Luna Catherine, Cook Diane J, Schmitter-Edgecombe Maureen
Department of Psychology, Washington State University.
School of Electrical Engineering and Computer Science, Washington State University.
Neuropsychology. 2023 Nov;37(8):955-965. doi: 10.1037/neu0000898. Epub 2023 Mar 20.
Electronic memory aids are being researched and developed widely to assist the everyday functioning of individuals experiencing cognitive decline. Although development studies show promise in the initial use of electronic memory aids, little is known about the factors that influence adoption of these aids after training ends.
We analyzed the baseline characteristics (e.g., demographics, cognitive performance) and training usage (e.g., frequency and pattern of use) of 32 older adults experiencing amnestic mild cognitive impairment who participated in a pilot clinical trial with an electronic memory and management aid (EMMA) tablet application. Sixteen participants who were still using EMMA at 3-months posttraining were defined as "adopters," whereas the 16 participants who were not using EMMA at 3-months posttraining were defined as "nonadopters."
Adopters scored higher on baseline delayed memory (Cohen's = .87) and language (Cohen's = .82) index scores than nonadopters. Adopters also interacted with EMMA more frequently (Cohen's = 1.34) and in greater quantities (Cohen's > .87) than nonadopters by Week 2 of training. Stepwise logistic regression revealed that higher baseline language score and increased frequency of use during training significantly predicted classification of adopters at 3-months posttraining.
Adoption of this electronic memory aid was enhanced by teaching the aid to individuals who demonstrated average-level language abilities and who used the aid on average eight times per day during training. Encouraging individuals to use the aid early and often during training can increase adoption of electronic memory aids. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
电子记忆辅助工具正在被广泛研究和开发,以帮助认知能力下降的个体的日常功能。尽管开发研究表明电子记忆辅助工具在初始使用时有前景,但对于训练结束后影响这些辅助工具采用的因素知之甚少。
我们分析了32名患有遗忘型轻度认知障碍的老年人的基线特征(如人口统计学、认知表现)和训练使用情况(如使用频率和模式),这些老年人参与了一项使用电子记忆与管理辅助工具(EMMA)平板电脑应用程序的试点临床试验。16名在训练后3个月仍在使用EMMA的参与者被定义为“采用者”,而16名在训练后3个月未使用EMMA的参与者被定义为“非采用者”。
采用者在基线延迟记忆(科恩d = 0.87)和语言(科恩d = 0.82)指数得分上高于非采用者。到训练第2周时,采用者与EMMA的交互也比非采用者更频繁(科恩d = 1.34)且数量更多(科恩d > 0.87)。逐步逻辑回归显示,较高的基线语言得分和训练期间使用频率的增加显著预测了训练后3个月采用者的分类。
向语言能力处于平均水平且在训练期间平均每天使用该辅助工具8次的个体教授该电子记忆辅助工具,可提高其采用率。鼓励个体在训练期间尽早且频繁地使用该辅助工具可增加电子记忆辅助工具的采用率。(PsycInfo数据库记录(c)2023美国心理学会,保留所有权利)