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WHO BENEFITS FROM MORE CHOICE IN ELDERCARE: INVESTIGATING PREDICTORS OF CHOICE OVERLOAD

机译:世卫组织从老年护理中获得更多选择的好处:调查选择过多的预测因素

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摘要

Economic theory predicts that more choice is beneficial for both individuals and society. However, research suggests that too many options can lead to “choice overload”, a phenomenon where individuals feel overwhelmed, potentially leading to lower choice satisfaction, and making poorer decisions (Schwartz, 2004). Although not as universal as initially believed, research suggests that certain circumstances tend to induce choice overload (Scheibehenne, Greifeneder & Todd, 2010). We investigated if the number of alternatives in choosing eldercare provider influenced satisfaction with eldercare decisions.Two samples of adults were used: one Swedish (n=176, age; range=19–86, m=47, sd=19, 38% men) and one from the U.S. (n= 156, age; range 24–75, m=47, sd=14, 55% men). We measured cognitive functioning (numeracy and memory), as well as self-rated health. We presented participants with information about 4, 8, or 12 different eldercare facilities and asked them to choose one. After completing the task, we measured participant satisfaction on a seven-point scale.More alternatives were not related to less satisfaction overall, however, more options had a negative impact on satisfaction among participants with low self-rated health. We found no effects of age or cognitive ability on choice overload. However, we found an age-related positivity-bias indicating that older adults rated their choices as overall more positive compared to younger participants.The finding that more alternatives were related to less satisfaction in participants with lower self-rated health is of importance in eldercare settings where the majority needs to make these decisions because of compromised health and functioning.
机译:经济理论预测,更多的选择对个人和社会都有利。但是,研究表明,过多的选择会导致“选择超载”,这种现象会使个人感到不知所措,可能导致选择满意度降低,并且做出的决策较差(Schwartz,2004年)。尽管不像最初认为的那样普遍,但研究表明,某些情况倾向于导致选择超载(Scheibehenne,Greifeneder&Todd,2010)。我们调查了选择老年护理提供者的替代方案的数量是否会影响对老年护理决策的满意度。使用了两个成年人样本:一个瑞典人(n = 176,年龄;范围= 19-86,m = 47,sd = 19,男性占38% )和一位来自美国的人(n = 156,年龄;范围24-75,m = 47,sd = 14,55%的男性)。我们测量了认知功能(计算能力和记忆力)以及自我评价的健康状况。我们向参与者提供了有关4、8或12种不同的老年护理设施的信息,并要求他们选择其中一种。完成任务后,我们以7分制对参与者的满意度进行了测量。更多替代方案与总体满意度降低没有关系,但是,更多选择对健康自我评价较低的参与者的满意度产生负面影响。我们发现年龄或认知能力对选择超载没有影响。然而,我们发现与年龄相关的积极性偏见表明,与年轻参与者相比,老年人对他们的选择总体上评价更高。在自我护理较低的健康参与者中,更多选择与较低满意度有关对老年人护理很重要由于健康和功能受损,大多数人需要做出这些决定的环境。

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