Journal article
Mild Cognitive Impairment Is Associated with Poorer Everyday Decision Making
Journal of Alzheimer's disease, Vol.94(4), pp.1607-1615
01/01/2023
DOI: 10.3233/JAD-230222
PMCID: PMC12083449
PMID: 37458034
Abstract
Background: Older adults are faced with many unique and highly consequential decisions such as those related to finances, healthcare, and everyday functioning (e.g., driving cessation). Given the significant impact of these decisions on independence, wellbeing, and safety, an understanding of how cognitive impairment may impact decision making in older age is important.
Objective: To examine the impact of mild cognitive impairment (MCI) on responses to a modified version of the Short Portable Assessment of Capacity for Everyday Decision making (SPACED).
Methods: Participants were community-dwelling, actively driving older adults (N = 301; M age = 77.1 years, SD = 5.1; 69.4% with a college degree or higher; 51.2% female; 95.3% White) enrolled in the Advancing Understanding of Transportation Options (AUTO) study. A generalized linear model adjusted for age, education, sex, randomization group, cognitive assessment method, and study site was used to examine the relationship between MCI status and decision making.
Results: MCI status was associated with poorer decision making; participants with MCI missed an average of 2.17 times more points on the SPACED than those without MCI (adjusted mean ratio: 2.17, 95% CI: 1.02, 4.61, p = 0.044).
Conclusion: This finding supports the idea that older adults with MCI exhibit poorer decision-making abilities than cognitively normal older adults. It also suggests that older adults with MCI may exhibit poorer decision making across a wide range of decision contexts.
Details
- Title: Subtitle
- Mild Cognitive Impairment Is Associated with Poorer Everyday Decision Making
- Creators
- Laura Fenton - USC Dornsife Coll Letters Arts & Sci, Dept Psychol, Los Angeles, CA USAS. Duke Han - Rush University Medical CenterCarolyn G. DiGuiseppi - University of Colorado Anschutz Medical CampusNicole R. Fowler - Indiana University – Purdue University IndianapolisLinda Hill - University of California San DiegoRachel L. Johnson - Colorado School of Public HealthRyan A. Peterson - Colorado School of Public HealthChristopher E. Knoepke - University of Colorado Anschutz Medical CampusDaniel D. Matlock - VA Eastern Colorado Health Care SystemRyan Moran - University of California San DiegoJason Karlawish - University of PennsylvaniaMarian E. Betz - University of Colorado Anschutz Medical Campus
- Resource Type
- Journal article
- Publication Details
- Journal of Alzheimer's disease, Vol.94(4), pp.1607-1615
- DOI
- 10.3233/JAD-230222
- PMID
- 37458034
- PMCID
- PMC12083449
- NLM abbreviation
- J Alzheimers Dis
- ISSN
- 1387-2877
- eISSN
- 1875-8908
- Publisher
- Ios Press
- Number of pages
- 9
- Grant note
- K23 HL153892 / NIH/NHLBI; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Heart Lung & Blood Institute (NHLBI) R01AG059613 / NIH/NIA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Aging (NIA) UL1 TR002535 / NIH/NCATS Colorado CTSA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Center for Advancing Translational Sciences (NCATS)
- Language
- English
- Date published
- 01/01/2023
- Academic Unit
- Biostatistics; Internal Medicine
- Record Identifier
- 9984914017602771
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