Clock Checking Research Articles

Poorer prospective memory performance is associated with reduced time monitoring among OEF/OIF/OND Veterans with a history of blast-related mild traumatic brain injury

Objective:Prospective memory (PM) or “remembering to remember” has been shown to be reduced in Veterans with histories of mild traumatic brain injury (mTBI), particularly on tasks with high strategic demands such as recalling time-based information in the absence of external cues. This study examined whether time monitoring during a PM task was reduced in Veterans with a history of mTBI and was associated with time-based PM performance. Method:Veterans with a history of mTBI (n = 49) and Veterans without a history of TBI (n = 16) completed the Memory for Intentions Screening Test (MIST) as a measure of PM during which their time monitoring (i.e. number of clock checks) was recorded. Results:Adjusting for age, education, depression, and PTSD symptoms, negative binomial regression revealed that the mTBI group checked the clock less frequently compared to the control group (Cohen’s d = 0.84, p = 0.005). Within the mTBI group, less frequent time monitoring across the entire MIST task was associated with poorer time-based MIST performance (r s = .57, p < 0.001), but not with event-based MIST (r s = .04, p = 0.768). Conclusions:Veterans with a history of mTBI evidenced significantly reduced time monitoring during a PM task compared to Veterans without a history mTBI, which was associated with strategically-demanding PM. Current findings provide that mTBI-associated difficulties with strategic aspects of PM may be due to reduced time monitoring. Future studies are needed to determine if reduced time monitoring also contributes to mTBI-associated PM difficulties in the real-world (e.g. medication non-adherence).

Clock monitoring is associated with age-related decline in time-based prospective memory

In laboratory time-based prospective memory tasks, older adults typically perform worse than younger adults do. It has been suggested that less frequent clock checking due to problems with executive functions may be responsible. We aimed to investigate the role of clock checking in older adults’ time-based prospective memory and to clarify whether executive functions would be associated with clock checking and consequently, with time-based prospective memory. We included 62 healthy older adults (62-85 years of age) and applied tasks of time-based prospective memory as well as of executive functions (i.e., inhibition, fluency, and working memory). We used mediation analysis to test whether time-based prospective memory declined with advancing age due to less frequent clock checking. In addition, we tested whether there would be an association between executive functions and clock checking or time-based prospective memory. Time-based prospective memory declined with advancing age due to less frequent clock checking within 30s prior to intention completion. We only found a link between executive functions and clock checking (or time-based prospective memory) when not controlling for age. Our results support the importance of clock checking for time-based prospective memory and add to the current literature that older adults’ prospective memory declines because they are less able to adapt their clock checking. Yet, the reason why older adults are less able to adapt their clock checking still remains open. Our results do not indicate that executive function deficits play a central role.

Resting-state functional brain connectivity predicts cognitive performance: An exploratory study on a time-based prospective memory task

Resting-state functional brain connectivity (rsFC) is in wide use for the investigation of a variety of cognitive neuroscience phenomena. In the first phase of this study, we explored the changes in EEG-reconstructed rsFC in young vs. older adults, in the both the open-eyes (OE) and the closed-eyes (CE) conditions. The results showed significant differences in several rsFC network metrics in the two age groups, confirming and detailing established knowledge that aging modulates brain functional organisation. In the study’s second phase we investigated the role of rsFC architecture on cognitive performance through a time-based Prospective Memory task involving participants who monitored the passage of time to perform a specific action at an appropriate time in the future. Regression models revealed that the monitoring strategy (i.e. the number of clock checks) can be predicted by rsFC graph metric, specifically, eccentricity and betweenness in the OE condition, and assortativity in the CE condition. These results show for the first time how metrics qualifying functional brain connectivity at rest can account for the differences in the way individuals strategically handle cognitive loads in the Prospective Memory domain.

