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Fostering Self-Management of Everyday Memory in Older Adults: A New Intervention Approach

Traditional memory strategy training interventions improve older adults’ performance on tests of episodic memory, but have limited transfer to episodic memory tasks, let alone to everyday memory. We argue that an alternative approach is needed to assist older adults to compensate for age-related cog...

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Autores principales: Hertzog, Christopher, Pearman, Ann, Lustig, Emily, Hughes, MacKenzie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817715/
https://www.ncbi.nlm.nih.gov/pubmed/33488441
http://dx.doi.org/10.3389/fpsyg.2020.560056
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author Hertzog, Christopher
Pearman, Ann
Lustig, Emily
Hughes, MacKenzie
author_facet Hertzog, Christopher
Pearman, Ann
Lustig, Emily
Hughes, MacKenzie
author_sort Hertzog, Christopher
collection PubMed
description Traditional memory strategy training interventions improve older adults’ performance on tests of episodic memory, but have limited transfer to episodic memory tasks, let alone to everyday memory. We argue that an alternative approach is needed to assist older adults to compensate for age-related cognitive declines and to maintain functional capacity in their own natural ecologies. We outline a set of principles regarding how interventions can successfully train older adults to increase successful goal pursuit to reduce risks of everyday memory failures. We argue that training individuals to use metacognitive self-regulatory strategies to proactively manage formulation and pursuit of daily goals can compensate for age-related cognitive changes and increase the likelihood of goal attainment. We then describe an intervention approach that instantiates these principles in a multi-modal intervention that is unique in its three-phase approach: (1) individualized assessment of an individual’s current approaches to self-regulation; (2) training memory strategies, self-management skills, and new habits of mind in a group training context; and (3) a behavioral shaping period in which individuals receive coaching and feedback on their efforts to use trained procedures to improve everyday cognition. A recently completed study conducted an initial test of the intervention, with highly encouraging results. We advocate further efforts to replicate, extend, and fine-tune this type of intervention. The ultimate goal is to be able to deliver the intervention in a way that increases its potential reach, including to subpopulations of older adults at risk for everyday cognitive impairments.
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spelling pubmed-78177152021-01-22 Fostering Self-Management of Everyday Memory in Older Adults: A New Intervention Approach Hertzog, Christopher Pearman, Ann Lustig, Emily Hughes, MacKenzie Front Psychol Psychology Traditional memory strategy training interventions improve older adults’ performance on tests of episodic memory, but have limited transfer to episodic memory tasks, let alone to everyday memory. We argue that an alternative approach is needed to assist older adults to compensate for age-related cognitive declines and to maintain functional capacity in their own natural ecologies. We outline a set of principles regarding how interventions can successfully train older adults to increase successful goal pursuit to reduce risks of everyday memory failures. We argue that training individuals to use metacognitive self-regulatory strategies to proactively manage formulation and pursuit of daily goals can compensate for age-related cognitive changes and increase the likelihood of goal attainment. We then describe an intervention approach that instantiates these principles in a multi-modal intervention that is unique in its three-phase approach: (1) individualized assessment of an individual’s current approaches to self-regulation; (2) training memory strategies, self-management skills, and new habits of mind in a group training context; and (3) a behavioral shaping period in which individuals receive coaching and feedback on their efforts to use trained procedures to improve everyday cognition. A recently completed study conducted an initial test of the intervention, with highly encouraging results. We advocate further efforts to replicate, extend, and fine-tune this type of intervention. The ultimate goal is to be able to deliver the intervention in a way that increases its potential reach, including to subpopulations of older adults at risk for everyday cognitive impairments. Frontiers Media S.A. 2021-01-07 /pmc/articles/PMC7817715/ /pubmed/33488441 http://dx.doi.org/10.3389/fpsyg.2020.560056 Text en Copyright © 2021 Hertzog, Pearman, Lustig and Hughes. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Hertzog, Christopher
Pearman, Ann
Lustig, Emily
Hughes, MacKenzie
Fostering Self-Management of Everyday Memory in Older Adults: A New Intervention Approach
title Fostering Self-Management of Everyday Memory in Older Adults: A New Intervention Approach
title_full Fostering Self-Management of Everyday Memory in Older Adults: A New Intervention Approach
title_fullStr Fostering Self-Management of Everyday Memory in Older Adults: A New Intervention Approach
title_full_unstemmed Fostering Self-Management of Everyday Memory in Older Adults: A New Intervention Approach
title_short Fostering Self-Management of Everyday Memory in Older Adults: A New Intervention Approach
title_sort fostering self-management of everyday memory in older adults: a new intervention approach
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7817715/
https://www.ncbi.nlm.nih.gov/pubmed/33488441
http://dx.doi.org/10.3389/fpsyg.2020.560056
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