Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 868-893 |
| Number of pages | 26 |
| Journal | Neuropsychological Rehabilitation |
| Volume | 24 |
| Issue number | 6 |
| DOIs | |
| State | Published - Nov 2 2014 |
Fingerprint
Keywords
- Cognitive rehabilitation
- Everyday memory
- Mild cognitive impairment
- Prospective memory
- Subjective cognitive decline
ASJC Scopus subject areas
- Applied Psychology
- Neuropsychology and Physiological Psychology
- Rehabilitation
- Arts and Humanities (miscellaneous)
Cite this
Prospective memory on a novel clinical task in older adults with mild cognitive impairment and subjective cognitive decline. / Rabin, Laura A.; Chi, Susan Y.; Wang, Cuiling; Fogel, Joshua; Kann, Sarah J.; Aronov, Avner.
In: Neuropsychological Rehabilitation, Vol. 24, No. 6, 02.11.2014, p. 868-893.Research output: Contribution to journal › Article
}
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
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
UR - http://www.scopus.com/inward/record.url?scp=84927697608&partnerID=8YFLogxK
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
VL - 24
SP - 868
EP - 893
JO - Neuropsychological Rehabilitation
JF - Neuropsychological Rehabilitation
SN - 0960-2011
IS - 6
ER -