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Older married couples and health promotion: joint decision-making process for long-term spouses
Cynthia A Padula1, Merrilyn McNatt
1College of Nursing, University of Rhode Island, Kingston 02881, USA.
Abstract:
The purpose of this study was to explore communication patterns between long-term married couples to better understand the process by which later-life couples participate in health promotion. Forty community-residing couples married for 30 years or longer were asked to respond to open-ended questions and to participate in a decision-making activity. The majority of couples made health decisions jointly, with wives acting as the final deciders 54% of the time. Most couples used positive communication strategies during a structured scenario. Findings highlight the importance of expanding beyond traditional individual-focused models to include joint decision-making processes. Implications for future research and for nursing practice are discussed.
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