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Multifaceted Declines in Everyday Decision-Making in Older Adults: A Think-Aloud Study.
Samuel J Perry1, Katherine L Roberts2, Christopher Atkin2
1Health Economics Unit, School of Health Sciences, College of Medicine and Health, University of Birmingham, Birmingham, UK.
Older adults face decision-making challenges due to sensory and cognitive changes. Environmental supports like clear presentation and note-taking can help, but multifaceted strategies are needed for effective decision support.
Area of Science:
- Gerontology
- Cognitive Psychology
- Human-Computer Interaction
Background:
- Aging is associated with sensory and cognitive changes impacting decision-making.
- Environmental supports are crucial for mitigating these age-related declines.
Purpose of the Study:
- Identify everyday decision-making challenges in older adults.
- Assess the impact of environmental supports on decision-making performance.
- Explore strategies older adults employ for decision support.
Main Methods:
- Think-aloud interviews with 26 older adults performing decision-making tasks.
- Varied conditions included visual clarity and note-taking.
- Follow-up discussions explored everyday challenges and supports.
Main Results:
- Comprehension and process challenges were most common.
- Clearer visual presentation improved performance and reduced reading difficulties.
- Note-taking impacted calculation and comprehension differently, with no net effect on overall performance.
- Note-taking, sensory, and social supports were identified as everyday strategies.
Conclusions:
- Decision-making decline in older adults is complex, influenced by sensory, cognitive, and socio-emotional factors.
- Environmental modifications can aid decision-making.
- Personalized support strategies are essential for older adults.
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