Comparing costs in time-based and event-based prospective memory

ABSTRACT Although much recent research has focused on event-based prospective memory (PM), fewer studies have compared event- and time-based PM. In the current study, two experiments were conducted to directly compare ongoing task costs of focal and non-focal event-based tasks with a time-based task. In the second experiment, an external reminder of the task was present to test whether this reduced the cost of the time-based task. PM accuracy was significantly greater for the focal conditions, as predicted. Response times (RT) were highest in the non-focal tasks, with similar RTs in the focal and time-based tasks. Clock check frequency was significantly related to making a PM response in the time-based task, with clock checks increasing as the 7 min target time approached. While time-based tasks may be more difficult to complete, they do not seem to result in the speed cost to an ongoing task that non-focal PM tasks do.

B-53 Inefficient Clock-Checking is Associated with Reduced Prospective Memory Performance in Veterans with Blast-Related Mild Traumatic Brain Injury

Abstract Objective We investigated whether clock-checking frequency during a prospective memory (PM) task differed between Veterans with reported histories of blast-related mild traumatic brain injury (mTBI) and Veteran Controls (VCs) without a history mTBI. We hypothesized that, compared to controls, the mTBI group would less frequently clock check. Additionally, we expected that reduced clock-checking would contribute to poorer time-based PM performance in the mTBI group. Method Twenty-seven Veterans (9 mTBI and 18 VC) with sufficient effort testing completed a structured TBI history interview, the Post-Traumatic Stress Disorder Checklist (PCL) and the Memory for Intentions Test (MIST) as a PM task. During MIST administration, examiners recorded clock-checking behavior each time a participant physically turned a digital clock to observe the current time. Results Compared to VCs, the mTBI group performed worse on the Time subscale of the MIST [Mean (SD) VC = 6.7 (1.1), mTBI = 5.7 (1.1), p &lt; .05], and demonstrated significantly fewer clock-checks over the duration of the test [VC = 14.2(4.7), mTBI = 10.2 (3.4), p &lt; .05]. Clock-checking significantly correlated with MIST Time subscale performance (r = .38, p &lt; .05). Groups did not significantly differ in PCL scores, and PCL scores did not significantly correlate with clock-checking counts. Conclusion Our preliminary results are the first to show that clock-checking behavior may contribute to reduced performance on time-based PM tasks in Veterans with histories of mTBI. Specifically, our findings demonstrate that participants with mTBI employ an inefficient time monitoring strategy wherein infrequent clock checking contributes to poorer test performance. These findings suggest that strategies to improve clock checking may improve PM performance.

The general facilitation effect of implementation intentions on prospective memory performance in patients with schizophrenia

ABSTRACTIntroduction: Prospective memory (PM) refers to remembering to execute a planned intention in the future. It can be divided into event- and time-based, according to the nature of the PM cue. Event-based PM cues can be classified as focal or non-focal. Patients with schizophrenia (SCZ) have been found to be impaired in both event- and time-based PM. PM has been found to be improved by implementation intentions, which is an encoding strategy in the format of “if X then Y”. This study examined the effect of implementation intentions on a non-focal event-based and a time-based PM task in patients with SCZ.Methods: Forty-two patients with SCZ and 42 healthy controls were allocated to either an implementation intention or a control PM instruction condition and were asked to complete two PM tasks. Results: Implementation intentions was found to improve performance in both the non-focal event-based and time-based PM tasks in patients with SCZ and healthy controls, with no costs to the ongoing task. The improvement in time-based PM performance in the implementation intentions condition was partially mediated by the frequency of clock checking behaviour. Conclusions: Implementation intentions can facilitate PM performance in patients with SCZ and has the potential to be used as a clinical intervention tool.

Comparing time-based and event-based prospective memory over short delays

ABSTRACTThe current study compared monitoring in time- and event-based prospective memory (PM). Time- and event-based non-focal task instructions were given after a baseline block of a lexical decision ongoing task. Delay between instruction and presentation of PM cue/time was manipulated between-subjects to examine monitoring across short delays (1–6 min). Longer delays decreased performance in the event-based task, but not in the time-based task. This accuracy decline was accompanied by a decline in monitoring (as measured by PM cost to the ongoing task in the trials immediately before the PM cue was presented) between the 1 and 3 min delays. Monitoring was only evident for the time-based task at the 6 min delay as measured by PM cost to the ongoing task. Clock checks were also not affected by delay, but did increase in frequency as the response time neared. These results suggest that delay from the time of intention formation decreases both accuracy and monitoring in event-based tasks, but does not decrease accuracy or monitoring in time-based tasks.

