Application of a Decisional Capacity Assessment for Older Research Participants with Cognitive Impairment
Decisional capacity assessment is important for older adult participants who have cognitive impairment. This paper reports the implementation of the University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) and its potential for practice and research. Nine of the 10 items r...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Behavioral Sciences |
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| Online Access: | https://www.mdpi.com/2076-328X/13/9/767 |
| _version_ | 1797581259763875840 |
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| author | Ling Xu Noelle L. Fields Megan R. Westmore Kathryn M. Daniel Brooke A. Troutman |
| author_facet | Ling Xu Noelle L. Fields Megan R. Westmore Kathryn M. Daniel Brooke A. Troutman |
| author_sort | Ling Xu |
| collection | DOAJ |
| description | Decisional capacity assessment is important for older adult participants who have cognitive impairment. This paper reports the implementation of the University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) and its potential for practice and research. Nine of the 10 items remained to use except for adapting the last item. Approximately 130 older adults with cognitive impairment completed the UBACC screening. Item-by-item descriptive statistics, exploratory factor analysis (EFA), group comparisons of each item, as well as total sum scores of the UBACC were conducted. Results showed that the items that were most often answered correctly included item #10 (participant will be paid), item #4 (study is voluntary), and item #5 (can withdraw at any time). Conversely, the items that were most often answered incorrectly included item #9 (not any benefit potentially), item #7 (potential risk or discomfort), and item #6 (tasks during participation). Respondents with mild cognitive impairment had higher correct answer rates than those with advanced cognitive impairment. The UBACC screening tool has relative utility for older participants with cognitive impairment. |
| first_indexed | 2024-03-10T23:02:56Z |
| format | Article |
| id | doaj.art-caa189913a5c4e6bac44dc0a3d92078f |
| institution | Directory Open Access Journal |
| issn | 2076-328X |
| language | English |
| last_indexed | 2024-03-10T23:02:56Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Behavioral Sciences |
| spelling | doaj.art-caa189913a5c4e6bac44dc0a3d92078f2023-11-19T09:35:29ZengMDPI AGBehavioral Sciences2076-328X2023-09-0113976710.3390/bs13090767Application of a Decisional Capacity Assessment for Older Research Participants with Cognitive ImpairmentLing Xu0Noelle L. Fields1Megan R. Westmore2Kathryn M. Daniel3Brooke A. Troutman4School of Social Work, The University of Texas at Arlington, Arlington, TX 76010, USASchool of Social Work, The University of Texas at Arlington, Arlington, TX 76010, USASchool of Social Work, The University of Texas at Arlington, Arlington, TX 76010, USACollege of Nursing and Health Innovation, The University of Texas at Arlington, Arlington, TX 76010, USAMcDermott Library, United States Air Force Academy, Colorado Springs, CO 80840, USADecisional capacity assessment is important for older adult participants who have cognitive impairment. This paper reports the implementation of the University of California, San Diego Brief Assessment of Capacity to Consent (UBACC) and its potential for practice and research. Nine of the 10 items remained to use except for adapting the last item. Approximately 130 older adults with cognitive impairment completed the UBACC screening. Item-by-item descriptive statistics, exploratory factor analysis (EFA), group comparisons of each item, as well as total sum scores of the UBACC were conducted. Results showed that the items that were most often answered correctly included item #10 (participant will be paid), item #4 (study is voluntary), and item #5 (can withdraw at any time). Conversely, the items that were most often answered incorrectly included item #9 (not any benefit potentially), item #7 (potential risk or discomfort), and item #6 (tasks during participation). Respondents with mild cognitive impairment had higher correct answer rates than those with advanced cognitive impairment. The UBACC screening tool has relative utility for older participants with cognitive impairment.https://www.mdpi.com/2076-328X/13/9/767assessmentdecision-making capacityolder adults with cognitive impairmentUBACC |
| spellingShingle | Ling Xu Noelle L. Fields Megan R. Westmore Kathryn M. Daniel Brooke A. Troutman Application of a Decisional Capacity Assessment for Older Research Participants with Cognitive Impairment Behavioral Sciences assessment decision-making capacity older adults with cognitive impairment UBACC |
| title | Application of a Decisional Capacity Assessment for Older Research Participants with Cognitive Impairment |
| title_full | Application of a Decisional Capacity Assessment for Older Research Participants with Cognitive Impairment |
| title_fullStr | Application of a Decisional Capacity Assessment for Older Research Participants with Cognitive Impairment |
| title_full_unstemmed | Application of a Decisional Capacity Assessment for Older Research Participants with Cognitive Impairment |
| title_short | Application of a Decisional Capacity Assessment for Older Research Participants with Cognitive Impairment |
| title_sort | application of a decisional capacity assessment for older research participants with cognitive impairment |
| topic | assessment decision-making capacity older adults with cognitive impairment UBACC |
| url | https://www.mdpi.com/2076-328X/13/9/767 |
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