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.

National Institute of Health (NIH)
National Institute on Aging (NIA)
Center Core Grants (P30)
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Special Emphasis Panel (ZAG1-ZIJ-3 (M2))
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King, Jonathan W
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Stanford University
Internal Medicine/Medicine
Schools of Medicine
United States
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Szrek, Helena; Bundorf, M Kate (2014) Enrollment in prescription drug insurance: the interaction of numeracy and choice set size. Health Psychol 33:340-8
Sims, Tamara; Tsai, Jeanne L; Koopmann-Holm, Birgit et al. (2014) Choosing a physician depends on how you want to feel: the role of ideal affect in health-related decision making. Emotion 14:187-92
Szrek, Helena; Bundorf, M Kate (2011) Age and the purchase of prescription drug insurance by older adults. Psychol Aging 26:308-20
Samanez-Larkin, Gregory R; Wagner, Anthony D; Knutson, Brian (2011) Expected value information improves financial risk taking across the adult life span. Soc Cogn Affect Neurosci 6:207-17
(2011) Using nudges in exercise commitment contracts. Natl Bur Econ Res Bull Aging Health :4
Bundorf, M Kate; Szrek, Helena (2010) Choice set size and decision making: the case of Medicare Part D prescription drug plans. Med Decis Making 30:582-93
Mikels, Joseph A; Lockenhoff, Corinna E; Maglio, Sam J et al. (2010) Following your heart or your head: focusing on emotions versus information differentially influences the decisions of younger and older adults. J Exp Psychol Appl 16:87-95
Samanez-Larkin, Gregory R; Kuhnen, Camelia M; Yoo, Daniel J et al. (2010) Variability in nucleus accumbens activity mediates age-related suboptimal financial risk taking. J Neurosci 30:1426-34
Ersner-Hershfield, Hal; Wimmer, G Elliott; Knutson, Brian (2009) Saving for the future self: neural measures of future self-continuity predict temporal discounting. Soc Cogn Affect Neurosci 4:85-92
Samanez-Larkin, Gregory R; Robertson, Elaine R; Mikels, Joseph A et al. (2009) Selective attention to emotion in the aging brain. Psychol Aging 24:519-29

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