Prospective memory in obsessive compulsive disorder

Studies on the nature and extent of prospective memory impairment in patients with obsessive-compulsive disorder are relatively scarce. The present study examined prospective memory in patients with obsessive-compulsive disorder in comparison to patients with schizophrenia and healthy controls. Prospective memory was assessed using Memory for Intentions Screening Test (MIST). Further, the participants were administered Delis-Kaplan Executive Function System Tower Test, Wisconsin Card Sorting Test, and Stroop Test for assessing their planning ability, mental flexibility and cognitive inhibition, respectively. Monitoring was assessed by frequency of clock checking. Results indicated that as compared to healthy controls, the patients with obsessive-compulsive disorder performed poorly on both time- and event-based prospective memory tasks, whereas, patients with schizophrenia performed poorly on time-based prospective memory task only. Further, both the patient groups had comparable performance across time- and event-based tasks. Results of error analysis indicated that patients with obsessive-compulsive disorder mainly committed no response and task substitution errors, whereas patients with schizophrenia committed no response errors. Except monitoring, none of the neurocognitive variables correlated with time or event-based prospective memory in any group. The findings are discussed in the light of their implications for retraining of prospective memory deficits in patients with obsessive-compulsive disorder and schizophrenia.

Time-based prospective memory in adults with developmental dyslexia

Prospective memory (PM) is memory for delayed intentions. Despite its importance to everyday life, the few studies on PM function in adults with dyslexia which exist have relied on self-report measures. To determine whether self-reported PM deficits can be measured objectively, laboratory-based PM tasks were administered to 24 adults with dyslexia and 25 age- and IQ-matched adults without dyslexia. Self-report data indicated that people with dyslexia felt that time-based PM (TBPM; requiring responses at certain times in the future) was most problematic for them and so this form of PM was the focus of investigation. Whilst performing the ongoing task from which they were required to break out every 3min to make a PM-related response, the participants were allowed to make clock checks whenever they wished. The cognitive demands made on ongoing behaviour were manipulated to determine whether loading executive resources had a mediating role in dyslexia-related deficits in PM, resulting in three tasks with varying working memory load. A semi-naturalistic TBPM task was also administered, in which the participants were asked to remind the experimenter to save a data file 40min after being given this instruction. Dyslexia-related differences were found across all three computerized tasks, regardless of cognitive load. The adults with dyslexia made fewer correct PM responses and also fewer clock checks. On the semi-naturalistic task, the participants with dyslexia were less likely to remember to remind the experimenter to save the file. This is the first study to document PM deficits in dyslexia using objective measures of performance. Since TBPM impairments were found under more naturalistic conditions as well as on computerized tasks, the results have implications for workplace support for adults with dyslexia.

Sleep Deprivation and Time-Based Prospective Memory.

To evaluate the effect of sleep deprivation on time-based prospective memory performance, that is, realizing delayed intentions at an appropriate time in the future (e.g., to take a medicine in 30 minutes). Between-subjects experimental design. The experimental group underwent 24 h of total sleep deprivation, and the control group had a regular sleep-wake cycle. Participants were tested at 08:00. Laboratory. Fifty healthy young adults (mean age 22 ± 2.1, 31 female). 24 h of total sleep deprivation. Participants were monitored by wrist actigraphy for 3 days before the experimental session. The following cognitive tasks were administered: one time-based prospective memory task and 3 reasoning tasks as ongoing activity. Objective and subjective vigilance was assessed by the psychomotor vigilance task and a visual analog scale, respectively. To measure the time-based prospective memory task we assessed compliance and clock checking behavior (time monitoring). Sleep deprivation negatively affected time-based prospective memory compliance (P < 0.001), objective vigilance (mean RT: P < 0.001; slowest 10% RT: P < 0.001; lapses: P < 0.005), and subjective vigilance (P < 0.0001). Performance on reasoning tasks and time monitoring behavior did not differ between groups. The results highlight the potential dangerous effects of total sleep deprivation on human behavior, particularly the ability to perform an intended action after a few minutes. Sleep deprivation strongly compromises time-based prospective memory compliance but does not affect time check frequency. Sleep deprivation may impair the mechanism that allows the integration of information related to time monitoring with the prospective intention.

