Using smartphone technology to improve prospective memory functioning: A randomized controlled trial.


Journal

Journal of the American Geriatrics Society
ISSN: 1532-5415
Titre abrégé: J Am Geriatr Soc
Pays: United States
ID NLM: 7503062

Informations de publication

Date de publication:
02 2022
Historique:
revised: 07 10 2021
received: 05 08 2021
accepted: 14 10 2021
pubmed: 18 11 2021
medline: 3 3 2022
entrez: 17 11 2021
Statut: ppublish

Résumé

A decline in the ability to perform daily intentions-known as prospective memory-is a key driver of everyday functional impairment in dementia. In the absence of effective pharmacological treatments, there is a need for developing, testing, and optimizing behavioral interventions that can bolster daily prospective memory functioning. We investigated the feasibility and efficacy of smartphone-based strategies for prospective memory in persons with cognitive impairment. Fifty-two older adults (74.79 ± 7.20 years) meeting diagnostic criteria for mild cognitive impairment or mild dementia were enrolled in a 4-week randomized controlled trial. Participants were trained to use a digital voice recorder app or a reminder app to off-load prospective memory intentions. Prospective memory was assessed using experimenter-assigned tasks (e.g., call the laboratory on assigned days), standardized questionnaires, and structured interviews. Secondary dependent measures included days of phone and app usage, acceptability ratings, quality of life, and independent activities of daily living. Participant ratings indicated that the intervention was acceptable and feasible. Furthermore, after the four-week intervention, participants reported improvements in daily prospective memory functioning on standardized questionnaires (p < 0.001, η Older adults with cognitive disorders can learn smartphone-based memory strategies and doing so benefits prospective memory functioning and independence.

Sections du résumé

BACKGROUND
A decline in the ability to perform daily intentions-known as prospective memory-is a key driver of everyday functional impairment in dementia. In the absence of effective pharmacological treatments, there is a need for developing, testing, and optimizing behavioral interventions that can bolster daily prospective memory functioning. We investigated the feasibility and efficacy of smartphone-based strategies for prospective memory in persons with cognitive impairment.
METHODS
Fifty-two older adults (74.79 ± 7.20 years) meeting diagnostic criteria for mild cognitive impairment or mild dementia were enrolled in a 4-week randomized controlled trial. Participants were trained to use a digital voice recorder app or a reminder app to off-load prospective memory intentions. Prospective memory was assessed using experimenter-assigned tasks (e.g., call the laboratory on assigned days), standardized questionnaires, and structured interviews. Secondary dependent measures included days of phone and app usage, acceptability ratings, quality of life, and independent activities of daily living.
RESULTS
Participant ratings indicated that the intervention was acceptable and feasible. Furthermore, after the four-week intervention, participants reported improvements in daily prospective memory functioning on standardized questionnaires (p < 0.001, η
CONCLUSIONS
Older adults with cognitive disorders can learn smartphone-based memory strategies and doing so benefits prospective memory functioning and independence.

Identifiants

pubmed: 34786698
doi: 10.1111/jgs.17551
pmc: PMC8821124
mid: NIHMS1752065
doi:

Types de publication

Journal Article Randomized Controlled Trial Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

459-469

Subventions

Organisme : NIA NIH HHS
ID : R21 AG053161
Pays : United States
Organisme : NIA NIH HHS
ID : AG053161
Pays : United States

Commentaires et corrections

Type : CommentIn
Type : CommentIn

Informations de copyright

© 2021 The American Geriatrics Society.

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Auteurs

Michael K Scullin (MK)

Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA.
Department of Neurology and Plummer Movement Disorders Center, Baylor Scott and White Health, Temple, Texas, USA.

Winston E Jones (WE)

Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA.

Richard Phenis (R)

Department of Neurology and Plummer Movement Disorders Center, Baylor Scott and White Health, Temple, Texas, USA.

Samantha Beevers (S)

Department of Neurology and Plummer Movement Disorders Center, Baylor Scott and White Health, Temple, Texas, USA.

Sabra Rosen (S)

Department of Neurology and Plummer Movement Disorders Center, Baylor Scott and White Health, Temple, Texas, USA.

Kara Dinh (K)

Department of Neurology and Plummer Movement Disorders Center, Baylor Scott and White Health, Temple, Texas, USA.

Andrew Kiselica (A)

Department of Health Psychology, University of Missouri, Columbia, Missouri, USA.

Francis J Keefe (FJ)

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.

Jared F Benge (JF)

Department of Psychology and Neuroscience, Baylor University, Waco, Texas, USA.
Department of Neurology and Plummer Movement Disorders Center, Baylor Scott and White Health, Temple, Texas, USA.
Department of Neurology, University of Texas in Austin, Austin, Texas, USA.

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