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However, SDMs often lack support, information, and problem\u2010solving tools required to make decisions and can suffer with negative emotional, relationship, and financial impacts. The need for adaptable supports has been identified in prior meta\u2010analyses. This scoping review identifies evidence\u2010based decision\u2010making resources\/tools for SDMs, outlines domains of support, and determines resource\/tool effectiveness and\/or efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The scoping review used the search strategy: Population\u2014SDMs for older adults who have lost decision\u2010making capacity; Concept\u2014supports, resources, tools, and interventions; Context\u2014any context where a decision is made on behalf of an adult (&gt;25\u2009years). Databases included MEDLINE, Embase, CINAHL, PsycINFO, and Abstracts in Social Gerontology and SocIndex. Tools were scored by members on the research team, including patient partners, based on domains of need previously identified in prior meta\u2010analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two reviewers independently screened 5279 citations. Articles included studies that evaluated a resource\/tool that helped a family\/friend\/caregiver SDMs outside of an ICU setting. 828 articles proceeded onto full\u2010text screening, and 25 articles were included for data extraction. The seventeen tools identified focused on different time points\/decisions in the dementia trajectory, and no single tool encompassed all the domains of caregiver decision\u2010making needs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Existing tools may not comprehensively support caregiver needs. However, combining tools into a toolkit and considering their application relevant to the caregiver's journey may start to address the gap in current supports.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.18812","type":"journal-article","created":{"date-parts":[[2024,2,24]],"date-time":"2024-02-24T06:08:13Z","timestamp":1708754893000},"page":"2219-2231","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A scoping review of decision\u2010making tools to support substitute decision\u2010makers for adults with impaired capacity"],"prefix":"10.1111","volume":"72","author":[{"given":"Seema","family":"King","sequence":"first","affiliation":[{"name":"Department of Community Health Sciences, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooklynn","family":"Fernandes","sequence":"additional","affiliation":[{"name":"Faculty of Science University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy S.","family":"Jayme","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gwenn","family":"Boryski","sequence":"additional","affiliation":[{"name":"Patient Partner  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Gaetano","sequence":"additional","affiliation":[{"name":"Patient Partner  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahra","family":"Premji","sequence":"additional","affiliation":[{"name":"Libraries University of Victoria  Victoria British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorraine","family":"Venturato","sequence":"additional","affiliation":[{"name":"Faculty of Nursing University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria J.","family":"Santana","sequence":"additional","affiliation":[{"name":"Department of Medicine, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"},{"name":"AbSPORU SUPPORT Unit  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0865-4231","authenticated-orcid":false,"given":"Jessica","family":"Simon","sequence":"additional","affiliation":[{"name":"Division of Palliative Medicine, Department of Oncology University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayna","family":"Holroyd\u2010Leduc","sequence":"additional","affiliation":[{"name":"Department of Community Health Sciences, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"},{"name":"Department of Medicine, Cumming School of Medicine University of Calgary  Calgary Alberta Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,24]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Alzheimer's Disease International.World Alzheimer Report 2019: Attitudes to dementia.2019."},{"key":"e_1_2_11_3_1","unstructured":"Alzheimer Society of Canada.The Landmark Study Report 1: Navigating the Path Forward for Dementia in Canada.2022.https:\/\/alzheimer.ca\/en\/research\/reports\u2010dementia\/landmark\u2010study\u2010report\u20101\u2010path\u2010forward#Report_formats"},{"key":"e_1_2_11_4_1","unstructured":"Government of Canada.Palliative care: Preparing and deciding. 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