Do older adults with Alzheimer's disease engage in estate planning and advance care planning preparation?

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Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Routledge
Abstract

Objectives: This study investigated the estate planning and advance care planning (ACP) of older adults diagnosed with Alzheimer's disease (AD) for the presence of (1) a valid will, (2) a durable power of attorney for health care, and (3) a living will. Method: We analyzed 10,273 adults aged 65 and older from the 2012 Health and Retirement Study (HRS) using multilevel logistic regression. Results: We found that a diagnosis of AD was significantly associated with the ACP variables. Older adults with AD were more likely to assign a durable power of attorney for health care and have a written living will than older adults without an AD diagnosis. However, we found no significant association between a diagnosis of AD and having a valid will. These findings were robust when adjusting for demographic and socioeconomic variables. Other factors decreased engagement in estate planning and ACP, including lower socioeconomic status, being male, and being a minority. Conclusion: Our findings suggest that a diagnosis of AD is associated with more engagement in ACP for individuals and their families, but important barriers exist for people with fewer resources.

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Keywords
Alzheimer's disease, estate planning, advance care planning (ACP), MILD COGNITIVE IMPAIRMENT, FINANCIAL CAPACITY, HEALTH, DIRECTIVES, Geriatrics & Gerontology, Gerontology, Psychiatry
Citation
Choi, S., Kim, M., & McDonough, I. M. (2018). Do older adults with Alzheimer’s disease engage in estate planning and advance care planning preparation? In Aging & Mental Health (Vol. 23, Issue 7, pp. 872–879). Informa UK Limited. https://doi.org/10.1080/13607863.2018.1461192