Memory Compensation Strategies Research Articles

Memory compensation strategies in everyday life: similarities and differences between younger and older adults

Memory compensation strategies serve an important role in everyday functioning, especially in the face of cognitive decline. Research on the external memory compensation strategies employed by older adults has focused almost entirely on non-digital tools. Less is known about how memory compensation strategies might have changed due to the rapid and widespread uptake of digital technologies. In the current research, 208 younger adults and 114 older adults freely reported what internal or external memory strategy or tool they would use to accomplish 20 different everyday memory tasks. Participants’ responses were coded as involving either internal (e.g. using a mnemonic) or external (e.g. writing a list) strategies, and then underwent further categorisation to classify types of internal and external strategies (e.g. digital or physical tool). Findings indicated that external strategies were much more prevalent than internal strategies for both younger and older adults, and that digital compensation strategies were prevalent for both age groups. There were age differences such that older adults reported more strategies overall, and were less likely to report digital tools, more likely to report physical tools, more likely to report environmental tools, and less likely to report social tools than younger adults. Positive attitudes to technology were associated with digital tool use for older but not younger participants. Findings are discussed in terms of existing theories and approaches to studying memory compensation strategies and cognitive offloading.

Results from the ‘‘Healthy Mind’’ Intervention Program

<h3>Research Objectives</h3> To present the theoritical framework that supports the use of the Healthy Mind intervention as part of a systematic psychosocial and cognitive treatment program for older adults. To present the effectiveness of the intervention program in a group of older adults in Cyprus. <h3>Design</h3> Semi-experimental design with random assignment into the two groups. Pre post assessment and follow up testing was conducted at study completion, 4 weeks and 12 weeks with the training specific dependent measures (Memory Compensation Strategies (MCS), Problem Solving (PS), Emotion Regulation (ER) and Locus of Control (LOC). All participants underwent a comprehensive neuropsychological assessment to determine the level of cognitive functionality. <h3>Setting</h3> General community. <h3>Participants</h3> The experiment group included 30 healthy participants (Age, M=69.03, SD=3.4; Education, M=11.73, SD=2.1) and 30 healthy control participants, (Age, M=70.12, SD=3.51; Education M=11.7, SD=2.0). <h3>Interventions</h3> Healthy Mind intervention it's a systematic psychosocial and cognitive treatment program for older adults. This intervention has a strong educational focus that promote a more realistic understanding of cognitive aging and relevant contextual factors (e.g., health, lifestyle, beliefs). Furthermore use active components of skills development like emotion regulation, memory compensation strategies, problem solving skills and increase internal locus of control. <h3>Main Outcome Measures</h3> Memory Compensation Strategies (MCS), Problem Solving (PS), Emotion Regulation (ER) and Locus of Control (LOC). <h3>Results</h3> Mixed MANOVA (a = .05) comparing the two groups revealed significant improvement for the treated group after 10 weeks of training on MCS, PS, ER and LOC. Repeated measure ANOVAS showed significant training effects for intervention group p < .000. This improvement was maintained at the follow-ups. (p<.000). <h3>Conclusions</h3> The preliminary results from this group intervention implementing a multi-dimensional intervention program suggest that the intervention is both feasible and effective. Treated participants demonstrated improvement in the use of memory compensatory strategies, problem solving, emotion regulation and increased internal locus of control. Implications for rehabilitation will be presented. <h3>Author(s) Disclosures</h3> None.

Self-management preferences in patients with mild cognitive impairment: A qualitative study.

PurposePatients with mild cognitive impairment (MCI) require self-management, yet current self-management compliance is low. Taking patients’ preferences into account can improve the self-management situation. The purpose of this study is to look into MCI patients’ preferences for self-management in China.MethodsA qualitative research was conducted using semi-structured in-depth interviews with 21 patients recently diagnosed with MCI who were chosen by purposive sampling. These interviews were analyzed through thematic analysis and identified emerging themes.ResultsFive themes of self-management preference were identified: (1) Preference for acquiring disease knowledge; (2) Preference for participating in drug therapy; (3) Preference for participating in exercise; (4) Preference for applying memory compensation strategy; (5) Preferences for emotional expression and response.ConclusionOur study identified the specific preferences of MCI patients in China for the main self-management items. The findings are valuable insights for knowing MCI patients’ self-management content and preferences and provide better guidance for health practitioners to improve self-management compliance.

