{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:51:32Z","timestamp":1787014292048,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,5,20]],"date-time":"2013-05-20T00:00:00Z","timestamp":1369008000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Health and Medical Research Council Health Services Research Grant","award":["402791"],"award-info":[{"award-number":["402791"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Clinicians, older adults and caregivers frequently meet to make decisions around treatment and lifestyle during an acute hospital admission. Patient age, psychological status and health locus of control (\n                      <jats:styled-content style=\"fixed-case\">HLC<\/jats:styled-content>\n                      ) influence patient preference for consultation involvement and information but overall, a shared\u2010decision\u2010making (\n                      <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                      ) approach is favoured. However, it is not known whether these characteristics and the presence of cognitive impairment influence\n                      <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                      competency during family meetings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To describe meetings between older adults, caregivers and geriatricians in intermediate care and explore patient and meeting characteristics associated with a\n                      <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                      communication style.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Fifty\u2010nine family meetings involving geriatricians, patients in an intermediate care setting following an acute hospital admission and their caregivers were rated using the\n                      <jats:styled-content style=\"fixed-case\">OPTION<\/jats:styled-content>\n                      system for measuring clinician\n                      <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                      behaviour. The geriatric depression scale and multidimensional HLC scale were completed by patients. The mini\u2010mental state exam (\n                      <jats:styled-content style=\"fixed-case\">MMSE<\/jats:styled-content>\n                      ) assessed patient's level of cognitive impairment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Meetings lasted 38\u00a0min (SD 13) and scored 41 (SD 17) of 100 on the\n                      <jats:styled-content style=\"fixed-case\">OPTION<\/jats:styled-content>\n                      scale. Nine (SD 2.2) topics were discussed during each meeting, and most were initiated by the geriatrician. Meeting length was an important determinant of\n                      <jats:styled-content style=\"fixed-case\">OPTION<\/jats:styled-content>\n                      score, with higher\n                      <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                      competency displayed in longer meetings. Patient characteristics, including\n                      <jats:styled-content style=\"fixed-case\">MMSE<\/jats:styled-content>\n                      , HLC and depression did not explain\n                      <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                      competency.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Whilst\n                      <jats:styled-content style=\"fixed-case\">SDM<\/jats:styled-content>\n                      can be achieved during consultations frail older patients and their caregivers, an increased consultation time is a consequence of this approach.\n                    <\/jats:p>\n                  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