Internalizing versus externalizing control: Different ways to perform a time-based prospective memory task.

Time-based prospective memory (PM) refers to performing intended actions at a future time. Participants with time-based PM tasks can be slower to perform ongoing tasks (costs) than participants without PM tasks because internal control is required to maintain the PM intention or to make prospective-timing estimates. However, external control can be gained, and internal control minimized, by checking clocks or by using PM reminders. We present 3 experiments that examined how individuals externalize and internalize control of time-based PM tasks. The control condition performed a lexical decision task only, whereas the PM conditions were additionally required to make a time-based PM response after 11 min. We manipulated whether participants received a reminder, and whether clock checking was discouraged. In Experiments 1 and 3, no cost was found under standard clock check conditions. In contrast, when participants were discouraged from clock checking (Experiments 2 and 3), significant costs were found, accompanied by a decrease in clock checking. PM reminders prompted participants to check the clock, and improved PM accuracy if those reminders were expected. However, there was no evidence that participants could localize the internal or external control of the PM task to after the presentation of an expected reminder (Experiment 3). We conclude that much of the need for internal control can be transferred to the external world by performing a well-practiced task such as clock checking, which reminds participants of the PM task and reduces the internal control required to maintain the intention to perform the PM task.

Monitoring behaviour in a time-based prospective memory task: The involvement of executive functions and time perception

This study investigated time-based prospective memory (PM) performance in 76 younger and 76 older adults with a time-monitoring task in which participants were required to press a designated key every 5 minutes while watching a movie. Participants were assigned to two conditions, free and fixed monitoring. In free monitoring participants could check a clock when they wanted, but in fixed monitoring they were restricted a maximum of six times every 5 minutes. We also investigated the involvement of time perception, inhibition, and updating in time-based PM performance. We hypothesised that participants with inefficiencies in those three cognitive functions would have less strategic monitoring behaviour and would also be less accurate at the target time. In the free-monitoring condition older adults checked the clock more frequently than younger participants, but presented with a similar pattern of monitoring behaviour and increased their frequency of clock checking closer to the target time. In the fixed-monitoring condition younger participants checked the clock more frequently than older adults and showed a strategic pattern of monitoring. Older adults did not show strategic use of clock checking and their monitoring function remained unchanged. Differences in PM accuracy and monitoring behaviour are discussed according to different involvement of cognitive abilities.

Prospective memory in HIV-associated neurocognitive disorders (HAND): The neuropsychological dynamics of time monitoring

Strategic monitoring during a delay interval is theorized to be an essential feature of time-based prospective memory (TB PM), the cognitive architecture of which is thought to rely heavily on frontostriatal systems and executive functions. This hypothesis was examined in 55 individuals with HIV-associated neurocognitive disorders (HAND) and 108 seronegative comparison participants who were administered the Memory for Intentions Screening Test (MIST), during which time-monitoring (clock-checking) behavior was measured. Results revealed a significant interaction between HAND group and the frequency of clock checking, in which individuals with HAND checked the clock significantly less often than the comparison group across the TB PM retention intervals of the MIST. Subsequent analyses in the HAND sample revealed that the frequency of clocking checking was positively related to overall TB performance, as well as to standard clinical measures of retrospective memory and verbal fluency. These findings add support to a growing body of research elucidating TB PM's reliance on strategic monitoring processes dependent upon intact frontostriatal systems. HIV-associated TB strategic time-monitoring deficits may manifest in poorer functioning outcomes, including medication nonadherence and dependence in activities of daily living. Future research is needed to further delineate the cognitive mechanisms underlying strategic time monitoring in order to advise rehabilitation strategies for reducing HAND-related TB PM deficits.

