Center on Advancing Decision Making in Aging

描述(由申请者提供)：斯坦福大学老年决策中心(CADMA)将促进对影响晚年健康和幸福的决策过程和选择的决定因素的研究。CADMA研究人员计划对决策过程进行基础和应用研究，目标是开发和实施实用方法，以改善影响老年人福祉的基本决策。这项研究将由心理学家、精神病学家、老年病学家和其他内科医生、医学信息学专家、流行病学家和经济学家共同进行。CADMA研究将集中在以下领域：1.调查与年龄相关的情绪和认知变化在决策中的作用，特别是围绕认知复杂(例如，医疗保健计划的选择)和情绪紧张(例如，关于临终护理的决定)的主题。2.了解决策过程如何影响日常决策，例如关于锻炼和饮食的选择，从而影响老年人的健康和功能状况。3.开发和评价对这些工具有用的支助工具或信息，这些工具可在人们面临困难的人生决定时或接近作出决定时提供。拟为行政和通信/传播基础设施(核心A)和新项目开发(核心B)提供支助。CADMA将支持早期研究并将其发展为更长期、全面的项目，然后通过几个相互关联的机制进行实际实施：建立征求和评估试点项目申请的正式程序；提供持续的项目评估和资深教师的指导；举办研讨会并利用其他场所进行合作和信息交流；为大型研究项目的提案提供建议和支持；以及促进与社区附属机构和其他外部机构的合作，以进一步测试和传播罗伊巴尔中心的研究产品。

DESCRIPTION (provided by applicant): The Stanford Center on Advancing Decision Making in Aging (CADMA) will promote the study of decision making processes and the determinants of choices that affect health and well-being in the later years of life. CADMA researchers plan to conduct basic and applied research on decision making processes with a goal of developing and implementing practical methods for improving fundamental decisions affecting the wellbeing of the elderly. The research will be conducted by collaborating psychologists, psychiatrists, geriatricians and other physicians, experts on medical informatics, epidemiologists, and economists. CADMA research will focus on the following areas: 1. 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. 2. To learn how decision making processes influence day-to-day decisions, such as choices regarding exercise and diet, that influence health and functional status ofthe elderly. 3. 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. Support is proposed for administrative and communications/dissemination infrastructure (Core A) and new project development (Core B). CADMA will support early stage research and its development into longer term, comprehensive projects, followed by practical implementation via several linked mechanisms: establishing formal procedures for soliciting and evaluating applications for pilot projects; providing ongoing project evaluation and mentorship by senior faculty; conducting seminars and using other venues for collaboration and information exchange; giving advice and support for proposals for large-scale research projects; and facilitating collaboration with community affiliates and other external bodies for further testing and dissemination of the products of Roybal Center research.