The enactment effect, the stable finding that memory for action phrases is enhanced in a subject-performed compared to a verbal task (SPT; VT), has repeatedly been demonstrated. The question remains whether the enactment effect has to do with specific characteristics of the SPT-retrieval process. Experiment 1 tested younger and older adults in a within-subjects design with two direct free recall tests. Thorough analyses of the recall process showed that the benefit from self-performing the items becomes apparent early into the retrieval phase for both age groups. Experiment 2 tested the same age groups with a retention phase of 30 minutes. The same general results pattern emerged. The acceleration of the recall process in SPTs is indicative of a heightened accessibility of the actively encoded material, making it less susceptible to forgetting. This property of SPTs must be taken into account when trying to determine the origins of the enactment effect.

The focus of the present article was to analyze processes that determine the enactment and age effect in a multi-trial free recall paradigm by looking at the serial position effects. In an experimental study (see Schatz et al 2010), the performance-enhancing effect of enactive encoding and repeated learning was tested with older and younger participants. As expected, there was a steady improvement of memory performance as a function of repeated learning regardless of age. In addition, enactive encoding led to a better memory performance than verbal encoding in both age groups. Furthermore, younger adults outperformed the elderly regardless of type of encoding. Analyses in the present article show that encoding by enacting seems to profit especially from remembering the last items of a presented list. Regarding age differences, younger outperformed older participants in nearly all item positions. The performance enhancement after task repetition is due to a higher amount of recalled items in the middle positions in a subject performed task (SPT) and a verbal task (VT) as well as the last positions of a learned list in VT.

The present two studies investigated the possibility for improvement and maintenance of episodic memory in young and older adults. In a first study, the performance-enhancing effect of two separate as well as combined learning devices, enactive encoding and repeated learning, was tested. With a time lag of one week, four different series of 30 action phrases were encoded either verbally or by enacting them symbolically. Memory was assessed in four immediate free recall tests. In a second study, the maintenance of the memory profit was tested in an unexpected fifth session half a year later. As expected, there was a steady improvement of memory performance as a function of repeated learning in study one. This holds true regardless of age. In addition, enactive encoding led to a better memory performance than verbal encoding in both age groups. Moreover, younger adults outperformed the elderly regardless of type of encoding. The combination of the two learning devices was not efficient enough to eliminate aging effects in episodic memory. However, memory flexibility is demonstrated also in the elderly. In the long-term follow-up, maintenance of learning and memory could be found in all participant groups.

Abstract. Older adults are frequently required to undergo medical informed consent procedures. This study investigates the influence of four types of written language and visual support (Elaborated Plain Language, Easy-to-Read Language, Standard Version with additional picture, Easy-to-Read-Language with additional picture) on comprehension and affect, compared with the Standard Version alone. In an online survey, n = 87 younger participants aged 26–59 and n = 72 older participants aged 60–81 read a simulation of an informed consent form. Directly after reading it, we used the Understanding dimension of the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) to ask them about the information presented in the form. The results showed that, by reducing complexity and elaborating the provided information, comprehension of medical information could be improved in the older participant group. In the so-called Elaborated Plain Language groups, the results were the same for younger and older participants. This was not true for the groups that received the Standard Version, on which younger participants performed better. Variations in the language used had no influence on affect. Our conclusion is that Elaborated Plain Language can be recommended for use in medical informed consent procedures with older patients and should be taught to medical professionals.

Despite the limited availability of data and the considerable efforts involved in data analysis, the project demonstrates how needs-based health service planning can be carried out in a small region, taking into account the increasing demands of the local health care providers and the special local features.