Memory Strategy Training in Older Adults with Subjective Memory Complaints: A Randomized Controlled Trial

Frankenmolen, Nikita; Overdorp, Eduard J.; Fasotti, Luciano; Claassen, Jurgen A.H.R.; Kessels, Roy P. C.; Oosterman, Joukje M.

doi:10.1017/s1355617718000619

Cited by 40 publications

(71 citation statements)

References 45 publications

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“…12 Accordingly, group psychological interventions that benefit psychological well-being and metacognition, along with memory-strategy training, which improves memory functioning in daily-life situations, may be considered. 51,52 This study had limitations. First, the sample of participants with SMCs was relatively small, limiting the power of statistical analyses.…”

Section: Discussionmentioning

confidence: 95%

Subjective memory complaints predict poorer functional recovery during the first year following hip‐fracture surgery among elderly adults

Liu

Wang

Chen

et al. 2020

Int J Geriat Psychiatry

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Objectives Subjective memory complaints (SMCs) in the elderly are associated with poor recovery in performing activities of daily living. This study was designed to examine SMCs and their association with recovery and health outcomes of older persons within 1 year following hospital discharge after hip‐fracture surgery. Methods Data were collected between 2012 and 2015 from 194 hip‐fractured elders in northern Taiwan. SMCs were assessed by the Prospective and Retrospective Memory Questionnaire. Recovery outcomes included self‐care ability (activities of daily living [ADLs] and instrumental activities of daily living [IADLs]), physical function (range of motion and maximal muscle strength), cognitive function, delirium, depressive symptoms, and health‐related quality of life (HRQoL). Outcomes were assessed before discharge and 1, 3, 6, and 12 months afterwards. Associations of SMCs with participants' recovery outcomes were examined by the generalized estimating equation approach. Results Participants with SMCs had significantly poorer recovery outcomes than those without SMCs. Additionally, the interaction term for time‐by‐SMC was significant on ADLs, IADLs, maximal strength of quadriceps muscles, maximal strength of hip abductor muscles, ankle dorsiflexion, and HRQoL, suggesting that negative associations with SMCs increased over time. Participants with SMCs were at significantly higher risk for cognitive impairment and delirium than those without SMCs. Conclusions Participants with SMCs not only had worse recovery than those without SMCs, but their rate of recovery was also slower during the first year following hip‐fracture surgery. Therefore, SMCs need to be assessed to identify patients at high risk for worse recovery outcomes following hip fracture.

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Section: Discussionmentioning

confidence: 95%

Subjective memory complaints predict poorer functional recovery during the first year following hip‐fracture surgery among elderly adults

Liu

Wang

Chen

et al. 2020

Int J Geriat Psychiatry

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“…Obviously, CityMap offers the possibility to invest more effort and time and to develop a new skill (using environmental support) in order to compensate for less performance (Dixon et al, 2001). As it was shown that older adults compensate for memory decline more successfully when they have higher cognitive reserve available (Frankenmolen et al, 2018), we suggest that cognitive reserve could play an important role in using environmental support for increasing their performance.…”

Section: Discussionmentioning

confidence: 71%

Investigating the Potential Role of Ecological Validity on Change-Detection Memory Tasks and Distractor Processing in Younger and Older Adults

et al. 2019

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Cognitive performance is often found to be lower in older adults, especially when the task requires memory, executive functions, or selective attention. But this alleged deterioration may have been overestimated in the past due to ecologically invalid testing. To verify this possible misjudgment here we compared age-related memory performance in a typical, abstract computer task to a paper-pencil test with a real-world map and to an even more realistic task that took place in a real room with everyday objects. Retention and response intervals differed between the tasks as they had to be adjusted to the different settings. Twenty-seven younger (19-29 years old) and twenty-three older participants (61-77 years old) took part in the study. As expected younger participants outperformed the older ones in the computer task. However, although older adults' performance was better in both more realistic tasks, the delta to the young remained the same as in the computer task. Hence, these results do not support the general notion that older adults would profit from more realistic test scenarios. On the other hand, performance in a clinical screening task correlated only with the performance in the real world task suggesting that this task reflected the general cognitive status of participants better than the more abstract tasks. Finally, it was observed that the presence of taskirrelevant distractor items actually helped older adults to improve their performance in the paper pencil task arguing against the assumption of a general age-related impairment of inhibition. In sum, the present results show that age-related changes in memory are neither simply explained by reduced abilities to deal with abstract computer tasks nor by disturbed inhibition processes.

