Cited by 202Aging and Gerontology ResearchOlder Adults Driving StudiesHealthcare Decision-Making and Restraints

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Developing a tool for measuring the decision-making competence of older adults.

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Finucane, Melissa L., Gullion, Christina M.·2010·Psychology and Aging

DOI 10.1037/a0019106PMC PMC2918639

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Abstract

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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Authors: Finucane, M. L., & Gullion, C. M.
Affiliations: East–West Center (US)
Kaiser Permanente (US)
ORCID: Finucane, Melissa L.
Venue: Psychology and Aging
Publisher: American Psychological Association (APA)
Published: 2010-06
Volume: 25
Issue: 2
Pages: 271-288
ISSN: 0882-7974 (ISSN-L)
1939-1498
DOI: 10.1037/a0019106
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 › Developmental and Educational Psychology › Aging and Gerontology Research
Health Sciences › Medicine › Geriatrics and Gerontology › 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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Developing a tool for measuring the decision-making competence of older adults.

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