TY - JOUR
T1 - Prospective memory on a novel clinical task in older adults with mild cognitive impairment and subjective cognitive decline
AU - Rabin, Laura A.
AU - Chi, Susan Y.
AU - Wang, Cuiling
AU - Fogel, Joshua
AU - Kann, Sarah J.
AU - Aronov, Avner
N1 - Funding Information:
Correspondence should be sent to Laura Rabin, 2900 Bedford Avenue, Brooklyn, NY 11210, USA. E-mail: lrabin@brooklyn.cuny.edu This project was supported by the National Institute on Aging (NIA) and National Institute of General Medical Sciences (SC2AG039235), NIA (AG03949), National Science Foundation (NSF Award #1156870), Czap Foundation, and The Leonard and Sylvia Marx Foundation. The authors wish to thank Nachama Abdelhak, Ashu Kapoor, Milushka Elbulok-Charcape, Valdiva Da Silva, Erica Meltzer, John Flynn, Tangeria Adams, Robin Varughese, Hayoung Ryu, Nicole Belgrave, Charlotte Magnotta, Wendy Ramratan, Mindy Katz, and Drs. Molly Zimmerman and Richard Lipton for their contributions.
Publisher Copyright:
© 2014 Taylor & Francis.
PY - 2014/11/2
Y1 - 2014/11/2
N2 - Despite the relevance of prospective memory to everyday functioning and the ability to live independently, prospective memory tasks are rarely incorporated into clinical evaluations of older adults. We investigated the validity and clinical utility of a recently developed measure, the Royal Prince Alfred Prospective Memory Test (RPA-ProMem), in a demographically diverse, non-demented, community-dwelling sample of 257 older adults (mean age = 80.78years, 67.7% female) with amnestic mild cognitive impairment (aMCI, n = 18), nonamestic mild cognitive impairment (naMCI, n = 38), subjective cognitive decline (SCD, n = 83) despite intact performance on traditional episodic memory tests, and healthy controls (HC, n = 118). Those with aMCI and naMCI performed significantly worse than controls on the RPA-ProMem and its subtasks (time-based, event-based, short-term, long-term). Also, those with SCD scored significantly lower than controls on long-term, more naturalistic subtasks. Additional results supported the validity and inter-rater reliability of the RPA-ProMem and demonstrated a relation between test scores and informant reports of real-world functioning. The RPA-ProMem may help detect subtle cognitive changes manifested by individuals in the earliest stages of dementia, which may be difficult to capture with traditional episodic memory tests. Also, assessment of prospective memory can help guide the development of cognitive interventions for older adults at risk for dementia.
AB - Despite the relevance of prospective memory to everyday functioning and the ability to live independently, prospective memory tasks are rarely incorporated into clinical evaluations of older adults. We investigated the validity and clinical utility of a recently developed measure, the Royal Prince Alfred Prospective Memory Test (RPA-ProMem), in a demographically diverse, non-demented, community-dwelling sample of 257 older adults (mean age = 80.78years, 67.7% female) with amnestic mild cognitive impairment (aMCI, n = 18), nonamestic mild cognitive impairment (naMCI, n = 38), subjective cognitive decline (SCD, n = 83) despite intact performance on traditional episodic memory tests, and healthy controls (HC, n = 118). Those with aMCI and naMCI performed significantly worse than controls on the RPA-ProMem and its subtasks (time-based, event-based, short-term, long-term). Also, those with SCD scored significantly lower than controls on long-term, more naturalistic subtasks. Additional results supported the validity and inter-rater reliability of the RPA-ProMem and demonstrated a relation between test scores and informant reports of real-world functioning. The RPA-ProMem may help detect subtle cognitive changes manifested by individuals in the earliest stages of dementia, which may be difficult to capture with traditional episodic memory tests. Also, assessment of prospective memory can help guide the development of cognitive interventions for older adults at risk for dementia.
KW - Cognitive rehabilitation
KW - Everyday memory
KW - Mild cognitive impairment
KW - Prospective memory
KW - Subjective cognitive decline
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UR - http://www.scopus.com/inward/citedby.url?scp=84927697608&partnerID=8YFLogxK
U2 - 10.1080/09602011.2014.915855
DO - 10.1080/09602011.2014.915855
M3 - Article
C2 - 24875614
AN - SCOPUS:84927697608
VL - 24
SP - 868
EP - 893
JO - Neuropsychological Rehabilitation
JF - Neuropsychological Rehabilitation
SN - 0960-2011
IS - 6
ER -