AzTrials
AzTrials

AgingEMMINCT04088136

Everyday Memory Intervention

A study testing Everyday Metacognitive Memory Intervention in people with Aging, run by Georgia Institute of Technology at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Evaluates an intervention designed to improve everyday memory function, contrasting people receiving the intervention with a group that receives traditional memory strategy training. Read more about this study

Who is it for?
Ages 70 to 85 yearsHealthy volunteers can take part
Conditions the study is for
Aging
What is being tested?
Everyday Metacognitive Memory Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
1 siteUnited States
Study dates
15 Mar 2021to 10 Dec 2021
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 70 to 85 years
  • All sexes
  • Healthy volunteers accepted
  • Older adult

Who may be able to join

  • 70 - 85 years of age
  • in fair to good health
  • free of major neurocognitive impairment
  • English speaking
  • endorsed Smartphone and computer users (or willing to learn)

Who cannot join

  • diagnosis of any major neurological problems (e.g. stroke, Parkinson's disease, dementia)
  • 1.5 SD below age-normed mean (or lower) on the TICS
  • low computer and smart phone literacy
  • and poor self-rated health.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Adult Cognition Lab

    Atlanta, Georgia, 30332

Other trials in United States

About this study

Official title: Enhancing Older Adults' Everyday Memory Function

Evaluates an intervention designed to improve everyday memory function, contrasting people receiving the intervention with a group that receives traditional memory strategy training.

Read the detailed description

This project seeks to develop and validate a novel approach to training everyday memory functioning in older adults. The approach (1) trains people to use simple but effective memory skills that have broad applicability in everyday life and (2) shapes a set of skills and habits of mind that will increase the likelihood of effective use of skills and memory aids. It is based on a metacognitive perspective on self-regulation in cognitively demanding situations and informed by recent theories about how suboptimal habit patterns can be altered. The approach has not yet been used in an everyday memory intervention in high-functioning, community-dwelling older adults. The proposed research validates ecological momentary assessment methods to get actual behavioral measures of forgetting in everyday life. It then uses these procedures in a randomized experiment that contrasts the everyday memory intervention group with a traditional memory-strategy training group. The hypothesis is that the everyday memory training intervention will reduce everyday memory errors and memory complaints, whereas the memory strategy training will alter strategy use and memory performance, with little cross-over effect. The hypothesized pattern will establish the explicit benefits of our everyday memory intervention procedures and demonstrate the limitation of standard memory training for that purpose.

Conditions
Aging
Being tested
Everyday Metacognitive Memory Intervention, Memory Strategy Control Intervention
Keywords
everyday memory, ecological momentary assessment, memory complaint, metacognition, mnemonics, external aids

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Everyday Metacognitive Memory InterventionBehavioural

    Provides training in use of techniques and procedures to enhance proactive self-regulatory control over everyday memory demands, including strategies for learning information, planning for meeting everyday goals, and monitoring of efficacy of goal pursuit.

  • Memory Strategy Control InterventionBehavioural

    Trains use of standard mnemonic techniques such as imagery and sentence generation for learning new associations and organizational and distinctiveness-based strategies for learning sets of items (e.g., word lists).

Study groups in NCT04088136
Study groupRoleWhat they receive
Everyday Metacognitive MemoryExperimentalTraining in techniques for managing memory demands in everyday life
Receives: Behavioral: Everyday Metacognitive Memory Intervention
Memory Strategy ControlActive comparatorTrains the use of memory strategies for learning new associations and concepts
Receives: Behavioral: Memory Strategy Control Intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Everyday Memory Failures

    Across the data collection period, participants audio recorded descriptions of their memory failures on a smartphone app. The audio recordings were transcribed and then cleaned and qualitatively coded so that the number of memory failures each participant reported during the data collection period could be counted. The data was qualitatively coded to ensure an accurate count of the number of memory failures per participant without counting duplicate events or accidental reports. Average daily number of reported memory failures from EMA \& daily diaries is reported.

