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日常记忆与元认知干预效果的初步证据

Initial Evidence for the Efficacy of an Everyday Memory and Metacognitive Intervention.

作者信息

Pearman Ann, Lustig Emily, Hughes MacKenzie L, Hertzog Christopher

机构信息

School of Psychology, Georgia Institute of Technology, Atlanta, USA.

出版信息

Innov Aging. 2020 Oct 26;4(6):igaa054. doi: 10.1093/geroni/igaa054. eCollection 2020.

Abstract

BACKGROUND AND OBJECTIVES

The objective of this paper is to demonstrate the efficacy of an Everyday Memory and Metacognitive Intervention (EMMI) designed to improve everyday functioning of older adults. The EMMI emphasizes self-regulation as a behavioral approach to take priority over habitual behaviors that often impede everyday functioning.

RESEARCH DESIGN AND METHODS

This study used a quasi-experimental design (intervention vs waitlist control) to test whether the EMMI improved several aspects of everyday cognition. Thirty-three EMMI participants ( = 70.24) were compared to 20 control participants ( = 71.70 years). The 2 groups were compared on everyday memory failures and successes, measures of well-being, subjective memory, and a prospective memory task.

RESULTS

Participants who received the EMMI reported more memory successes and fewer memory failures over a 10-day measurement period postintervention. In addition, EMMI participants reported significantly higher life satisfaction and better subjective memory at posttest than the control group. Critically, the EMMI participants performed better on a laboratory contact prospective memory task.

DISCUSSION AND IMPLICATIONS

The results from this study suggest that the EMMI is a promising approach that has potential to improve everyday memory functioning and perhaps help extend functional independence. Future studies will include randomized controlled trials as well as electronic measurement of memory incidents.

摘要

背景与目的

本文旨在证明一种旨在改善老年人日常功能的日常记忆与元认知干预(EMMI)的有效性。EMMI强调自我调节,将其作为一种行为方法,优先于那些常常阻碍日常功能的习惯行为。

研究设计与方法

本研究采用准实验设计(干预组与候补对照组)来测试EMMI是否改善了日常认知的几个方面。将33名EMMI参与者(平均年龄 = 70.24岁)与20名对照组参与者(平均年龄 = 71.70岁)进行比较。在日常记忆失误与成功情况、幸福感测量、主观记忆以及一项前瞻记忆任务方面对两组进行比较。

结果

接受EMMI的参与者在干预后的10天测量期内报告了更多的记忆成功案例且记忆失误更少。此外,EMMI参与者在测试后报告的生活满意度显著高于对照组,主观记忆也更好。至关重要的是,EMMI参与者在实验室接触式前瞻记忆任务中表现更佳。

讨论与启示

本研究结果表明,EMMI是一种有前景的方法,有可能改善日常记忆功能,或许还能帮助延长功能独立性。未来的研究将包括随机对照试验以及对记忆事件的电子测量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c859/7729280/c4aad0bfa77f/igaa054_fig1.jpg

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