Center on Advancing Decision Making in Aging

描述（由申请人提供）：斯坦福大学老龄化决策推进中心（CADMA）将促进决策过程和影响晚年健康和福祉的选择决定因素的研究。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、老年病学家和其他医生、医学信息学专家、流行病学家和经济学家合作进行。CADMA的研究将集中在以下几个方面：研究年龄相关的情绪和认知变化在决策中的作用，特别是那些围绕认知复杂（例如，医疗保健计划的选择）和情绪敏感（例如，关于临终关怀的决定）的主题。2. 了解决策过程如何影响日常决策，如运动和饮食方面的选择，从而影响老年人的健康和功能状态。3. 开发和评估支持工具或对这些工具有用的信息，这些工具或信息可以在人们面临困难的生活决定时或接近时提供。建议支助行政和通讯/传播基础设施（核心A）和新项目发展（核心B）。CADMA将支持早期研究，并将其发展为长期的综合项目，随后通过以下几个相关机制进行实际实施：建立征求和评估试点项目申请的正式程序；提供正在进行的项目评估和资深教师的指导；举办研讨会和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意见和支持；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皇家中心研究的产品。

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.