Document Detail


Challenges and opportunities for developing and implementing incentives to improve health-related behaviors in older adults.
MedLine Citation:
PMID:  20863335     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
There is growing interest in using patient-directed incentives to change health-related behaviors. Advocates of incentive programs have proposed an ambitious research agenda for moving patient incentive programs forward. The unique cognitive and psychological features of older adults, however, present a challenge to this agenda. In particular, age-related changes in emotional regulation, executive function, and cognitive capacities, and a preference for collaborative decision-making raise questions about the suitability of these programs, particularly the structure of current financial incentives, for older adults. Differences in decision-making in older adults need to be accounted for in the design and implementation of financial incentive programs. Financial incentive programs adjusted to characteristics of older adult populations may be more likely to improve the lives of older persons and the economic success of programs that serve them.
Authors:
Eran Klein; Jason Karlawish
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Journal of the American Geriatrics Society     Volume:  58     ISSN:  1532-5415     ISO Abbreviation:  J Am Geriatr Soc     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-24     Completed Date:  2010-10-12     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  7503062     Medline TA:  J Am Geriatr Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1758-63     Citation Subset:  IM    
Copyright Information:
© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society.
Affiliation:
Berman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aging*
Cognition / physiology
Delivery of Health Care / economics
Emotions / physiology
Geriatric Assessment / methods*
Health Behavior*
Humans
Physician Incentive Plans / economics*
United States
Grant Support
ID/Acronym/Agency:
P30 AG010124-20/AG/NIA NIH HHS; P30 AG034546-02/AG/NIA NIH HHS; P30-AG034546/AG/NIA NIH HHS; P30-AG10124/AG/NIA NIH HHS
Comments/Corrections

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