{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:56:03Z","timestamp":1785455763467,"version":"3.56.0"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,3,21]],"date-time":"2016-03-21T00:00:00Z","timestamp":1458518400000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"VA Rehabilitation Research and Development Service","award":["5I01RX000104"],"award-info":[{"award-number":["5I01RX000104"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify a taxonomy of health\u2010related values that frame goals of care of older, multimorbid adults who recently faced cancer diagnosis and treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative analysis of data from a longitudinal cohort study of multimorbid cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Cancer registries from regional Department of Veterans Affairs networks in New England and southeast Texas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Multimorbid adults who completed interviews 12\u00a0months after diagnosis of head and neck, colorectal, gastric, or esophageal cancer and after cancer treatment (N\u00a0=\u00a0146).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>An interdisciplinary team conducted thematic analyses of participants\u2019 intuitive responses to two questions: Now that you have had cancer and may face ongoing decisions about medical care in the future, what would you want your family, friends, and doctors to know about you, in terms of what is most important to you in your life? If your cancer were to recur, is there anything you'd want to be sure your loved ones knew about you and your goals of care?<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Analysis revealed five distinct health\u2010related values that guide how multimorbid cancer survivors conceptualize specific health care goals and medical decisions: self\u2010sufficiency, life enjoyment, connectedness and legacy, balancing quality and length of life, and engagement in care. Participants typically endorsed more than one value as important.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Older multimorbid adults who recently faced life\u2010threatening cancer endorsed a multidimensional taxonomy of health\u2010related values. These health\u2010related values guide how they frame their goals for care and treatment preferences. Eliciting individuals\u2019 sense of their values during clinical encounters may improve their experiences with health care and more effectively align treatments with goals of care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.14027","type":"journal-article","created":{"date-parts":[[2016,3,22]],"date-time":"2016-03-22T07:23:58Z","timestamp":1458631438000},"page":"625-631","source":"Crossref","is-referenced-by-count":129,"title":["Health Values and Treatment Goals of Older, Multimorbid Adults Facing Life\u2010Threatening Illness"],"prefix":"10.1111","volume":"64","author":[{"given":"Aanand D.","family":"Naik","sequence":"first","affiliation":[{"name":"Center of Innovations in Quality, Effectiveness, and Safety Houston Veterans Affairs Health Services Research and Development Michael E. DeBakey Veterans Affairs Medical Center Houston Texas"},{"name":"Section\u00a0of Health Services Research Department of Medicine Baylor College of Medicine Houston Texas"},{"name":"Veterans Affairs Quality Scholars Program Coordinating Center Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsey A.","family":"Martin","sequence":"additional","affiliation":[{"name":"Center of Innovations in Quality, Effectiveness, and Safety Houston Veterans Affairs Health Services Research and Development Michael E. DeBakey Veterans Affairs Medical Center Houston Texas"},{"name":"Section\u00a0of Health Services Research Department of Medicine Baylor College of Medicine Houston Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Moye","sequence":"additional","affiliation":[{"name":"Veterans Affairs Boston Healthcare System Boston Massachusetts"},{"name":"Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele J.","family":"Karel","sequence":"additional","affiliation":[{"name":"Veterans Affairs Boston Healthcare System Boston Massachusetts"},{"name":"Harvard Medical School Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.1229"},{"key":"e_1_2_6_3_1","first-page":"555","article-title":"What \u201cpatient\u2010centered\u201d should mean: Confessions of an extremist","volume":"28","author":"Berwick DM","year":"2009","journal-title":"Health Aff (Millwood)"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2009.06.001"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2005.09.010"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2003.09.031"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2005.0114.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1080\/15265161.2014.915650"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.3370"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00107-0"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/109019819502200207"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2007.07.006"},{"key":"e_1_2_6_13_1","unstructured":"O'ConnorAM Llewellyn\u2010ThomasH DolanJet\u00a0al.Clarifying and Expressing Values. 2005 Original IPDAS Collaboration Background Document[on\u2010line]. 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