    Measured: minimum 8 day period after training on app prior to posttest

  2. Prospective Memory Lab Contacts

    Number of successfully completed lab contacts (maximum of 4)

    Measured: Two weeks prior to posttest

  3. Prospective Memory Lab Contact Efficiency

    median absolute time deviation (in minutes) from scheduled lab contact for completed contacts

    Measured: Two weeks prior to posttest

  4. Everyday Cognition Simulation Task: ATM Task (Number of Errors)

    Computerized task to simulate use of an ATM machine. Measure: number of errors

    Measured: posttest only

  5. Czaja Everyday Cognition Simulation Task: Prescription Refill Task (Number of Errors)

    Computerized task to simulate use of an automated telephone program to refill prescriptions. Measure: Number of errors

    Measured: posttest only

  6. Free Recall Test

    Computerized task to present 30 concrete nouns, 6 from 5 taxonomic categories (Hultsch, Hertzog, Dixon, \& Small, 1998) Measure is proportion of 30 words recalled

    Measured: pretest and posttest (approximately 1 month lag)

  7. Associative Recall Test

    Computerized task to present 40 concrete-concrete associatively unrelated noun pairs (Hertzog, Sinclair, \& Dunlosky, 2010) Outcome is proportion of 40 words correctly recalled.

    Measured: pretest and posttest (approximately 1 month lag)

  8. Story Recall

    gist recall of narrative story (total number of propositions (ideas) from story recalled)

    Measured: posttest only

  9. Everyday Cognition Simulation Task: ATM Task (Time in Seconds)

    Computerized task to simulate use of an ATM machine. Measure: time to complete task (in seconds)

    Measured: posttest only

  10. Czaja Everyday Cognition Simulation Task: Prescription Refill Task (Time in Seconds)

    Computerized task to simulate use of an automated telephone program to refill prescriptions. Measure: time to complete task (in seconds)

    Measured: posttest only

Secondary outcomes (5)
  1. MFQ Memory Complaint (Frequency of Forgetting Scale)

    Summative Likert scale measuring frequency of reported memory problems for specific types of problems Measure is average item Likert rating on a 1-7 scale. Higher score indicates fewer memory problems

    Measured: pretest and posttest (approximately 1 month lag)

  2. PBMI Specific Memory Self-Efficacy

    The Personal Beliefs about Memory Instruments (PBMI) Specific Memory Self-Efficacy measurement is a summative visual analog rating scale measuring self-rated memory aggregated over multiple specific types of memory. Outcomes scaled in average proportion of distance from left (0) to maximum of 1.00 (higher scores indicate greater memory self-efficacy).

    Measured: pretest and posttest (approximately 1 month lag)

  3. PBMI Memory Control

    Summative visual analog rating scale measuring self-rated control over everyday. Outcome is scaled as average proportion of maximum endorsement (ranging from 0 to 1.0, with higher scores indicate greater perceived control)

    Measured: pretest and posttest (approximately 1 month lag)

  4. MCQ Internal Scale

    Summative Likert scale obtaining self-rated frequency of use of internal mnemonic strategies in everyday life. Average Likert rating on 1-5 scale (higher scores indicate greater use of strategies)

    Measured: pretest and posttest (approximately 1 month lag)

  5. MCQ External

    Summative Likert scale obtaining self-rated frequency of use of external memory aids. Outcome is scaled as average Likert rating on 1-5 scale. Higher score indicates greater use of external aids.

    Measured: pretest and posttest (approximately 1 month lag)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Sep 2019
  2. Study start15 Mar 2021
  3. Primary completion10 Dec 2021
  4. Study completion10 Dec 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
68 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04088136
Sponsor's protocol ID
H19341
Other IDs
1R21AG059942-01A1
Acronym
EMMI
Status last verified
Apr 2024
First submitted
11 Sep 2019
Last updated
1 May 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bailey H, Dunlosky J, Hertzog C. Metacognitive training at home: does it improve older adults' learning? Gerontology. 2010;56(4):414-20. doi: 10.1159/000266030. Epub 2009 Dec 11.

