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，目标是制定和实施实用方法，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：1。研究与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性（例如，健康护理计划选择）和情绪化（例如，关于临终关怀的决定）主题。2.了解决策过程如何影响日常决策，例如影响老年人健康和功能状态的运动和饮食选择。3.开发和评估在人们面临艰难的生活决定时或临近时可提供的支助工具或对这些工具有用的信息。拟议为行政和通信/传播基础设施（核心A）和新项目开发（核心B）提供支助。CADMA将支持早期阶段的研究及其发展成为长期的综合项目，然后通过几个相互联系的机制加以实际执行：建立征求和评估试点项目申请的正式程序;由高级教师提供持续的项目评估和指导;举办研讨会和利用其他渠道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;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研究的产品。 公共卫生相关性：斯坦福大学老龄化决策推进中心（CADMA）致力于研究决策过程和影响晚年健康和福祉的决定因素。CADMA的最终目标是制定战略和产品，通过促进个人和政策层面的决策，改善美国老年人的福祉。

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. PUBLIC HEALTH RELEVANCE: The Stanford Center on Advancing Decision Making in Aging (CADMA) is dedicated to the study of decision making processes and the determinants of choices that affect health and well-being in the later years of life. CADMA seeks ultimately to develop strategies and products that will improve the well-being of older Americans by facilitating decision making at both the individual and policy levels.