Center on Advancing Decision Making in Aging (CADMA)Program
9/30/04 - 8/31/14
To promote research that explores how older Americans make decisions regarding their health and well-being, with the goal of developing and implementing practical methods that will help them make informed, effective decisions.
CADMA is one of 13 Edward R. Roybal Centers for Research on Applied Gerontology, funded by the National Institute on Aging (part of the National Institutes of Health). Named for former House Select Committee on Aging Chair Edward R. Roybal, the centers are designed to translate social and behavioral research findings into programs and policies aimed at improving the health, quality of life and productivity of older Americans.
CADMA, administered by Stanford University's Center for Health Policy/Center for Primary Care and Outcomes Research (CHP/PCOR), is truly an interdisciplinary and interdepartmental effort. Collaborators are drawn from the fields of health policy, geriatrics, economics, medical informatics, psychology, psychiatry, epidemiology, and other fields at Stanford and at other institutions, including the VA Palo Alto Health Care System.
Need for this research
Why study decision making among the elderly? There is little doubt that financial, lifestyle and healthcare decisions have a far-reaching impact on the well-being of the elderly. In recent years, the decisions older Americans face have become increasingly complex and pervasive in their lives. Given these realities, a more complete understanding of the decision making process is required to develop better ways to frame decisions and present information, so that decisions are fully informed and their outcomes are desirable, whether these decisions are made by older people themselves or by others, such as friends, family, healthcare providers, government officials or other policymakers.
Aims of the Center
- To investigate the roles that age-related changes in emotion and cognition play in decision making, especially those surrounding cognitively complex (e.g., health care plan choice) and emotionally-charged (e.g., decisions about end-of-life care) topics.
- To learn how decision making processes influence day-to-day decisions, such as choices regarding exercise and diet, that influence health and functional status of the elderly.
- To develop and evaluate support tools or information useful to such tools that could be provided at or near the time of when people face difficult life decisions.
Links to other Roybal Centers
- Indiana University Center for Aging Research
- Princeton University Center for Health & Wellbeing
- RAND Roybal Center for Health Policy Simulation
- RAND Roybal Center for Financial Decision Making
- Oregon Center for Aging & Technology
- Cornell Roybal Center for Translational Research
- Edward R. Roybal Center, University of Alabama at Birmingham
- Center for Research on Health and Aging
- Age related changes in fronto-striatal connections underlying intertemporal choice
- Age Related Positivity Effect in Decision making: Implications for Choice Preferences and Decision Quality
- Can health coaches improve decision making for elderly with cancer?
- Close other bias in older adults: Effects on prosocial behavior
- Improving the quality of quality metrics for decision making: Understanding the role of social factors on hospital rates
- Age Differences in Emotional and Cognitive Decision-Making
- Age related changes in the brain systems underlying intertemporal choice
- Age, Affect Valuation, and Health-Related Decision-Making
- Benefits and Costs of Health Insurance Choice among Older Adults: The Case of Medicare Prescription Drug Plans
- Choosing not to choose: Ambiguity aversion in younger and older adults
- Connecting to the Future Self: Using Web-based Virtual Reality to Increase Retirement Saving
- Do No Harm: Psychological Costs and Benefits of Genetic Testing
- Do No Harm: Psychological Costs and Benefits of Genetic Testing and supplement
- Exploration-Exploitation and Age
- Exploring the Effectiveness of Duty-based Arguments for Retirement Saving
- Investing in the Future You: Delay Discounting in Younger and Older Adults
- Risk Taking and Financial Decision Making in Older Adults
- Stress, Genes, and Decision-Making in Older Adults
- Striving for good feelings or averting bad ones
- Striving for Good Feelings or Averting Bad Ones? The Role of Affective Goals in Health Care Decisions across the Life Span
- Supporting decision making for sustainable weight loss
- The positivity effect in health behavior: Focusing on positive information may aid habit formation in older adults
- The role of message framing in health behavior promotion among older adults
- The role of temporal proximity of potential outcomes for promoting health behaviors across the adult life span
- The Vividness of Your Future Self: Using Immersive Virtual Reality to Increase Retirement Saving
- Transforming Short-term Exercise Commitments into Long-term Habits
- Using Smartphone applications to influence daily decisions about physical activity among low income older Latino adults
The 5 most recent are displayed. More publications »
- Choosing a Physician Depends on How You Want to Feel: The Role of Ideal Affect in Health-Related Decision Making
- A Debtor World: Interdisciplinary Perspectives on Debt. Edited by Ralph Brubaker, Robert M. Lawless, Charles J. Tabb, Charles Jordan Tabb
Knutson, B, Samanez-Larkin, GR
Oxford University Press (2012)
- Frontostriatal white matter integrity mediates adult age differences in probabilistic reward learning
Samanez-Larkin, GR, Levens, SM, Perry, LM, Dougherty, RF, Knutson, B
Journal of Neuroscience vol. 32, 15 (2012)
- You owe it to yourself: Boosting retirement saving with a responsibility-based appeal
Bryan, CJ, Hershfield, HE
Journal of Experimental Psychology (2011)
- Age differences in striatal delay sensitivity during intertemporal choice in healthy adults
Samanez-Larkin, GR, Mata, R, Radu, PT, Ballard, IC, Carstensen, LL, McClure, SM
Frontiers in Decision Neuroscience vol. 5, 126 (2011)
Events & Presentations
Only 5 recent/upcoming are displayed. More events & presentations »
- Do you need to be crazy to exercise?
October 16, 2013 Research in Progress Seminar
- Distinguished Lecture: Marc Freedman
May 24, 2013 Lecture
- How to Live Long and Enjoy Life…and Exit it Gracefully
March 7, 2013 Lecture
- Darwin, Diet, Disease, and Dollars
May 17, 2012 Lecture
- The Limits of Nudges
September 28, 2011 Research in Progress Seminar