This research examined the influence of prior group collaboration on later individual recall. We considered the negative effects of retrieval disruption and the potentially positive effects of re-exposure to additional items during group recall in the context of three hypotheses: the individual-strategy hypothesis, the combined-strategy hypothesis, and the group-strategy hypothesis. After a study phase and a brief delay, participants completed three successive recall trials in four different recall sequence conditions: III (individual-individual-individual), ICI (individual-collaborative-individual), CII (collaborative-individual-individual), and CCI (collaborative-collaborative-individual). Results show that repeated group recalls (CCI), and securing individual retrieval organisation prior to group recall (ICI), benefit later individual recall more than repeated individual recalls (III). These findings support the group-strategy hypothesis and the individual-strategy hypothesis, and have important implications for group versus individual learning practices in educational settings.
Background
Poor gait performance predicts risk of developing dementia. No structured critical evaluation has been conducted to study this association yet. The aim of this meta-analysis was to systematically examine the association of poor gait performance with incidence of dementia.
Methods
An English and French Medline search was conducted in June 2015, with no limit of date, using the medical subject headings terms “Gait” OR “Gait Disorders, Neurologic” OR “Gait Apraxia” OR “Gait Ataxia” AND “Dementia” OR “Frontotemporal Dementia” OR “Dementia, Multi-Infarct” OR “Dementia, Vascular” OR “Alzheimer Disease” OR “Lewy Body Disease” OR “Frontotemporal Dementia With Motor Neuron Disease” (Supplementary Concept). Poor gait performance was defined by standardized tests of walking, and dementia was diagnosed according to international consensus criteria. Four etiologies of dementia were identified: any dementia, Alzheimer disease (AD), vascular dementia (VaD), and non-AD (ie, pooling VaD, mixed dementias, and other dementias). Fixed effects meta-analyses were performed on the estimates in order to generate summary values.
Results
Of the 796 identified abstracts, 12 (1.5%) were included in this systematic review and meta-analysis. Poor gait performance predicted dementia [pooled hazard ratio (HR) combined with relative risk and odds ratio = 1.53 with P < .001 for any dementia, pooled HR = 1.79 with P < .001 for VaD, HR = 1.89 with P value < .001 for non-AD]. Findings were weaker for predicting AD (HR = 1.03 with P value = .004).
Conclusions
This meta-analysis provides evidence that poor gait performance predicts dementia. This association depends on the type of dementia; poor gait performance is a stronger predictor of non-AD dementias than AD.
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