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临床试验/NCT04088136
NCT04088136已完成不适用

Enhancing Older Adults' Everyday Memory Function

Georgia Institute of Technology1 个研究点 分布在 1 个国家目标入组 68 人开始时间: 2021年3月15日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
68
试验地点
1
主要终点
Everyday Cognition Simulation Task: ATM Task (Number of Errors)

研究概览

简要总结

Evaluates an intervention designed to improve everyday memory function, contrasting people receiving the intervention with a group that receives traditional memory strategy training.

详细描述

This project seeks to develop and validate a novel approach to training everyday memory functioning in older adults. The approach (1) trains people to use simple but effective memory skills that have broad applicability in everyday life and (2) shapes a set of skills and habits of mind that will increase the likelihood of effective use of skills and memory aids. It is based on a metacognitive perspective on self-regulation in cognitively demanding situations and informed by recent theories about how suboptimal habit patterns can be altered. The approach has not yet been used in an everyday memory intervention in high-functioning, community-dwelling older adults. The proposed research validates ecological momentary assessment methods to get actual behavioral measures of forgetting in everyday life. It then uses these procedures in a randomized experiment that contrasts the everyday memory intervention group with a traditional memory-strategy training group. The hypothesis is that the everyday memory training intervention will reduce everyday memory errors and memory complaints, whereas the memory strategy training will alter strategy use and memory performance, with little cross-over effect. The hypothesized pattern will establish the explicit benefits of our everyday memory intervention procedures and demonstrate the limitation of standard memory training for that purpose.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Basic Science
盲法
None

入排标准

年龄范围
70 Years 至 85 Years(Older Adult)
性别
All
接受健康志愿者

入选标准

  • 70 - 85 years of age
  • in fair to good health
  • free of major neurocognitive impairment
  • English speaking
  • endorsed Smartphone and computer users (or willing to learn)

排除标准

  • diagnosis of any major neurological problems (e.g. stroke, Parkinson's disease, dementia)
  • 1.5 SD below age-normed mean (or lower) on the TICS
  • low computer and smart phone literacy
  • and poor self-rated health.

研究组 & 干预措施

Everyday Metacognitive Memory

Experimental

Training in techniques for managing memory demands in everyday life

干预措施: Everyday Metacognitive Memory Intervention (Behavioral)

Memory Strategy Control

Active Comparator

Trains the use of memory strategies for learning new associations and concepts

干预措施: Memory Strategy Control Intervention (Behavioral)

结局指标

主要结局

Everyday Cognition Simulation Task: ATM Task (Number of Errors)

时间窗: posttest only

Computerized task to simulate use of an ATM machine. Measure: number of errors

Everyday Memory Failures

时间窗: minimum 8 day period after training on app prior to posttest

Across the data collection period, participants audio recorded descriptions of their memory failures on a smartphone app. The audio recordings were transcribed and then cleaned and qualitatively coded so that the number of memory failures each participant reported during the data collection period could be counted. The data was qualitatively coded to ensure an accurate count of the number of memory failures per participant without counting duplicate events or accidental reports. Average daily number of reported memory failures from EMA \& daily diaries is reported.

Free Recall Test

时间窗: pretest and posttest (approximately 1 month lag)

Computerized task to present 30 concrete nouns, 6 from 5 taxonomic categories (Hultsch, Hertzog, Dixon, \& Small, 1998) Measure is proportion of 30 words recalled

Everyday Cognition Simulation Task: ATM Task (Time in Seconds)

时间窗: posttest only

Computerized task to simulate use of an ATM machine. Measure: time to complete task (in seconds)

Associative Recall Test

时间窗: pretest and posttest (approximately 1 month lag)

Computerized task to present 40 concrete-concrete associatively unrelated noun pairs (Hertzog, Sinclair, \& Dunlosky, 2010) Outcome is proportion of 40 words correctly recalled.

Prospective Memory Lab Contact Efficiency

时间窗: Two weeks prior to posttest

median absolute time deviation (in minutes) from scheduled lab contact for completed contacts

Czaja Everyday Cognition Simulation Task: Prescription Refill Task (Number of Errors)

时间窗: posttest only

Computerized task to simulate use of an automated telephone program to refill prescriptions. Measure: Number of errors

Story Recall

时间窗: posttest only

gist recall of narrative story (total number of propositions (ideas) from story recalled)

Prospective Memory Lab Contacts

时间窗: Two weeks prior to posttest

Number of successfully completed lab contacts (maximum of 4)

Czaja Everyday Cognition Simulation Task: Prescription Refill Task (Time in Seconds)

时间窗: posttest only

Computerized task to simulate use of an automated telephone program to refill prescriptions. Measure: time to complete task (in seconds)

次要结局

  • MCQ Internal Scale(pretest and posttest (approximately 1 month lag))
  • MFQ Memory Complaint (Frequency of Forgetting Scale)(pretest and posttest (approximately 1 month lag))
  • PBMI Specific Memory Self-Efficacy(pretest and posttest (approximately 1 month lag))
  • PBMI Memory Control(pretest and posttest (approximately 1 month lag))
  • MCQ External(pretest and posttest (approximately 1 month lag))

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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