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@ARTICLE{Volhard:139965,
      author       = {Volhard, Theresia and Jessen, Frank and Kleineidam, Luca
                      and Wolfsgruber, Steffen and Lanzerath, Dirk and Wagner,
                      Michael and Maier, Wolfgang},
      title        = {{A}dvance directives for future dementia can be modified by
                      a brief video presentation on dementia care: {A}n
                      experimental study.},
      journal      = {PLOS ONE},
      volume       = {13},
      number       = {5},
      issn         = {1932-6203},
      address      = {San Francisco, California, US},
      publisher    = {PLOS},
      reportid     = {DZNE-2020-06287},
      pages        = {e0197229},
      year         = {2018},
      abstract     = {To investigate whether life-sustaining measures in medical
                      emergency situations are less accepted for an anticipated
                      own future of living with dementia, and to test whether a
                      resource-oriented, in contrast to a deficit-oriented video
                      about the same demented person, would increase the
                      acceptance of such life-saving measures.Experimental study
                      conducted between September 2012 and February 2013.Community
                      dwelling female volunteers living in the region of Bonn,
                      Germany.278 women aged 19 to 89 (mean age 53.4
                      years).Presentation of a video on dementia care focusing
                      either on the deficits of a demented woman (negative
                      framing), or focusing on the remaining resources (positive
                      framing) of the same patient.Approval of life-sustaining
                      treatments in five critical medical scenarios under the
                      assumption of having comorbid dementia, before and after the
                      presentation of the brief videos on care.At baseline, the
                      acceptance of life-sustaining measures in critical medical
                      situations was significantly lower in subjects anticipating
                      their own future life with dementia. Participants watching
                      the resource-oriented film on living with dementia had
                      significantly higher post-film acceptance rates compared to
                      those watching the deficit-oriented negatively framed film.
                      This effect particularly emerges if brief and efficient
                      life-saving interventions with a high likelihood of physical
                      recovery are available (eg, antibiotic treatment for
                      pneumonia).Anticipated decisions regarding life-sustaining
                      measures are negatively influenced by the subjective
                      imagination of living with dementia, which might be shaped
                      by common, unquestioned stereotypes. This bias can be
                      reduced by providing audio-visual information on living with
                      dementia which is not only centred around cognitive and
                      functional losses but also focuses on remaining resources
                      and the apparent quality of life. This is particularly true
                      if the medical threat can be treated efficiently. These
                      findings have implications for the practice of formulating,
                      revising, and supporting advance directives.},
      keywords     = {Adult / Advance Directives: psychology / Aged / Aged, 80
                      and over / Anticipation, Psychological: ethics / Cognitive
                      Remediation: methods / Decision Making: ethics / Dementia:
                      physiopathology / Dementia: psychology / Female / Germany /
                      Humans / Independent Living / Middle Aged / Quality of Life:
                      psychology / Surveys and Questionnaires / Videotape
                      Recording},
      cin          = {AG Jessen / AG Wagner / U Clinical Researchers - Bonn},
      ddc          = {610},
      cid          = {I:(DE-2719)1011102 / I:(DE-2719)1011201 /
                      I:(DE-2719)7000001},
      pnm          = {344 - Clinical and Health Care Research (POF3-344)},
      pid          = {G:(DE-HGF)POF3-344},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:29795605},
      pmc          = {pmc:PMC5967707},
      doi          = {10.1371/journal.pone.0197229},
      url          = {https://pub.dzne.de/record/139965},
}