Evidence map›Paper›PMID 37458034›Full record

ArticleJournal of Alzheimer's disease : JAD2023

Mild Cognitive Impairment is Associated with Poorer Everyday Decision Making.

Laura Fenton, S Duke Han, Carolyn G DiGuiseppi, Nicole R Fowler, Linda Hill, Rachel L Johnson, Ryan A Peterson, Christopher E Knoepke, Daniel D Matlock, Ryan Moran and 2 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. The Scammers' Psychological Warfare: A Call to Arms.Psychological science in the public interest : a journal of the American Psychological Society · 2025
    Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 1 country.

Laura FentonDepartment of Psychology, USC Dornsife College of Letters, Arts, and Sciences, Los Angeles, CA, USA.
S Duke HanDepartment of Psychology, USC Dornsife College of Letters, Arts, and Sciences, Los Angeles, CA, USA.
Carolyn G DiGuiseppiDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Nicole R FowlerCenter for Aging Research, Indiana University School of Medicine, Regenstrief Institute, Indianapolis, IN, USA.
Linda HillSchool of Public Health, University of California San Diego, San Diego, CA, USA.
Rachel L JohnsonDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Ryan A PetersonDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Christopher E KnoepkeAdult & Child Consortium for Outcomes Research & Delivery Science, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Daniel D MatlockAdult & Child Consortium for Outcomes Research & Delivery Science, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Ryan MoranSchool of Public Health, University of California San Diego, San Diego, CA, USA.
Jason KarlawishPenn Memory Center, Departments of Medicine, Medical Ethics and Health Policy, and Neurology, University of Pennsylvania, Philadelphia, PA, USA.
Marian E BetzDepartment of Emergency Medicine, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Colorado School of Public Health · USUniversity of California, San Diego · USIndiana University School of MedicineKeck Hospital of USC · USOutcomes Research Consortium · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Colorado Denver · USUniversity of Pennsylvania · USVA Eastern Colorado Health Care System · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
Decision Making Among Older Adults: the AUTO studyR01AG059613 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2019 to 2023
$3.7M
"Safety in Dementia": An Online Caregiver Intervention.R01AG076364 · NIA · UNIVERSITY OF COLORADO DENVER · PI BETZ, MARIAN ELIZABETH · 2021 to 2021
$1.7M
Decision Support for Older and Frail Patients Considering Advanced Cardiovascular Therapies: Improving Models of Personal Values ClarificationK23HL153892 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI KNOEPKE, CHRISTOPHER · 2020 to 2024
$824k
NCATS NIH HHS UL1 TR002535NHLBI NIH HHS K23 HL153892NIA NIH HHS R01 AG059613NIA NIH HHS R01 AG076364
6 · The paper itself

Abstract

backgroundOlder adults are faced with many unique and highly consequential decisions such as those related to finances, healthcare, and everyday functioning (e.g., driving cessation). Given the significant impact of these decisions on independence, wellbeing, and safety, an understanding of how cognitive impairment may impact decision making in older age is important.

objectiveTo examine the impact of mild cognitive impairment (MCI) on responses to a modified version of the Short Portable Assessment of Capacity for Everyday Decision making (SPACED).

methodsParticipants were community-dwelling, actively driving older adults (N = 301; M age = 77.1 years, SD = 5.1; 69.4% with a college degree or higher; 51.2% female; 95.3% White) enrolled in the Advancing Understanding of Transportation Options (AUTO) study. A generalized linear model adjusted for age, education, sex, randomization group, cognitive assessment method, and study site was used to examine the relationship between MCI status and decision making.

resultsMCI status was associated with poorer decision making; participants with MCI missed an average of 2.17 times more points on the SPACED than those without MCI (adjusted mean ratio: 2.17, 95% CI: 1.02, 4.61, p = 0.044).

conclusionThis finding supports the idea that older adults with MCI exhibit poorer decision-making abilities than cognitively normal older adults. It also suggests that older adults with MCI may exhibit poorer decision making across a wide range of decision contexts.

Indexed as

Cognitive DysfunctionAgedDecision MakingDelivery of Health CareEducational StatusFemaleHumansIndependent LivingMaleAlzheimer’s diseasecognitiondecision makingmild cognitive impairmentolder adults

Identifiers

PMID37458034
PMCPMC12083449
OpenAlexW4384338134

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.