TY - JOUR PY - 2012// TI - The Reluctance to Burden Others as a Value in end-of-Life Decision Making:a Source of Inaccuracy in Substituted Judgment JO - Journal of health psychology A1 - Winter, Laraine A1 - Parks, Susan M. SP - 179 EP - 188 VL - 17 IS - 2 N2 - Most patients are decisionally incapacitated at the end of life, leaving final treatment decisions to proxies, whose substituted judgment is often inaccurate. We investigated the reluctance to burden others (RBO), a commonly cited patient value, as a possible source of proxy inaccuracy. In a sample of 202 elders and their proxies, elders responded to three burden-related questions and the Life-prolonging Treatment Preferences Questionnaire. Proxies used substituted judgment to respond to the same questions. Although RBO predicted treatment preferences for both elders and proxies, elders rated RBO significantly more important than did proxies. In addition, larger elder-proxy differences in RBO were associated with more inaccurate substituted judgment.
Language: en
LA - en SN - 1359-1053 UR - http://dx.doi.org/10.1177/1359105311414956 ID - ref1 ER -