title: Trait Hope and Preparation for Future Care Needs among Older Adult Primary Care Patients.
abstract: We examined associations between trait hope and preparation for future care needs (PFCN) among 66 older adult primary care patients in western New York. Participants completed a questionnaire assessing PFCN (awareness, information gathering, decision-making, concrete planning, and avoidance), and the Adult Trait Hope Scale. In multivariate regressions, lower hope, particularly less agency, was associated with more awareness of needing care, whereas higher hopefulness, particularly pathways thinking, was associated with increased decision-making and concrete planning. Greater hopefulness appears to be linked to goal-directed planning behaviors, although those with lower hope may actually be more aware of the need for planning. Evidence-based programming that encourages learned hopefulness may contribute to enhanced health planning and decision-making among older adult primary care patients.
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN 37614, U.S.A.
authors.forename: Jodi L
authors.initials: JL
authors.lastname: Southerland
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN 37614, U.S.A.
authors.forename: Deborah L
authors.initials: DL
authors.lastname: Slawson
authors.affiliation: Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, Johnson City, TN 37614, U.S.A.
authors.forename: Robert
authors.initials: R
authors.lastname: Pack
authors.affiliation: Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, 14642, U.S.A.
authors.forename: Silvia
authors.initials: S
authors.lastname: Sörensen
authors.affiliation: Department of Psychiatry, University of Rochester School of Medicine and Dentistry, Rochester, 14642, U.S.A.
authors.forename: Jeffrey M
authors.initials: JM
authors.lastname: Lyness
authors.affiliation: Department of Psychology, East Tennessee State University, Johnson City, 37614, U.S.A.
authors.forename: Jameson K
authors.initials: JK
authors.lastname: Hirsch
keywords: Older adults; goal-directed behavior; preparation for future care needs; trait hope