Neuropsychological Performance Within-Person Variability Is Associated with Reduced Treatment Consent Capacity

摘要: Objective The capacity of older adults to make healthcare decisions is often impaired in dementia and has been linked performance on specific neuropsychological tasks. Within-person across-test variability shown predict future dementia. This study examined the relationship within-person a current construct treatment decision (consent) capacity. Methods Participants completed test battery standardized assessment. Standard scores were used compute mean variability. Assessments performed participant's preferred location (e.g., outpatient clinic office, senior center, or home). recruited from community with fliers advertisements consisted men (N = 79) women 80) 83) without 76) significant cognitive impairment. MacArthur Competence Assessment Tool-Treatment 11 tests commonly assessment individuals. Results Neuropsychological independently associated continuous dichotomous measures capacity, was significantly decisional ability Prevalence incapacity greater than expected participants impairment when abilities considered separately. Conclusion These findings are consistent an emerging consent which discrete differentially processes indicate that sensitivity accuracy assessments can be improved by evaluating