Factors Associated with Decision Making Capacity in Older Adults
Citation:CORRIGAN, MARIA, Factors Associated with Decision Making Capacity in Older Adults, Trinity College Dublin.School of Psychology, 2019
Factors Associated with Decision Making Capacity in Older Adults - eSubmission 2019.pdf (PhD thesis, examined and approved) 4.978Mb
Abstract: Making our own decisions goes to the heart of our autonomy. Increasingly decision making capacity (DMC) of older adults is questioned. The aim of this study was to explore DMC in older people and examine for associations between decision making abilities and factors not previously explored, including cognitive reserve (CR) and participation in decision making. Data were collected for two groups of 29 participants (16 Females and 13 Males), aged between 56 years and 90 years, (M=73.8years, SD=9.6). Group One (n=15) was older adults at low risk of impaired DMC, (i.e. without clinical diagnosis and not receiving support). Group Two (n=12) was older adults at increased risk of impaired decision making capacity, (i.e. with clinical diagnosis or requiring support). A semi structured interview and ACED, LEQ, WASI and DRS assessments were administered for each. These yielded data regarding decision making abilities (health and finance domains), CR, cognitive functioning and preference/participation in decision making. Statistically significant positive relationships were observed between decision making abilities and CR (rs=0.45, p < 0.05; rs=0.61, p < 0.05) and between decision making abilities and participation in decision making (rs=0.69, p < 0.05; rs=0.65, p < 0.05). Results suggested that DMC models may be informed further by consideration of CR and life experiences, such as participation in decision making. This may contribute to explanations for DMC variances and to supports and opportunities provided by services to individuals over their life span. Limitations of the study, including the small number of participants are discussed. Further study is required. New research avenues are suggested including systematic evaluation of provision of structured decision making opportunities.
Author: CORRIGAN, MARIA
Publisher:Trinity College Dublin. School of Psychology. Discipline of Psychology
Type of material:Thesis
Availability:Full text available
Showing items related by title, author, creator and subject.
Decisions, Decisions: Machine Learning as a Tool to Identify Alcohol-use Disorder Treatment Seekers Whelan, Robert (Elsevier, 2019)Alcohol use disorders (AUD) are very common in the developed world , yet only a minority of individuals with AUD seek treatment. Several factors influence the choice to seek treatment, including demographic, psychological ...
DOYLE, LINDA; FORDE, TIM; O'MAHONY, DONAL EDWARD (IEEE, 2006)Mobile ad hoc networks by their nature are highly adaptive systems that can come into existence on an as needed basis. They can grow, reduce in size, fragment, and dismantle as desired. The dynamic and very flexible nature ...
Grace, E. A. (Statistical and Social Inquiry Society of Ireland, 1953)Accounts, whether prepared for shareholders or management, provide a systematic basis for determining the employment of a very large part of national resources of manpower, material and technique. I conceive that an attempt ...