Ageing Together: Interdependence in the Memory Compensation Strategies of Long-Married Older Couples.

People live and age together in social groups. Across a range of outcomes, research has identified interdependence in the cognitive and health trajectories of ageing couples. Various types of memory decline with age and people report using a range of internal and external, social, and material strategies to compensate for these declines. While memory compensation strategies have been widely studied, research so far has focused only on single individuals. We examined interdependence in the memory compensation strategies reported by spouses within 58 older couples. Couples completed the Memory Compensation Questionnaire, as well as an open-ended interview about their memory compensation practices. We found that internal, intra-individual memory compensation strategies were not associated within couples, but external, extra-individual strategies showed interdependence. Individuals’ scores on material/technological compensation strategies were positively correlated with their partners’. Reported reliance on a spouse was higher for men and increased with age. Our open-ended interviews yielded rich insights into the complex and diverse resources that couples use to support memory in day-to-day life. Particularly evident was the extent of interaction and coordination between social and material compensation, such that couples jointly used external compensation resources. Our results suggest that individuals’ reports of their compensation strategies do not tell the whole story. Rather, we propose that older couples show interdependence in their memory compensation strategies, and adopt complex systems of integrated material and social memory compensation in their day-to-day lives.

Validation of the Prospective Memory Concerns Questionnaire (PMCQ).

Prospective memory (PM), the ability to remember to complete intended tasks, is essential for successfully completing activities of daily living. PM impairments are common in people with neuropathology such as acquired brain injury and dementia. These PM impairments affect individuals’ capabilities in key aspects of daily living including their health, safety, and independence. The Prospective Memory Concerns Questionnaire (PMCQ) was designed as a self-report measure to understand individuals’ concerns about their memory. This questionnaire may help identify issues with PM which in turn may assist clinicians in the targeted implementation of memory compensation strategies. The PMCQ was developed using Rasch and classical test methodologies, with subscales measuring frequency of forgetting behaviors, memory concerns, and retrieval failures. The current study aimed to confirm the factor structure of the PMCQ for use in adults in the general population. The study also aimed to examine relationships between the PMCQ and naturalistic performance-based measures of PM to determine how the self-report PMCQ could be used in conjunction with performance-based measures. A community dwelling sample of 558 adults completed the PMCQ, an event-based naturalistic PM task, and time-based naturalistic PM task. Confirmatory factor analyses (CFAs) indicated that a higher order model with three subscales containing 35 items produced acceptable fit [RMSEA = 0.056 (90% CI 0.054, 0.060), SRMR = 0.062, CFI = 0.915, TLI = 0.909] The PMCQ demonstrated good internal consistency (total α = 0.95, subscales: α = 0.88–0.89). The Forgetting Behaviors subscale significantly correlated with performance on the event-based naturalistic PM task (r = −0.14, p < 0.01). The Memory Concerns and Retrieval Failures subscales did not correlate significantly with performance-based PM tasks. These findings suggest that the PMCQ may be best suited for assessing individuals’ concerns about their forgetting behaviors and identifying appropriate compensation strategies or support services. It is recommended that the PMCQ be used alongside performance-based PM tasks and other cognitive measures to comprehensively assess PM. It was concluded that the PMCQ is a suitable measure for use in adults in the general population. Further validation research of the PMCQ in general population and clinical samples will determine the measures’ sensitivity and specificity in identifying PM impairments.

Demographic Characteristics, Motivation and Perception of Change as Determinants of Memory Compensation Self-Reports After Acquired Brain Injury.

IntroductionIndividuals with brain injuries experience cognitive and emotional changes that have long-lasting impacts on everyday life. In the context of rehabilitation, surveys have stressed the importance of compensating for memory disturbances to ease the impact of disorders on day-to-day autonomy. Despite extensive research on the nature of neurocognitive impairments following brain injury, few studies have looked at patients’ perceptions of these day-to-day compensations. This study examines these perceptions; in particular, what brain-injured people believe they do to compensate for memory deficiencies in everyday life. It also investigates the determinants of reported compensation strategies (age, gender, perceived stress, change awareness and motivation to succeed).MethodsEighty patients and 80 controls completed the French Memory Compensation Questionnaire, a self-report measure of everyday memory compensation. Five forms of compensation were investigated: External and Internal strategies, Reliance on social help, and investments in Time and Effort, along with two general factors: the degree of importance attached to Success (motivation) and perceptions of Change. Participants also completed measures of demographic and emotional aspects that may affect everyday compensation perceptions.ResultsThe brain-injured group reported significantly more frequent use of memory compensation strategies than controls, with the exception of External aids. Large effects were observed for Reliance and Effort. Demographic, motivation and perception of change determinants were found to have different effects depending on the compensation strategy, and mediated the direct effect of brain injury on reported compensation.ConclusionClinical and rehabilitation neuropsychologists often seek to have a better sense of how their patients perceive their compensatory behaviors. In practice, such an understanding is needed to help select appropriate methods and improve the long-term impact of rehabilitation programs: memory rehabilitation will fail if neuropsychologists do not deal, first and foremost, with the emotional and metacognitive issues surrounding traumatic brain injury (TBI), rather than focusing on cognitive efficiency.