A role for memory in prospective timing informs timing in prospective memory.

Time-based prospective memory (TBPM) tasks require the estimation of time in passing-known as prospective timing. Prospective timing is said to depend on an attentionally driven internal clock mechanism and is thought to be unaffected by memory for interval information (for reviews see, Block, Hancock, & Zakay, 2010; Block & Zakay, 1997). A prospective timing task that required a verbal estimate following the entire interval (Experiment 1) and a TBPM task that required production of a target response during the interval (Experiment 2) were used to test an alternative view that episodic memory does influence prospective timing. In both experiments, participants performed an ongoing lexical decision task of fixed duration while a varying number of songs were played in the background. Experiment 1 results revealed that verbal time estimates became longer the more songs participants remembered from the interval, suggesting that memory for interval information influences prospective time estimates. In Experiment 2, participants who were asked to perform the TBPM task without the aid of an external clock made their target responses earlier as the number of songs increased, indicating that prospective estimates of elapsed time increased as more songs were experienced. For participants who had access to a clock, changes in clock checking coincided with the occurrence of song boundaries, indicating that participants used both song information and clock information to estimate time. Finally, ongoing task performance and verbal reports in both experiments further substantiate a role for episodic memory in prospective timing.

Effects of 45-day -6° head-down bed rest on the time-based prospective memory

The research explored the effects of 45-day -6° head-down bed rest (HDBR) simulation of microgravity on the time-based prospective memory (PM) with 16 males. The time-based prospective memory task was performed on the 2nd day before HDBR, on the 11th, 20th, 32nd, and 40th days during HDBR, and on the 8th day after HDBR, and subjects' anxiety and depression feelings were recorded simultaneously using Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). The results demonstrated that it showed decreased accuracy of PM responses and frequency of clock checks during and after bed rest; long term bed rest did not induce significant emotional changes. The deficit of prospective memory performance induced by long term HDBR may result from a lack of aerobic physical activity or changes in the prefrontal cortex, but it remains to be determined.

Time keeping and working memory development in early adolescence: A 4-year follow-up

In this longitudinal study, we examined time keeping in relation to working memory (WM) development. School-aged children completed two tasks of WM updating and a time monitoring task in which they indicated the passing of time every 5 min while watching a film. Children completed these tasks first when they were 8 to 12 years old and then 4 years later when they were 12 to 16 years old. Time keeping in early adolescence showed a different pattern of outcome measures than 4 years earlier, with reduced clock checking and increased timing error. However, relative changes in WM development moderated these adverse effects. Adolescents with greater relative gains in WM development were better calibrated than participants with less developing WM functions. We discuss these findings in relation to individual and developmental differences in executive control functions and socioemotionally driven reward seeking.

Clock checking as a marker of goal maintenance in a multi-element prospective remembering task

Event Abstract Back to Event Clock checking as a marker of goal maintenance in a multi-element prospective remembering task S. M. Baylan1* and J. J. Evans1 1 University of Glasgow, Section of Psychological Medicine, United Kingdom Many goal directed behaviours require prospective remembering. This ability may be compromised following brain injury, particularly following frontal lobe injury, and is known to decline with age. This study examined the effect of age on performance on a modified version of the Hotel Test (Manly et al., 2002) and explored whether frequency of clock-checking, conceptualised as an indicator of goal maintenance, mediated performance. Twenty older-(mean age 69.6, SD 4.6) and twenty younger adults (mean age 21.1, SD 1.59) completed the Modified Hotel Test (mHT) and two questionnaires (CFQ and PRMQ) to measure the frequency of cognitive/memory failures in everyday life. Older people detected significantly fewer (p<0.05) prospective memory (PM) targets and made significantly fewer clock-checks (p<0.05) on the mHT. Clock-checking showed significant correlation (r = .318) with performance, with those having fewer than two clock-checks detecting significantly fewer PM targets than those with two or more checks. Despite a poorer performance on the task, older participants did not report a greater number of failures in everyday life. The mHT is sensitive to the effects of ageing though did not predict self-rated performance in everyday life. Frequency of clock-checks appeared to be a potentially useful marker of goal maintenance. Conference: The 20th Annual Rotman Research Institute Conference, The frontal lobes, Toronto, Canada, 22 Mar - 26 Mar, 2010. Presentation Type: Poster Presentation Topic: Aging Citation: Baylan SM and Evans JJ (2010). Clock checking as a marker of goal maintenance in a multi-element prospective remembering task. Conference Abstract: The 20th Annual Rotman Research Institute Conference, The frontal lobes. doi: 10.3389/conf.fnins.2010.14.00094 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 29 Jun 2010; Published Online: 29 Jun 2010. * Correspondence: S. M Baylan, University of Glasgow, Section of Psychological Medicine, Glasgow, United Kingdom, satu.baylan@glasgow.ac.uk Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers S. M Baylan J. J Evans Google S. M Baylan J. J Evans Google Scholar S. M Baylan J. J Evans PubMed S. M Baylan J. J Evans Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.

