This quasi-experimental study examined the effectiveness of the Cognitive Behavioral Model of Everyday Memory (CBMEM) on memory self-efficacy and memory performance of the elderly. Thirty residents from a county nursing home in Northeast Ohio participated. Forty-three percent of the sample were depressed and 57% were cognitively impaired. There were 30 subjects in the experimental group. Class attendance was low (M = 4.48); the dropout rate was 58%. As a result, among the 30 individuals in the experimental group, posttest data were available for only 13 subjects. There were no pre-to posttest differences in total memory performance scores. However, immediate story recall significantly (p ≤.01) increased (M 1 =.67; M 2 = 1.33). The experimental group also made significant gains (p ≤.0001) in memory self-efficacy (M 1 = 35.84; M 2 = 41.87). While the intervention helped these vulnerable individuals improve their memory, future interventions may need to specifically target the problems of individuals with depression and those with cognitive impairments. Nevertheless, there is hope for improvement, as shown both here and in other memory improvement studies, and therefore the efforts to develop effective interventions need to continue.
KeywordsMemory intervention; memory self-efficacy; memory performance; depression Both short-and long-term memory loss are manifest in 53% of the nation's 1.56 million nursing home residents-of whom 48% have Alzheimer's disease and related dementias (Krauss & Altman, 1998). Interestingly, Huppert and Beardsall (1993) found that elderly with minimal dementia performed as poorly on prospective memory items as elderly with severe dementia. In addition, according to the 1996 Medical Expenditure Panel Survey (MEPS) report, 20% of nursing home residents have a diagnosis of depression. Memory complaints may be a sign of depression, a lack of confidence in memory-demanding tasks, a sign of anxiety about performance, or a way to mask cognitive abilities so that attention to daily care is not compromised. Analyzing 99 studies of recall and 48 studies of recognition, Burt, Zembar, and Niederehe (1995) found a significant association between depression and memory impairment. In a study of anosognosia (unawareness of neurological or neuropsychological deficit) for dementia, McDougall (1998a) found that the metamemory components of capacity and change differed significantly between individuals with cognitive impairment who were not depressed Address correspondence to: Dr. Graham J. McDougall, Jr., Associate Professor-Gerontological Nursing, The University of Texas at Austin School of Nursing, 1700 Red River, Austin, TX 78701 USA (E-mail: gmcdougall@mail.nur.utexas.edu). The assistance of the staff at the Cuyahoga County Nursing Home, Cleveland, Ohio and all the graduate nursing students from the Frances Payne Bolton School of Nursing at CWRU are acknowledged. The findings were presented at the annual meeting of the Gerontological Society of America in Philadelphia, PA, in November, 1998. and...