Memory Compensation Strategies in Older People with Mild Cognitive Impairment.

With the rapid growth of the older population worldwide, understanding how older adults with mild cognitive impairment (MCI) use memory strategies to mitigate cognitive decline is important. This study investigates differences between amnestic and nonamnestic MCI subtypes in memory strategy use in daily life, and how factors associated with cognition, general health, and psychological well-being might relate to strategy use. One hundred forty-eight participants with MCI (mean age = 67.9 years, SD = 8.9) completed comprehensive neuropsychological, medical, and psychological assessments, and the self-report 'Memory Compensation Questionnaire'. Correlational and linear regression analyses were used to explore relationships between memory strategy use and cognition, general health, and psychological well-being. Memory strategy use does not differ between MCI subtypes (p > .007) despite higher subjective everyday memory complaints in those with amnestic MCI (p = .03). The most marked finding showed that increased reliance-type strategy use was significantly correlated with more subjective memory complaints and poorer verbal learning and memory (p < .01) in individuals with MCI. Moreover, fewer subjective memory complaints and better working memory significantly predicted (p < .05) less reliance strategy use, respectively, accounting for 10.6% and 5.3% of the variance in the model. In general, the type of strategy use in older adults with MCI is related to cognitive functioning. By examining an individual's profile of cognitive dysfunction, a clinician can provide more personalized clinical recommendations regarding strategy use to individuals with MCI, with the aim of maintaining their day-to-day functioning and self-efficacy in daily life.

Couples as socially distributed cognitive systems: Remembering in everyday social and material contexts

In everyday life remembering occurs within social contexts, and theories from a number of disciplines predict cognitive and social benefits of shared remembering. Recent debates have revolved around the possibility that cognition can be distributed across individuals and material resources, as well as across groups of individuals. We review evidence from a maturing program of empirical research in which we adopted the lens of distributed cognition to gain new insights into the ways that remembering might be shared in groups. Across four studies, we examined shared remembering in intimate couples. We studied their collaboration on more simple memory tasks as well as their conversations about shared past experiences. We also asked them about their everyday memory compensation strategies in order to investigate the complex ways that couples may coordinate their material and interpersonal resources. We discuss our research in terms of the costs and benefits of shared remembering, features of the group and features of the remembering task that influence the outcomes of shared remembering, the cognitive and interpersonal functions of shared remembering, and the interaction between social and material resources. More broadly, this interdisciplinary research program suggests the potential for empirical psychology research to contribute to ongoing interdisciplinary discussions of distributed cognition.

Long-term Stability and Variability in Memory Compensation among Older Adults: Evidence from the Victoria Longitudinal Study

Two memory status groups were derived from a parent sample of older adults participating in the Victoria Longitudinal Study (VLS) in Canada. A not impaired control (NIC) group and a mild memory deficit (MMD) group were compared at baseline and longitudinally (over five waves or 12 years) regarding their use of memory compensation techniques in everyday life. We used multi-level modeling (covarying age and education) to examine baseline level differences and long-term change patterns. Baseline results showed that the MMD participants reported greater recent increases in memory compensation strategy use in everyday life. Longitudinal results showed notable 12-year stability in memory compensation use, but group-related differences in the compensatory mechanism of effort. The covariate of education (potentially a marker of cognitive reserve) was associated with differential change in three memory compensation

Mild memory deficits differentially affect 6-year changes in compensatory strategy use.