Age Differences in Multiple Outcome Measures of Time-Based Prospective Memory

ABSTRACT This study examined time-based prospective memory performance in relation to age, monitoring strategy, response accuracy, and dual-task demands. Young, middle-aged and older adults (N = 115) completed a prospective memory task, in which they indicated the passing of time every 5 min while listening to a short story (low task demands) or completing a series of cognitive tasks (high task demands). Young and older adults showed similar patterns of monitoring behavior, with low rates of clock checking during the early phase of each 5-min interval, followed by linearly accelerating monitoring functions. However, to obtain the same level of prospective memory performance older adults needed more frequent clock checks than young adults. Furthermore, older adults' compensatory monitoring strategy was associated with an additional cost in primary task performance. Finally, increased primary task demands shifted age differences in prospective memory from monitoring frequency to response accuracy. These findings suggest that goal-directed behavior requires efficient task coordination and resource allocation, and that age-related differences in time-based prospective memory should be evaluated by using multiple outcome measures.

The Relative Importance of Suboperations of Prospective Memory

An event-based and a time-based prospective memory (PM) task, a script generation task, several working memory tasks, an incidental retrospective memory task, and a screen clock were implemented on the computer in one integrated procedure lasting between one and two hours. The procedure was designed to simulate four working days and four nights for a white-collar employee. Sixty-eight normal participants completed the task. Time-based prospective memory (self-injecting and going to bed at preordained times of day) shared unique variance with clock checking, but hardly at all with incidental retrospective memory. On the other hand, event-based prospective memory (answering a faint telephone cue as quickly as possible) shared unique variance with incidental retrospective memory of formally task irrelevant context and less with clock checking. The latter correlational dissociation of event-based versus time-based PM by retrospective memory reached significance, inspiring the idea that administrative versus clerical work might each impose its own type of PM demands. In both types of PM, low-level abilities (use of external aids and incidental encoding of context, respectively) seem to be critical for good performance, more so than for high-order executive functions. Our software is offered to the readership to explicitate these findings further or for other research pursuits.

Time monitoring and executive functioning in children and adults

This study examined time-based prospective memory performance in relation to individual and developmental differences in executive functioning. School-age children and young adults completed six experimental tasks that tapped three basic components of executive functioning: inhibition, updating, and mental shifting. Monitoring performance was examined in a time-based prospective memory task in which participants indicated the passing of time every 5 min while watching a movie. Separate analyses of the executive functioning data yielded a two-factor solution for both age groups, with the updating and inhibition tasks constituting a common factor and the shifting tasks constituting a separate factor. Both children and adults showed accelerating monitoring functions with low rates of clock checking during the early phase of each 5-min interval. However, compared with adults, children needed more clock checks for obtaining the same level of response accuracy. Executive functioning had selective effects on time-based prospective memory performance. In both children and adults, monitoring performance was related to the inhibition and updating components, but not to the shifting component, of executive functioning. We conclude that difficulties in temporary maintenance and updating of working memory contents may create discontinuities in sense of time, leading to an increased reliance on external cues for time keeping.