Yashika J Watkins1, Gloria J Bonner2, Edward Wang3, Diana J Wilkie4, Carol E Ferrans5, Barbara Dancy6. 1. Institute for Health Research & Policy, 1747 W. Roosevelt Rd., Suite 476 (M/C 275), Chicago, IL 60608, (DT) 312-355-2328, (F) 312-996-0065. 2. UIC College of Nursing, Department of Biobehavioral Health Science, 845 S. Damen Ave., #648 NURS (M/C 802), Chicago, IL 60612, (DT) 312-996-0066, (F) 312-996-4979. 3. UIC College of Nursing, Department of Biobehavioral Health Science, 845 S. Damen Ave., #610 NURS (M/C 802), Chicago, IL 60612, (DT) 312-413-0148, (F) 312-996-1819. 4. UIC College of Nursing, Department of Biobehavioral Health Science, 845 S. Damen Ave., #660 NURS (M/C 802), Chicago, IL 60612, (DT) 312-413-5469, (F) 312-996-1819. 5. UIC College of Nursing, Department of Biobehavioral Health Science, 845 S. Damen Ave., #606 NURS (M/C 802), Chicago, IL 60612, (DT) 312-996-8445, (F) 312-996-4979. 6. UIC College of Nursing, Department of Health Systems Science, 845 S. Damen Ave., #108 NURS (M/C 802), Chicago, IL 60612, (DT) 312-996-9168, (F) 312-996-9049.
Abstract
PURPOSE: A pilot study was conducted in an urban African American community to explore the relationship between trust in physicians, demographics and end-of-life treatment decisions made by African American caregivers of family members with dementia: namely, cardiopulmonary resuscitation, mechanical ventilation and tube feeding. METHODS: In a cross-sectional design, standard measures were administered to a convenience sample of 68 African American caregivers of family members with dementia. Univariate and multivariate analyses were used to explore associations among the variables. RESULTS: Those with more education exhibited higher (p = 0.035) trust in physicians than less educated individuals. Caregivers who were more trusting of their physicians were more likely to use mechanical ventilation (p = 0.0005) than were less trusting caregivers. Conversely, more trusting caregivers were less likely to use tube feeding (p = 0.022). CONCLUSIONS: Our findings suggest relationships exist among trust in physicians, demographics and end-of-life treatment decisions. Thus, health care providers should consider African American caregivers' perceived trust in physicians when counseling about dementia and end-of-life treatment choices.
PURPOSE: A pilot study was conducted in an urban African American community to explore the relationship between trust in physicians, demographics and end-of-life treatment decisions made by African American caregivers of family members with dementia: namely, cardiopulmonary resuscitation, mechanical ventilation and tube feeding. METHODS: In a cross-sectional design, standard measures were administered to a convenience sample of 68 African American caregivers of family members with dementia. Univariate and multivariate analyses were used to explore associations among the variables. RESULTS: Those with more education exhibited higher (p = 0.035) trust in physicians than less educated individuals. Caregivers who were more trusting of their physicians were more likely to use mechanical ventilation (p = 0.0005) than were less trusting caregivers. Conversely, more trusting caregivers were less likely to use tube feeding (p = 0.022). CONCLUSIONS: Our findings suggest relationships exist among trust in physicians, demographics and end-of-life treatment decisions. Thus, health care providers should consider African American caregivers' perceived trust in physicians when counseling about dementia and end-of-life treatment choices.
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