Communication Nonaccommodation in Family Conversations About End-of-Life Health Decisions

Allison M. Scott, John P. Caughlin

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Furthering our understanding of how communication can improve end-of-life decision making requires a shift in focus from whether people talk to how people talk about end-of-life health decisions. This study used communication accommodation theory to examine the extent to which communication nonaccommodation distinguished more from less successful end-of-life conversations among family members. We analyzed elicited conversations about end-of-life health decisions from 121 older parent/adult child dyads using outside ratings of communication over- and underaccommodation and self-reported conversational outcomes. Results of multilevel linear modeling revealed that outside ratings of underaccommodation predicted self-reported and partner-reported uncertainty, and ratings of overaccommodation predicted self-reported decision-making efficacy and change in concordance accuracy. We discuss the methodological, theoretical, and practical implications of these findings.

Original languageEnglish
Pages (from-to)144-153
Number of pages10
JournalHealth Communication
Volume30
Issue number2
DOIs
StatePublished - Feb 1 2015

Bibliographical note

Publisher Copyright:
© Taylor & Francis Group, LLC.

ASJC Scopus subject areas

  • Health(social science)
  • Communication

Fingerprint

Dive into the research topics of 'Communication Nonaccommodation in Family Conversations About End-of-Life Health Decisions'. Together they form a unique fingerprint.

Cite this