You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 252 No. 10, September 14, 1984 TABLE OF CONTENTS
  JAMA
  •  Online Features
  ARTICLES
 This Article
 •References
 •Full text PDF
 •Send to a friend
 • Save in My Folder
 •Save to citation manager
 •Permissions
 Citing Articles
 •Citation map
 •Citing articles on HighWire
 •Contact me when this article is cited
 Related Content
 •Similar articles in JAMA
 Social Bookmarking
  Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit Add to Technorati Add to Twitter What's this?

The Elderly Patient and Informed Consent

Empirical Findings

Barbara Stanley, PhD; Jeannine Guido, MA; Michael Stanley, PhD; DiAnn Shortell

JAMA. 1984;252(10):1302-1306.


Abstract

Informed consent with the elderly patient and the competency of this patient population have been neglected issues in medicine and law. Particularly, the competency of the elderly patient has received little empirical investigation. The present study examines the capacity of geriatric patients to consent to research participation. Competency is investigated through the use of hypothetical consent information on three dimensions: comprehension of consent material, quality of reasoning about the decision to participate or not participate in research, and reasonable choice regarding participation. The results indicate that elderly patients' choices about those projects in which participation is "reasonable" do not differ, by and large, from younger patients. However, the elderly show significantly poorer comprehension of consent information. Thus, screening for competency and providing special instructions may become an important part of the research process when the elderly are participants.

(JAMA 1984;252:1302-1306)



Author Affiliations

From the Department of Psychiatry, Wayne State University School of Medicine, Detroit (Drs B. Stanley and M. Stanley and Ms Guido), and the Hillside Division of Long Island Jewish-Hillside Medical Center, Glen Oaks, NY (Ms Shortell).


Footnotes

Reprint requests to Department of Psychiatry, Wayne State University School of Medicine, 951 E Lafayette, Detroit, MI 48207 (Dr B. Stanley).



Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Medical information and surrogate designation: results of a prospective study in elderly hospitalised patients
Paillaud et al.
Age Ageing 2007;36:274-279.
ABSTRACT | FULL TEXT  

Assessing Decisional Capacity for Clinical Research or Treatment: A Review of Instruments
Dunn et al.
Am. J. Psychiatry 2006;163:1323-1334.
ABSTRACT | FULL TEXT  

Assessment of Therapeutic Misconception in Older Schizophrenia Patients With a Brief Instrument
Dunn et al.
Am. J. Psychiatry 2006;163:500-506.
ABSTRACT | FULL TEXT  

Assessment of Capacity to Consent to Research Among Older Persons With Schizophrenia, Alzheimer Disease, or Diabetes Mellitus: Comparison of a 3-Item Questionnaire With a Comprehensive Standardized Capacity Instrument
Palmer et al.
Arch Gen Psychiatry 2005;62:726-733.
ABSTRACT | FULL TEXT  

Perceptions of Informed Consent in the Care of Elderly People in Five European Countries
Schopp et al.
Nurs Ethics 2003;10:48-57.
ABSTRACT  

Discussing Treatment Options and Risks With Medical Patients Who Have Psychiatric Problems
Ness
Arch Intern Med 2002;162:2037-2044.
FULL TEXT  

Impaired Decision-Making Ability in Subjects With Alzheimer's Disease and Willingness to Participate in Research
Kim et al.
Am. J. Psychiatry 2002;159:797-802.
ABSTRACT | FULL TEXT  

Patient and Psychiatrist Ratings of Hypothetical Schizophrenia Research Protocols: Assessment of Harm Potential and Factors Influencing Participation Decisions
Roberts et al.
Am. J. Psychiatry 2002;159:573-584.
ABSTRACT | FULL TEXT  

Assessing the Competency of Patients With Alzheimer's Disease Under Different Legal Standards: A Prototype Instrument
Marson et al.
Arch Neurol 1995;52:949-954.
ABSTRACT  

Changes in Decisions by Elderly Persons Based on Treatment Description
Ainslie and Beisecker
Arch Intern Med 1994;154:2225-2233.
ABSTRACT  

Health Care Decision Making for Persons With Disabilities: An Alternative to Guardianship
Herr and Hopkins
JAMA 1994;271:1017-1022.
ABSTRACT  

Assessment of Competency: The Role of Neurobehavioral Deficits
Freedman et al.
ANN INTERN MED 1991;115:203-208.
ABSTRACT  

Impact of Medical Hospitalization on Treatment Decision-Making Capacity in the Elderly
Fitten and Waite
Arch Intern Med 1990;150:1717-1721.
ABSTRACT  

Clinical Determination of Mental Competence: A Theory and a Retrospective Study
Alexander
Arch Neurol 1988;45:23-26.
ABSTRACT  





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1984 American Medical Association. All Rights Reserved.