ROS, MAP, MARS, Clinical Core
Decision Making and Behavioral Economics
Financial and healthcare decision making ability is measured using a modified 12-item version of the Decision-Making Competence Assessment Tool by Finucane, which was specifically designed to measure decision making in older adults.
Participants are presented with a healthcare module that provides information about health maintenance organization (HMO) plans and a financial module that includes financial information about mutual funds. The information presented in the modules is designed to simulate materials used in financial and healthcare settings in the real world.
Participants are asked 6 questions of varying difficulty level (3 simple and 3 complex) for each sub-scale that assess comprehension and integration of the information in the modules. The total decision making score ranges from 0 to 12 and represents the number of items answered correctly. If 6 or more questions are missing, then the score cannot be calculated. The sub-scale scores for health and financial decision making range from 0 to 6.
Participants are asked the following questions for the financial module:
Participants are asked the following questions for the healthcare module.
Note: In previous research, the decision-making measure has been shown to have adequate psychometric properties including high inter-rater reliability and short-term temporal stability.