Observational studyJournal of the American Geriatrics Society2019
Healthcare and Financial Decision Making and Incident Adverse Cognitive Outcomes among Older Adults.
Observational study in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed.
- Review of Associations of Diabetes and Insulin Resistance With Brain Health in Three Harmonised Cohort Studies of Ageing and Dementia.Diabetes/metabolism research and reviews · 2025Review
- Measures of healthcare decision-making ability in cognitive aging: a scoping review from the Advancing Reliable Measurement in Cognitive Aging and Decision-Making Ability (ARMCADA) research initiative.Frontiers in public health · 2025Article
- Higher socioeconomic deprivation in areas predicts cognitive decline in New Zealanders without cognitive impairment.Scientific reports · 2024Article
- Risk-Taking Behavior Differs Between Older Adults with and without Mild Cognitive Impairment.Journal of Alzheimer's disease : JAD · 2024Article
- Change in Decision-Making Analysis and Preferences in Old Age.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023Article
- Does Consumer Credit Precede or Follow Changes in Cognitive Impairment Among Older Adults? An Investigation in the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Trial.Journal of aging and health · 2023Article
- Decision Making and Blood Sugar Indicators in Older African American Adults.Journal of aging and health · 2023Article
- Purpose in Life and Cognition Interact to Impact Healthcare and Financial Decision Making in Old Age.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022Article
- The WALLET Study: Examining Early Memory Loss and Personal Finance.Innovation in aging · 2022Article
- Increased Financial Altruism is Associated with Alzheimer's Disease Neurocognitive Profile in Older Adults.Journal of Alzheimer's disease : JAD · 2022Article
- The "cognitive clock": A novel indicator of brain health.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021Article
- Association of Amyloid-β Pathology with Decision Making and Scam Susceptibility.Journal of Alzheimer's disease : JAD · 2021Article
- Loneliness Interacts With Cognition in Relation to Healthcare and Financial Decision Making Among Community-Dwelling Older Adults.The Gerontologist · 2020Article
- Literacy Mediates Racial Differences in Financial and Healthcare Decision Making in Older Adults.Journal of the American Geriatrics Society · 2020Article
- Associations of decision making abilities with blood pressure values in older adults.Journal of hypertension · 2020Article
- Functional Connectivity Correlates of Perceived Financial Exploitation in Older Adults.Frontiers in aging neuroscience · 2020Article
- Article
- Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia.Clinical gerontologistArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectivesTo determine if poorer healthcare and financial decision making forecasts adverse cognitive outcomes in old age. Specifically, we hypothesized that poorer decision making would be associated with an increased risk of incident Alzheimer's dementia, an increased risk of incident mild cognitive impairment (MCI), and a more rapid decline in cognition.
designAn ongoing prospective observational cohort study of aging (the Rush Memory and Aging Project).
settingThe greater Chicago area.
participantsA total of 952 community-based older adults without dementia at baseline. MEASUREMENTS: Participants completed a measure of healthcare and financial decision making at baseline and underwent annual standardized evaluations to track clinical status and cognitive functions (global cognition, episodic memory, semantic memory, working memory, perceptual speed, and visuospatial ability).
resultsDuring up to 9 years of follow-up (M = 5.2 y; standard deviation = 2.7), 156 participants developed Alzheimer's dementia (16.4% of 952), 253 participants developed MCI (33.2% of 760), and each cognitive measure declined (all Ps < .001). In Cox proportional hazards models adjusted for age, sex, and education, poorer decision making was associated with an increased risk of incident Alzheimer's dementia (hazard ratio [HR] = 1.17; 95% confidence interval [CI] = 1.10-1.24; P < .001) and incident MCI (HR = 1.16; 95% CI = 1.10-1.22; P < .001). Further, in linear mixed-effects models, poorer decision making among those who were initially free of cognitive impairment was associated with a more rapid decline in global cognition and four of five specific cognitive domains (all Ps < .05).
conclusionOur results suggest that poorer healthcare and financial decision making heralds adverse cognitive outcomes in old age. J Am Geriatr Soc 67:1590-1595, 2019.
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