Predicting a Partner's End‐of‐Life Preferences, or Substituting One's Own?

摘要: Numerous studies comparing patients' end-of-life health care treatment preferences with their surrogates' reports of those indicate that partners do not know one another 's preferences: Random guesses are just as likely surrogate choices to match the preferences. The present study uses empathic accuracy model and assumed similarity shed further light on bias in reports. data come from National Center for Family Marriage Research/Knowledge Networks Pilot Study 2010, a national sample 1,075 heterosexual American couples age 18 64. Surrogate were simultaneously biased (i.e., correlated surrogate's own preference) accurate partner's actual preference). Higher relationship quality legal marriage (vs. cohabitation) associated increased bias. These findings suggest practitioners working need be familiar partnered dynamics.Key Words: dyadic/couple data, families middle later life, health, multilevel models, satisfaction. U.S. families.Throughout life course, romantic monitor another's providing pressure adopt healthy behaviors, encouragement adhere instrumental assistance doing so (Thoits, 2011). Partners continue affecting even at end when partner can determining dying person receives. In 70% cases which older requires decision, has lost capacity make decisions him- or herself (Silveira, Kim, & Langa, 2010). For 75% married adults, spouse serves who is authorized medical behalf incapacitated patient (known durable power attorney [DPAF1C]; Carr Khodyakov, 2007).The law instructs surrogates apply standard substituted judgment, is, choose him-or would if able (Sabatino, Nevertheless, numerous have used hypothetical scenarios participants' spousal spouses may often fail judgment: (e.g., Moorman Carr, 2008; Shalowitz, Garrett-Meyer, Wendler, 2006).Furthermore, although many investigated factors influence few identified reliable correlates. instance, men women equally poor surrogates, persons no more judgment than good and, most disturbingly, discussions between effect (Ditto et ah, 2001; Moorman, Hauser, 2009). strongest known predictor report preference his her (Moorman ah; Pruchno, Lemay, Feild, Levinsky, 2005). addition, African White couples, adult children correct (Parks 2011; Schmid, Allen, Haley, DeCoster, 2010).Although one's integral process initial diagnosis final goodbye, little research role play partners' decision-making processes (Haley 2002). article we aim marital status decision making through testing hypotheses derived (Ickes, 1993) (Cronbach, 1955; Kenny Acitelli, 2001). …