- The document discusses a study that aimed to gain insight into challenges and successes of engaging older adult patients in primary care decision-making through interviews with patients, caregivers, and healthcare providers. - Key barriers to engagement identified were short appointment times and dismissiveness from providers, while facilitators included trust, respect, open communication and self-advocacy skills. - Both challenges and opportunities for patient engagement were recognized, and practical suggestions were made for how more meaningful engagement could be achieved in resource-limited primary care settings.