Acceptability of Using a Decision Aid to Support Family Carers of People With Dementia Towards the End of Life: A Qualitative Study

• DOI: 10.1111/hex.14123
• Publication Date: 2024-06-19T12:28:10Z
• Authors: Nathan Davies; Narin Aker; Emily West; Greta Rait; Elizabeth L. Sampson
• Keywords: Male; Adult; Aged, 80 and over; Terminal Care; Decision Making; Original Articles; Middle Aged; Decision Support Techniques; Interviews as Topic; 03 medical and health sciences; 0302 clinical medicine; Caregivers; England; Humans; Feasibility Studies; Dementia; Female; Qualitative Research; Aged

AbstractObjectivesTo explore the experiences, acceptability and utility of a decision aid for family carers of people with dementia towards the end of life.MethodsWe conducted semi‐structured interviews with a sample of family carers enroled into a 6‐month feasibility study in England, sampling to gain a range of experiences and views, based on relationship to person they cared for (e.g., spouse, adult child), age, gender, and self‐reported use of the decision aid during the feasibility study. Interviews were conducted in March 2021–July 2021 and analysed using reflexive thematic analysis. We used COREQ checklist to report our methods and results.ResultsFamily carers found the decision aid acceptable, describing it as comprehensive, accessible with relevant information and its presentation enabled good engagement. Experiences of the decision aid covered four main themes which demonstrated the perceived acceptability and utility: 1. A source of support and reassurance; 2. Empowering conversations and confidence; 3. Including the person living with dementia; and 4. Breaking down complexity.ConclusionsAn aid focussing on decisions about dementia end of life care supported family carers break down complex and emotive decisions, not only with making decisions in the moment but also in future planning.Patient or Public ContributionOur three Patient and Public Involvement (PPI) members (all former family carers) were crucial throughout the wider study. PPI supported development of the topic guides, supported trialling the topic guide and interview procedures and finally supported the development of themes as part of the analysis.