    PubMed 20016124
  • Bailey HR, Dunlosky J, Hertzog C. Does strategy training reduce age-related deficits in working memory? Gerontology. 2014;60(4):346-56. doi: 10.1159/000356699. Epub 2014 Feb 27.

    PubMed 24577079
  • Bottiroli S, Cavallini E, Dunlosky J, Vecchi T, Hertzog C. The importance of training strategy adaptation: a learner-oriented approach for improving older adults' memory and transfer. J Exp Psychol Appl. 2013 Sep;19(3):205-18. doi: 10.1037/a0034078. Epub 2013 Aug 26.

    PubMed 23978160
  • Bottiroli S, Cavallini E, Dunlosky J, Vecchi T, Hertzog C. Self-guided strategy-adaption training for older adults: Transfer effects to everyday tasks. Arch Gerontol Geriatr. 2017 Sep;72:91-98. doi: 10.1016/j.archger.2017.05.015. Epub 2017 Jun 7.

    PubMed 28609674
  • Dunlosky J, Cavallini E, Roth H, McGuire CL, Vecchi T, Hertzog C. Do self-monitoring interventions improve older adult learning? J Gerontol B Psychol Sci Soc Sci. 2007 Jun;62 Spec No 1:70-6. doi: 10.1093/geronb/62.special_issue_1.70.

    PubMed 17565167
  • Dunlosky J, Hertzog C. Measuring strategy production during associative learning: the relative utility of concurrent versus retrospective reports. Mem Cognit. 2001 Mar;29(2):247-53. doi: 10.3758/bf03194918.

    PubMed 11352207
  • Dunlosky, J., Hertzog, C., Kennedy, M. R. T., & Thiede, K. W. (2005). The self-monitoring approach for effective learning. Cognitive Technology, 10, 4-11.

  • Dunlosky J, Kubat-Silman AK, Hertzog C. Training monitoring skills improves older adults' self-paced associative learning. Psychol Aging. 2003 Jun;18(2):340-5. doi: 10.1037/0882-7974.18.2.340.

    PubMed 12825781
  • Hertzog C, McGuire CL, Horhota M, Jopp D. Does believing in "use it or lose it" relate to self-rated memory control, strategy use, and recall? Int J Aging Hum Dev. 2010;70(1):61-87. doi: 10.2190/AG.70.1.c.

    PubMed 20377166
  • Hertzog C, Sinclair SM, Dunlosky J. Age differences in the monitoring of learning: cross-sectional evidence of spared resolution across the adult life span. Dev Psychol. 2010 Jul;46(4):939-48. doi: 10.1037/a0019812.

    PubMed 20604613
  • Hertzog C, Dunlosky J. Metacognition in Later Adulthood: Spared Monitoring Can Benefit Older Adults' Self-regulation. Curr Dir Psychol Sci. 2011 Jun;20(3):167-173. doi: 10.1177/0963721411409026.

    PubMed 24478539
  • Hertzog C, Lineweaver TT, Hines JC. Computerized assessment of age differences in memory beliefs. Percept Mot Skills. 2014 Oct;119(2):609-28. doi: 10.2466/03.10.PMS.119c23z4. Epub 2014 Sep 26.

    PubMed 25259780
  • Hertzog C, Lustig E, Pearman A, Waris A. Behaviors and Strategies Supporting Everyday Memory in Older Adults. Gerontology. 2019;65(4):419-429. doi: 10.1159/000495910. Epub 2019 Feb 8.

    PubMed 30739118
  • Lineweaver, T. T., & Hertzog, C. (1998). Adults' efficacy and control beliefs regarding memory and aging: Separating general from personal beliefs. Aging, Neuropsychology, and Cognition 5, 264-296. doi: 10.1076/anec.5.4.264.771

Questions about this trial

What is this clinical trial studying?

A study testing Everyday Metacognitive Memory Intervention in people with Aging, run by Georgia Institute of Technology at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 1 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 1 May 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Everyday Memory Failures (time frame: minimum 8 day period after training on app prior to posttest). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04088136, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 1 May 2024.

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