Shared decision-making in dementia: A review of patient and family carer involvement

Lyndsey M. Miller, Carol J. Whitlatch, Karen S. Lyons

Research output: Contribution to journalArticle

67 Scopus citations

Abstract

This paper reviews empirical findings concerning the decision-making process of persons with dementia and their family carers, with a particular focus on the extent and determinants of involvement of persons with dementia in the decision-making process. To be included in this review, studies needed to be published in peer-reviewed journals between 1999 and 2014, report empirical data from participants with dementia and/or their family carers, and pertain to the involvement of persons with dementia and their family carers in decisions about everyday care, medical care and treatment, or long-term care. A total of 36 studies were included. Results indicated that not all persons with dementia are excluded from participating in the decision-making process, but there is a broad spectrum of what constitutes shared decision-making in dementia. Studies concerning the determinants of shared decision-making mostly focused on non-modifiable factors. Future research is needed to better promote shared decision-making among persons with dementia and their family carers.

Original languageEnglish (US)
Pages (from-to)1141-1157
Number of pages17
JournalDementia
Volume15
Issue number5
DOIs
StatePublished - Sep 1 2016

Keywords

  • care values
  • caregiving
  • decision-making
  • dementia
  • personhood

ASJC Scopus subject areas

  • Sociology and Political Science
  • Social Sciences(all)

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