Values of older adults related to primary and secondary prevention

Butler M, Talley KM, Burns R, Ripley A, Rothman A, Johnson P, Kane RA, Kane RL
Record ID 32011000561
Authors' objectives:

To inform the U.S. Preventive Services Task Force deliberations on recommendations around preventive care for older persons by assessing how older adults value the potential benefits of clinical preventive services, what attitudes older adults have about potential harms of clinical preventive services, how older adults understand the balance of risks and benefits of clinical preventive services, and how clinicians should engage in shared decisionmaking related to clinical preventive services for older adults.

Authors' recommendations: People’s values for preventive services and their attendant benefits, risks, and harms reflect all sorts of inputs, including prior experiences, habits, strengths, and other idiosyncrasies. This individual variation makes generalizations dangerous. Patient-centered care may not always require shared decisionmaking; clinicians need to better understand how patients value their own role in clinical decisionmaking. Future research is needed in the field covered by this review, including exploration of differences between age groups within the older adult population, tools to measure values and preferences, and identification of what helps and hinders older adults’ ability to engage in shared decisionmaking.
Project Status: Completed
Year Published: 2011
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: United States
MeSH Terms
  • Primary Prevention
  • Secondary Prevention
  • Social Values
  • Value of Life
Organisation Name: Agency for Healthcare Research and Quality
Contact Address: Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road, Rockville, MD 20850, USA. Tel: +1 301 427 1610; Fax: +1 301 427 1639;
Contact Name:
Contact Email:
Copyright: Agency for Healthcare Research and Quality (AHRQ)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.