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“…This review found 12 RCT studies that addressed subjective memory as an outcome [ 31 , 32 , 34 – 37 , 40 , 43 – 45 , 48 , 51 ] and 18 RCT studies that treated objective memory [ 31 , 33 – 36 , 38 – 47 , 49 , 50 , 52 ]. The quality of evidence across studies for both outcomes was low (see Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…Kruskal-Wallis tests ( H (degree of freedom)) are used to investigate whether dose or duration have an impact on intervention outcome. References of the studies assessing subjective memory [ 31 , 32 , 34 – 37 , 43 – 45 , 48 , 51 ], objective memory (all) [ 31 , 33 – 36 , 38 – 47 , 49 , 50 , 52 ], objective memory (cognitive only) [ 31 , 33 – 36 , 42 – 47 , 49 , 50 , 52 ], executive function and attention [ 31 – 39 , 41 , 43 , 46 , 47 , 51 , 52 ], global cognition [ 31 , 33 , 38 , 39 , 41 , 43 ], and mood and quality of life [ 31 , 32 , 34 , 35 , 38 , 40 , 41 , 43 , 45 , 46 , 49 , 51 , 52 ]…”

Section: Resultsmentioning

confidence: 99%

Protocols for cognitive enhancement. A user manual for Brain Health Services—part 5 of 6

et al. 2021

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Cognitive complaints in the absence of objective cognitive impairment, observed in patients with subjective cognitive decline (SCD), are common in old age. The first step to postpone cognitive decline is to use techniques known to improve cognition, i.e., cognitive enhancement techniques.We aimed to provide clinical recommendations to improve cognitive performance in cognitively unimpaired individuals, by using cognitive, mental, or physical training (CMPT), non-invasive brain stimulations (NIBS), drugs, or nutrients. We made a systematic review of CMPT studies based on the GRADE method rating the strength of evidence.CMPT have clinically relevant effects on cognitive and non-cognitive outcomes. The quality of evidence supporting the improvement of outcomes following a CMPT was high for metamemory; moderate for executive functions, attention, global cognition, and generalization in daily life; and low for objective memory, subjective memory, motivation, mood, and quality of life, as well as a transfer to other cognitive functions. Regarding specific interventions, CMPT based on repeated practice (e.g., video games or mindfulness, but not physical training) improved attention and executive functions significantly, while CMPT based on strategic learning significantly improved objective memory.We found encouraging evidence supporting the potential effect of NIBS in improving memory performance, and reducing the perception of self-perceived memory decline in SCD. Yet, the high heterogeneity of stimulation protocols in the different studies prevent the issuing of clear-cut recommendations for implementation in a clinical setting. No conclusive argument was found to recommend any of the main pharmacological cognitive enhancement drugs (“smart drugs”, acetylcholinesterase inhibitors, memantine, antidepressant) or herbal extracts (Panax ginseng, Gingko biloba, and Bacopa monnieri) in people without cognitive impairment.Altogether, this systematic review provides evidence for CMPT to improve cognition, encouraging results for NIBS although more studies are needed, while it does not support the use of drugs or nutrients.

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Memory Strategy Training in Older Adults with Subjective Memory Complaints: A Randomized Controlled Trial

Abstract: Older adults with subjective memory complaints benefit from memory strategy training, especially in their memory functioning in daily life. (JINS, 2018, 24, 1110-1120).

Cited by 40 publications

References 45 publications

Subjective memory complaints predict poorer functional recovery during the first year following hip‐fracture surgery among elderly adults

Subjective memory complaints predict poorer functional recovery during the first year following hip‐fracture surgery among elderly adults

Investigating the Potential Role of Ecological Validity on Change-Detection Memory Tasks and Distractor Processing in Younger and Older Adults

Protocols for cognitive enhancement. A user manual for Brain Health Services—part 5 of 6

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