How older adults make decisions

As the U.S. population continues to grow older and technology moves ahead at break-neck speeds, older adults are being asked – in many cases required – to make more complex decisions than ever before.

 Should they stay in their homes or invest in a senior living community where care will be available when they need it?  Which prescription drug plan is best?  What course of treatment is best for serious illness?

But are we giving older adults the information they need to make quality decisions? The evidence suggests that the way older adults make decisions differs substantially from the way younger adults do. Research conducted by psychologist Joseph Mikels and economist Kosali Simon, both Human Ecology faculty members, offers practical insights for improving older adults’ decision-making. Their findings are summarized in a paper created by Human Ecology’s Department of Human Development.

For starters, research has shown that emotional functioning and regulation improve with age. Older people report more frequent positive emotions and fewer negative emotions, and they are more likely to focus on, and remember, positive information. When helping older adults make complex decisions, it may be best to encourage them to focus on their feelings as opposed to the specific details. They may not only make better decisions, but also feel more satisfied with their choices.

Studies also show that older adults do not desire or value choice to the same extent that younger adults do. In a series of large-scale surveys, hundreds of adults over 65 and undergraduate students reported how many options they wished to choose from in a variety of domains, from prescription drug plans to ice cream flavors. Older adults desired on average less than half as many options as younger adults did.  When older adults face a decision, it’s better to present them with a reasonable number of options.

“For example, instead of listing all of the available home health care agencies in the area, first present the five or so most popular ones,” the paper suggests. “If the person you are assisting isn’t satisfied with any of them, present an additional few options. By restricting the flow of information in this manner, you will increase the odds of making a high-quality, satisfying decision.”

More evidence on living the good life

Last week, you read about an evidence-based center focused on social and emotional well-being.

Cornell psychologist Anthony Ong has dedicated his career on a related topic: how can some cope with life’s stressful events and still remain positive, while others spiral into negative emotions?

Ong’s work focuses on the complex interplay of social, emotional, cognitive, and cultural resources that people draw upon to adapt to stressful life circumstances as they age, and the ways these factors have an effect on health and well-being.

His research has shown that people who have positive emotions on a daily basis recover more easily from stressful events, both in daily life and major stressful events like the loss of a loved one. This work has raised the possibility that positive emotions are important factors in undoing the autonomic arousal generated by negative emotions.

Ong has found that this daily access to positive emotions actually creates a psychological antidote for people in times of crisis. The ability to experience a positive emotion despite a major stressor – such as a serious illness or the loss of a love one – provides a momentary respite from the ongoing stress.

A steady stream of positive emotions also leads to greater emotional and physical well-being. By undoing negative emotions and fueling psychological resilience, positive emotions trigger an upward spiral of contentment. This, in turn, creates a measureable difference in cardiovascular functioning.

 “When our positive emotions are in short supply — when we feel hemmed in by such negative emotions as fear and sadness — we become stuck in a rut and painfully predictable,” he said. “But when our positive emotions are in ample supply, we become generative, resilient versions of ourselves.”

Ong’s work has also shown that social connectedness – having a supportive relationships with those around you – contributes these daily positive emotions, and also leads people to be more resilient in the face of adversity. 

Based on findings from dozens of studies, Ong offers some practical advice for fostering positive emotions in everyday living:

  • Find meaning in everyday life through reframing adverse events in a positive light, infusing ordinary events with positive value, and pursuing and attaining realistic goals.
  • Explore relaxation techniques that create conditions conducive to experiencing contentment and inner calmness.
  • Make connections by reaching out to others.
  • Engage in activities that you enjoy and find intrinsically motivating.
  • Take care of yourself by eating right, getting enough sleep and engaging in regular physical activity.

Everything you wanted to know about the aging population

You would have to be living in total isolation not to know that American society is rapidly aging. But how rapidly? What’s happening to life expectancy, economics, health and related issues as our society “greys?”

The good news: Today’s older Americans enjoy longer lives and better health than did previous generations. These and other trends are reported in Older Americans 2010: Key Indicators of Well-Being, a unique, comprehensive look at aging in the United States from the Federal Interagency Forum on Aging-Related Statistics. This easy-to-understand report  provides an updated, accessible compendium of indicators, drawn from the most reliable official statistics about the well-being of Americans primarily age 65 and older. The indicators are categorized into five broad areas—population, economics, health status, health risks and behaviors, and health care. In addition, the site provides very nice Powerpoint slides of all charts.

No matter how old you are now, you are aging, so this information should be of interest to all of us.

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