{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T13:18:54Z","timestamp":1747228734296,"version":"3.40.5"},"reference-count":0,"publisher":"Sociedade Brasileira de Geriatria e Gerontologia","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>OBJECTIVES: To examine older people\u2019s preferences for self-involvement in end-of-life care decision-making in scenarios of mental capacity (competency) and incapacity, and to identify associated factors. METHODS: A cross-sectional survey was conducted including 400 individuals aged 60+ years living in the city of Belo Horizonte, Brazil. RESULTS: Among 400 respondents, 95.3% preferred self-involvement when capable (due to the high percentage, associated factors were not calculated) and 64.5% preferred self-involvement when incapable through, for example, a living will. Considering that participants could choose multiple answers, the most frequent combinations in the capacity scenario were \u201cyourself\u201d and \u201cother relatives\u201d (76.8%) and \u201cyourself\u201d and \u201cthe doctor\u201d (67.8%). In the incapacity scenario, the most frequent combinations were \u201cyourself\u201d and \u201cother relatives\u201d (usually their children and, less often, their grandchildren) (59.3%) and \u201cyourself\u201d and \u201cthe doctor\u201d (48.5%). Three factors were associated with a preference for self-involvement in an incapacity scenario. Those who were married or had a partner (widowed; adjusted odds ratio [AOR] = 0.37; 95% confidence interval [CI] 0.19\u20130.68) and those who were male (female; AOR = 0.62; 95%CI 0.38\u20131.00) were less likely to prefer self-involvement. Those who were younger, as in age bands 60-69 years (80+; AOR = 2.35; 95%CI 1.20\u20134.58) and 70\u201379 years (80+; AOR = 2.45; 95%CI 1.21\u20134.94), were more likely to prefer self-involvement. CONCLUSIONS: Most participants preferred self-involvement in both scenarios of capacity and incapacity. Preference for self-involvement was higher in the scenario of capacity, while preference for the involvement of other relatives (usually their children) was greater in the scenario of incapacity.<\/jats:p>","DOI":"10.5327\/z2447-212320202000089","type":"journal-article","created":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T20:48:46Z","timestamp":1593550126000},"page":"81-90","source":"Crossref","is-referenced-by-count":1,"title":["Older people\u2019s preferences for self-involvement in decision-making if faced with serious illness"],"prefix":"10.53886","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7726-5523","authenticated-orcid":false,"given":"Rafaela","family":"Jorge","sequence":"first","affiliation":[{"name":"University of Aveiro"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5068-2543","authenticated-orcid":false,"given":"Nat\u00e1lia","family":"Calanzani","sequence":"additional","affiliation":[{"name":"University of Edinburgh"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4685-1615","authenticated-orcid":false,"given":"Adelaide","family":"Freitas","sequence":"additional","affiliation":[{"name":"University of Aveiro"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1377-9899","authenticated-orcid":false,"given":"Rui","family":"Nunes","sequence":"additional","affiliation":[{"name":"University of Porto"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3491-7119","authenticated-orcid":false,"given":"Liliana","family":"Sousa","sequence":"additional","affiliation":[{"name":"University of Aveiro"}]}],"member":"32096","published-online":{"date-parts":[[2020]]},"container-title":["Geriatrics, Gerontology and Aging"],"original-title":[],"link":[{"URL":"https:\/\/cdn.publisher.gn1.link\/ggaging.com\/pdf\/GGA%20v14n2_IN_81-90.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T16:11:46Z","timestamp":1632845506000},"score":1,"resource":{"primary":{"URL":"https:\/\/cdn.publisher.gn1.link\/ggaging.com\/pdf\/GGA%20v14n2_IN_81-90.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.5327\/z2447-212320202000089","relation":{},"subject":[],"published":{"date-parts":[[2020]]}}}