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

The DOI matches its Crossref record; 107 of the 108 references it cites were found in a registry or an index.

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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Research works printed but not linked: 4

  1. Rubin DB Multiple Imputations for Nonresponse in Surveys 1987 Wiley New York
  2. Smith AD Birren JE Memory The Encyclopedia of Gerontology 1996 107 119 Academic Press New York
  3. Smith SM Levin IP Need for cognition and choice framing effects Journal of Behavioral Decision Making 1996 9 283 290
  4. Willis SL Schaie KW Sternberg R Wagner R Practical intelligence in later adulthood Practical intelligence 1986 236 270 Cambridge University Press New York

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Metadata

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
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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