Developing a tool for measuring the decision-making competence of older adults.
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The authors evaluated the reliability and validity of a tool for measuring older adults' decision-making competence (DMC). A sample of 205 younger adults (25-45 years), 208 young-older adults (65-74 years), and 198 old-older adults (75-97 years) made judgments and decisions related to health, finance, and nutrition. Reliable indices of comprehension, dimension weighting, and cognitive reflection were developed. Comparison of the performance of old-older and young-older adults was possible in this study, unlike previous research. As hypothesized, old-older adults performed more poorly than young-older adults; both groups of older adults performed more poorly than younger adults. Hierarchical regression analyses showed that a large amount of variance in decision performance across age groups (including mean trends) could be accounted for by social variables, health measures, basic cognitive skills, attitudinal measures, and numeracy. Structural equation modeling revealed significant pathways from 3 exogenous latent factors (crystallized intelligence, other cognitive abilities, and age) to the endogenous DMC latent factor. Further research is needed to validate the meaning of performance on these tasks for real-life decision making.
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Previous research has indicated some degree of common variance among heuristics-and-biases tasks.
“Nevertheless, previous research has indicated some degree of common variance among them (Bruine de Bruin, Parker, & Fischhoff, 2007;Finucane & Gullion, 2010;Klaczynski, 2001;Parker & Fischhoff, 2005;Slugoski, Shields, & Dawson, 1993;Stanovich & West, 1998c, 2000;West, Toplak, & Stanovich, 2008).”
From The Cognitive Reflection Test as a predictor of performance on heuristics-and-biases tasks (2011) · cites this paper as Finucane & Gullion, 2010
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- Authors
- Finucane, M. L., & Gullion, C. M.
- Affiliations
- East–West Center (US)
- Kaiser Permanente (US)
- ORCID
- Finucane, Melissa L.
- Venue
- Psychology and Aging
- Published
- 2010-06
- Volume
- 25
- Issue
- 2
- Pages
- 271-288
- ISSN
- 0882-7974 (ISSN-L)
- 1939-1498
- PMC
- PMC2918639
- OpenAlex
- W2092139049
- Cited by
- 202
- References
- 108
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 9 · 2023: 15 · 2022: 14 · 2021: 21 · 2020: 21 · 2019: 16 · 2018: 13 · 2017: 12 · 2016: 9 · 2015: 18 · 2014: 11 · 2013: 10 · 2012: 13
- FWCI
- 11.49
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Psychology and Aging (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (R01AG021451-01A2)
- National Science Foundation (BCS-0525238)
- Topics
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Older Adults Driving Studies
- Social Sciences › Psychology › Clinical Psychology › Healthcare Decision-Making and Restraints
- Keywords
- decision-making capacity, older adults, scale development, reliability and validity, age differences, cognitive reflection, numeracy, crystallized intelligence, comprehension
- MeSH terms
- Adult, Aged, Aged, 80 and over, Aging, Cognition Disorders, Decision Making, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Problem Solving, Psychometrics, Reproducibility of Results, Mental Competency, Comprehension
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