directive completion and cognitive perceptions.

Participant Demographics

Older adults who died between 2002 and 2018.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.2385

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