[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-421585-105":59,"doc-detail-421585-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","patient-priorities-aligned-intervention-decisions-ppaid-approach","PATIENT PRIORITIES-ALIGNED INTERVENTION DECISIONS (PPAID) APPROACH","","Decision-making for surgery and procedures is difficult for older adults with multiple chronic conditions because benefits are uncertain and risks are heightened. Patients also differ in which health outcomes they value most, requiring discussions beyond simply addressing a clinical problem. The Patient Priorities Care (PPC) approach was adapted into Patient Priorities-Aligned Intervention Decisions (PPAID) to reduce treatment burden and align decisions with patient-identified goals. PPAID uses clinician or self-guided probing and iterative expert-patient input, focusing on realistic goal-oriented outcomes.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/patient-priorities-aligned-intervention-decisions-ppaid-approach/421585/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/patient-priorities-aligned-intervention-decisions-ppaid-approach/421585.png","ImageObject",300,407,{"name":92,"@type":93},"Riley West","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is intervention decision-making challenging for older adults with multiple chronic conditions?","Question",{"text":112,"@type":113},"Uncertain benefits and heightened risks make surgery and procedure decisions difficult for older adults with multiple chronic conditions.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the PPAID approach differ from traditional decision aids?",{"text":117,"@type":113},"PPAID centers discussions on specific, realistic and actionable patient goals aligned to outcomes, rather than on procedural choice alone.",{"name":119,"@type":110,"acceptedAnswer":120},"What outcomes will future research evaluate for the PPAID tool?",{"text":121,"@type":113},"Feasibility, acceptability, and effectiveness, including pre-procedure goal agreement, decision regret, and patient satisfaction in clinical settings.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},421585,1790762931,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},1099523885074,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","590 Innovation in Aging, 2025, Vol. 9, No. S2  \n-  \n-  \nAbstract citation ID: igaf122.2024  \nPATIENT PRIORITIES-ALIGNED INTERVENTION DECISIONS (PPAID) APPROACH  \nAanand Naik, UTHealth Houston, Houston, Texas,  \nUnited States  \nDecision-making for surgery and procedures is challenging for older adults with multiple chronic conditions (MCCs) due to uncertain benefits and heightened risks. These individuals vary in the health outcomes they desire most, necessitating discussions that go beyond ‘fixing’ a clinical problem. However, intervention decisions usually do not consider the likelihood of achieving patient-identified outcome goals. The Patient Priorities Care (PPC) approach reduces treatment burden and improves alignment with patient goals and priorities in managing chronic conditions. We adapted PPC principles for discrete intervention decisions into a tool that can be completed with clinician guidance or self-directed with probes. The Patient Priorities-Aligned Intervention Decisions (PPAID) approach was developed through an iterative process incorporating clinician expert and patient input. Unlike traditional decision aids, PPAID centers discussions on specific, realistic and actionable goals rather than procedural choices, ensuring decisions align with patient outcome goals. The PPAID approach builds from four recurring goal categories that broadly capture the outcomes that patients desire from surgery. These categorical goals anchor subsequent deliberations, resulting in the identification of a specific and realistic outcome goal for the given discrete intervention. Future research will evaluate tool feasibility, acceptability, and effectiveness in clinical settings using an artificial intelligence  \nInnovation in Aging, 2025, Vol. 9, No. S2 591  \nenabled interface. Metrics will include pre-procedure goal agreement, decision regret, and patient satisfaction. Integrating the tool into clinical workflows is crucial for its adoption. By emphasizing goal identification and deliberation, PPAID approach supports age-friendly, patient goals-aligned care as required by the new CMS age-friendly measure.","cbCaidddC7tmkEvf","https://ap.wps.com/l/cbCaidddC7tmkEvf","pdf",1062987,"English","# Patient priorities-aligned intervention decisions (PPAID) approach\n## Rationale for goal alignment in older adults\n## Adaptation from PPC to discrete intervention decisions\n## Tool development and format\n## Goal categories and decision workflow\n## Planned evaluation and clinical integration","[{\"question\":\"Why is intervention decision-making challenging for older adults with multiple chronic conditions?\",\"answer\":\"Uncertain benefits and heightened risks make surgery and procedure decisions difficult for older adults with multiple chronic conditions.\"},{\"question\":\"How does the PPAID approach differ from traditional decision aids?\",\"answer\":\"PPAID centers discussions on specific, realistic and actionable patient goals aligned to outcomes, rather than on procedural choice alone.\"},{\"question\":\"What outcomes will future research evaluate for the PPAID tool?\",\"answer\":\"Feasibility, acceptability, and effectiveness, including pre-procedure goal agreement, decision regret, and patient satisfaction in clinical settings.\"}]","PATIENT PRIORITIES-ALIGNED INTERVENTION DECISIONS (PPAID) APPROACH | PDF",1790625196]