Background and objectives: Proxy decision-making may be flawed by inaccurate perceptions of risk. This may be particularly true when older adults are the targets of the decisions, given the pervasive negative stereotypes about older adults. Methods: Study 1: 18-to 87-year-olds (as target persons) as well as one of their close social partners (as informants) reported on the risks they perceived for the target person in various life domains. Study 2 additionally explored potential differences in how people make risky decisions on behalf of younger and older adult targets. Younger (18-35 years) and older (60-81 years) adults (as target persons of the risk evaluations) as well as informants reported on risk perceptions and likelihood of risk-taking for health, financial, and social scenarios concerning the target persons. Congruence between selfrated and informant-rated risk perceptions and risk-taking were computed on a dyadic as well as group level. Results: Informants' risk perceptions were positively associated with the risks their partners perceived for themselves. Informants and their partners agreed that social risks vary little across adulthood, but disagreed for recreational, financial, and health risks, disagreeing also in the decisions they would make. Conclusion: Family members, partners, and close friends are sensitive to vulnerabilities of their social partners, but in some domains and according to their partners' age perceive greater (or less) risk than their partners perceive for themselves. In situations requiring surrogate decision-making, people may decide differently to how their social partners would decide for themselves.
Perceptions of risk for older adults 3Perception of risk for older adults: The role of perspective and life domain As people age, they face risky decisions in a range of domains, such as health, recreation, finance, and social environment. However, risk in these domains may not change uniformly across adulthood. For example, the social risk of speaking in public may be similar across adulthood, whereas swimming in rapid waters may pose greater risk for older adults who typically have lower muscle strength. There also exist individual differences in the factors associated with risk at any given age. For instance, while the average 75-year-old may have lower muscle strength than the average 45-year-old, a specific 75-year-old's muscle strength may be higher than that of her 45-year-old daughter. People likely possess unique insight into the personal risks they face (e.g., informed by perceptions of their own frailty).Yet, in many instances, such as when decision-making capacity is impaired in older age, family members, partners, or close friends are called to act as surrogate decision-makers and to decide partially or entirely on behalf of others. In fact, nearly half of hospitalized patients aged 65 years and older receive at least some surrogate involvement in decisions about their health care and treatment [1]. Close to one quarter of the medical decisions that involve a surro...