Since its establishment, psychology has struggled to find valid methods for studying thoughts and subjective experiences. Thirty years ago, Ericsson and Simon (1980) proposed that participants can give concurrent verbal expression to their thoughts (think aloud) while completing tasks without changing objectively measurable performance (accuracy). In contrast, directed requests for concurrent verbal reports, such as explanations or directions to describe particular kinds of information, were predicted to change thought processes as a consequence of the need to generate this information, thus altering performance. By comparing performance of concurrent verbal reporting conditions with their matching silent control condition, Ericsson and Simon found several studies demonstrating that directed verbalization was associated with changes in performance. In contrast, the lack of effects of thinking aloud was merely suggested by a handful of experimental studies. In this article, Ericsson and Simon's model is tested by a meta-analysis of 94 studies comparing performance while giving concurrent verbalizations to a matching condition without verbalization. Findings based on nearly 3,500 participants show that the "think-aloud" effect size is indistinguishable from zero (r = -.03) and that this procedure remains nonreactive even after statistically controlling additional factors such as task type (primarily visual or nonvisual). In contrast, procedures that entail describing or explaining thoughts and actions are significantly reactive, leading to higher performance than silent control conditions. All verbal reporting procedures tend to increase times to complete tasks. These results suggest that think-aloud should be distinguished from other methods in future studies. Theoretical and practical implications are discussed.

The framing of decision scenarios in terms of potential gains versus losses has been shown to influence choice preferences between sure and risky options. Normative cognitive changes associated with aging have been known to affect decision-making, which has led to a number of studies investigating the influence of aging on the effect of framing. Mata, Josef, Samanez-Larkin, and Hertwig (2011) systematically reviewed the available literature using a meta-analytic approach, but did not include tests of homogeneity nor subsequent moderator variable analyses. The current review serves to extend the previous analysis to include such tests as well as update the pool of studies available for analysis. Results for both positively and negatively framed conditions were reviewed using two meta-analyses encompassing data collected from 3,232 subjects across 18 studies. Deviating from the previous results, the current analysis finds a tendency for younger adults to choose the risky option more often than older adults for positively framed items. Moderator variable analyses find this effect to likely be driven by the specific decision scenario, showing a significant effect with younger adults choosing the risky option more often in small-amount financial and large-amount mortality-based scenarios. For negatively framed items, the current review found no overall age difference in risky decision making, confirming the results from the prior meta-analysis. Moderator variable analyses conducted to address heterogeneity found younger adults to be more likely than older adults to choose the risky option for negatively framed high-amount mortality-based decision scenarios. Practical implications for older adults are discussed.

Home telehealth (HT) refers to the use of videoconferencing to provide care to patients remotely and can help older adults age in place. However, these technologies are unlikely to impact care unless health care providers are motivated to use them. Education may play a key role in increasing motivation to use and competence regarding HT. To help guide the development of nursing education to facilitate adoption and use, the current study examined predictors of Dutch nurses' willingness to use HT, based on a survey of 67 Dutch nurses with and 126 without HT experience. Nurses' willingness to use this technology was predicted by HT's (a) perceived usefulness to the client, (b) effort expectancy, (c) social influence, and (d) cost expectations. These observed relationships are anticipated to help with the development of effective educational programs to increase HT use and, therefore, improve older adults' quality of life. [Journal of Gerontological Nursing, 41(4), 47-56.].

Empirical evidence suggests that self-reported prosociality and donations increase with age. The majority of this research was conducted using monetary donations as outcome measures. However, on average older adults hold a significant advantage in financial and material assets compared to younger adults, effectively lowering the subjective cost of small monetary donations. Are older adults also more prosocial when donating a nonmonetary resource that is of equal or even higher value for them compared to younger age groups? A first study (N ϭ 160, 20 -74 years) combined data from self-report measures, affective responses, and hypothetical donation decisions to compute a single prosociality factor. Conceptually replicating findings from Hubbard, Harbaugh, Srivastava, Degras, and Mayr (2016) on monetary donations, results suggest that nonmonetary prosociality also increases with age. However, these differences depended on the domain of the donation. Data from two further behavioral studies (Study 2: N ϭ 156, 18 -89 years; Study 3: N ϭ 342, 19 -88 years) that were analyzed using Bayesian statistics provided evidence that older adults are not more prosocial than younger and middle-aged adults when donating a small amount of their time (in service of a donation to charity). In summary, the three studies suggest that older adults are not consistently more likely to behave prosocially than younger or middle-aged adults in nonmonetary domains. These findings point to the importance of moving research on prosociality and aging beyond financial donations and further explore the role of resources and perceived costs of prosociality.

Healthcare delivered at home via telehealth technology may save on both individual and societal healthcare costs. Three studies investigated potential attitudinal barriers to home healthcare adoption. Results from the first concerning adults’ privacy concerns and mobile device preferences showed that attitudes clustered into 4 factors and that older adults, particularly males, showed less concern than younger adults about privacy. The second and third studies explored comfort with a wearable device and the role of aesthetics over 2-week and 6-month intervals. Results showed that older adults had stable ratings for comfort while wearing a watch device designed to collect data in real time and that aspects of physical comfort predicted use over a six-month time period. Taken together, the studies provide evidence that attitudes about privacy and comfort for wearable health devices are unlikely to be significant barriers to adoption, though first impressions are important for all age groups.