The authors examined memory compensation techniques used by older adults from 2 memory status groups, not impaired control (NIC) and mild memory deficit (MMD), both at baseline and across a 6-year (3-wave) interval. The groups were derived from a parent sample of 55- to 85-year-old adults from the Victoria Longitudinal Study (NIC baseline, n = 276; memory > parent sample mean; MMD baseline, n = 79; memory > 1 standard deviation below parent sample mean). Multilevel modeling was used to test 3 research questions concerning differences in initial use of, and 6-year changes and variability in, memory compensation. Initial group differences were observed for both a memory compensation technique and a general compensation indicator. Significant differences in 6-year change patterns were observed for 2 memory compensation techniques (recruitment of human memory assistance, investment of extra effort in memory tasks). Interactions of group status and wave showed that older adults with MMD declined in their use of memory compensation strategies, whereas initially NIC older adults increased their use of compensatory techniques over the 6 years.

Improvement patterns among survivors of brain injury:Three case examples documenting the effectiveness of memory compensation strategies

Three case examples illustrate possible patterns of improved functioning that may emerge as survivors of traumatic brain injury (TBI) attempt compensation for persistent memory deficits impeding independent living. The task selected for report was independence in remembering to take regularly-prescribed medications. Strategies applied to promote learning included use of written reminders and use of two assistive technology (AT) devices—a wristwatch alarm (WatchMinder®) and a digital voice recorder and alarm system (Voice Craft™). With participation in the intervention programme, two of the three individuals demonstrated increased independence in remembering to take medications; the third did not. The case examples illustrate varying responses of people with TBI to intervention using compensatory strategies and AT devices. Professionals and caretakers working with survivors must recognize the uniqueness of each survivor, must adjust intervention programmes accordingly and must be willing to persist in trying to increase functional independence repeatedly for many years post-injury.

Use of memory compensation strategies is related to psychosocial and health indicators.

Research has shown that psychosocial and health characteristics may affect older adults' cognitive performance, self-referent beliefs, and general adaptive resilience. Are such characteristics related specifically to older adults' reported efforts to compensate for memory losses? The Memory Compensation Questionnaire (MCQ) measures 5 mechanisms of everyday memory compensation as well as 2 general aspects of compensatory motivation and awareness. Correlates were derived from indicators of specific health conditions, subjective health ratings, personality, well-being, and memory self-efficacy (MSE). All measures were administered to a cross-sectional sample of 528 healthy older adults between 55 and 94 years of age from the Victoria Longitudinal Study. Specific health composites (i.e., infirmities, respiratory illness), several personality dimensions (e.g., agreeableness, neuroticism), negative affect, and low MSE were associated with more frequent use of everyday memory compensation strategies. Linking healthy older adults' cognitive resilience with individual characteristics is an important contribution to emerging conceptions of adaptation and success in late life.

Ecological Validity of Neuropsychological Tests: Focus on the California Verbal Learning Test and the Wisconsin Card Sorting Test

To date, few studies have assessed the ecological validity of current measures of memory and executive functioning, particularly the California Verbal Learning Test (CVLT) and the Wisconsin Card Sorting Test (WCST). A battery of tests, including the CVLT and the WCST, was administered to 28 severely head-injured adults who were 1 year or more postinjury. Hierarchical linear regression was performed to assess the relationship between these cognitive tests and work functioning while statistically controlling for physical disability, emotional distress, and memory compensation strategies utilized by the participants. Results suggest that the CVLT was best at predicting performance on the job; however, the CVLT and the WCST were about equally predictive of the type of position held by a participant. Hence, this study demonstrates the ecological validity of measures of memory and executive functioning for predicting work-related skills.

Ecological Validity of Neuropsychological Tests: Focus on the California Verbal Learning Test and the Wisconsin Card Sorting Test

To date, few studies have assessed the ecological validity of current measures of memory and executive functioning, particularly the California Verbal Learning Test (CVLT) and the Wisconsin Card Sorting Test (WCST). A battery of tests, including the CVLT and the WCST, was administered to 28 severely head-injured adults who were 1 year or more postinjury. Hierarchical linear regression was performed to assess the relationship between these cognitive tests and work functioning while statistically controlling for physical disability, emotional distress, and memory compensation strategies utilized by the participants. Results suggest that the CVLT was best at predicting performance on the job; however, the CVLT and the WCST were about equally predictive of the type of position held by a participant. Hence, this study demonstrates the ecological validity of measures of memory and executive functioning for predicting work-related skills.