Future Time Perspective and End-of-Life Planning in Older Adults

This study explores the extent to which cognitive processes, specifically perceptions of one’s distance to death, are associated with informal and formal advance care planning (ACP) in a sample of older adults. Data come from the New Jersey End-of-Life (EOL) study, a survey of 305 adults aged 55–91. Binary logistic regression models evaluate the odds that someone conducted ACP. Persons who perceive remaining life span to be expansive or limited have significantly lower odds of formally planning for the EOL, relative to those in the middle category. Death anxiety and having a family confidante partially explain these associations. The association between future time perspective (FTP) and discussions is not statistically significant. Practitioners may consider individuals’ FTPs when discussing preferences for EOL medical care.