Laura M Girling1, Leslie A Morgan2. 1. University of Maryland, Baltimore County, USA girling1@umbc.edu. 2. University of Maryland, Baltimore County, USA.
Abstract
OBJECTIVE: This study expands upon existing narrative data concerning health care preparation by developing a multi-theme framework of plans for future care needs. METHOD: : Inductive content analysis was conducted on 185 interviews with European American and African American older women. RESULTS: : An explanatory framework emerged of five themes, describing varied approaches to planning for future care needs: (a) Autonomous Care Planners, (b) Externally Reliant Planners, (c) Aware of Preference, (d) Wishful Thinkers, and (e) Avoidant. A distinct group included women performing only end-of-life planning. Barriers to planning included low-perceived vulnerability, financial constraints, being uninformed of needed actions, and fear of burdening. DISCUSSION:: Although the majority undertook active steps to prepare for future care needs, many missed key steps or achievement of planning goals recommended by experts. Findings may be applied to long-term care planning research by providing added, rich detail on how aging women construct their options, make choices, and address this important area for future well-being.
OBJECTIVE: This study expands upon existing narrative data concerning health care preparation by developing a multi-theme framework of plans for future care needs. METHOD: : Inductive content analysis was conducted on 185 interviews with European American and African American older women. RESULTS: : An explanatory framework emerged of five themes, describing varied approaches to planning for future care needs: (a) Autonomous Care Planners, (b) Externally Reliant Planners, (c) Aware of Preference, (d) Wishful Thinkers, and (e) Avoidant. A distinct group included women performing only end-of-life planning. Barriers to planning included low-perceived vulnerability, financial constraints, being uninformed of needed actions, and fear of burdening. DISCUSSION:: Although the majority undertook active steps to prepare for future care needs, many missed key steps or achievement of planning goals recommended by experts. Findings may be applied to long-term care planning research by providing added, rich detail on how aging women construct their options, make choices, and address this important area for future well-being.
Authors: Chyrisse Heine; Cathy Honge Gong; Susan Feldman; Colette Browning Journal: Int J Environ Res Public Health Date: 2019-12-30 Impact factor: 3.390