Prospective memory assessment: Scientific advances and future directions

Prospective memory and quality of life in older and younger autistic adults

Ageing in late adulthood is generally accompanied by diminished prospective memory (PM), which itself is associated with declining quality of life (QoL). Given that autistic individuals are often reported as having PM difficulties and diminished QoL, we aimed to establish whether these measures are also associated in these individuals as they grow older. We administered questionnaire measures of prospective and retrospective memory (PM and RM) and of overall and health-related quality of life (QoL) and experimental measures of time-based and event-based PM (TBPM and EBPM) to 35 autistic and 22 non-autistic adults aged from 23 to 80 years. The autistic participants reported higher levels of PM and RM difficulties than non-autistic participants but that these reports did not correlate with age nor with the experimental TBPM or EBPM measures in either group. Age correlated negatively with two of the experimental measures of TBPM for the non-autistic participants, replicating earlier studies. Autistic participants showed diminished performance on the TBPM but not the EBPM measures, replicating the majority of earlier PM studies in autism. Autistic participants also reported lower overall and health-related QoL, but there were no age-related differences for either measure in either diagnostic group. Self-reported PM and RM correlated significantly with health-related QoL in both the autistic and non-autistic participants. Overall QoL was positively associated with TBPM accuracy in the non-autistic participants. In addition to confirming earlier findings showing that autistic individuals have greater difficulties with TBPM compared to EBPM, our findings suggest that neither EBPM nor TBPM difficulties appear to adversely affect their overall or health-related QoL. The patterning of the autistic participants' results also suggests that the mechanisms underlying their performance on the tasks used in this study may differ from those of the non-autistic participants, pointing to the need for careful task analysis when designing future investigations.

Prospective memory functions in traumatic brain injury: The role of neuropsychological deficits, metamemory and impaired self-awareness

A large body of evidence suggests that individuals with traumatic brain injury (TBI) have significant difficulties with prospective memory (PM), the memory for future intentions. However, the processes underlying this cognitive deficit remain unclear. This study aimed to gather further evidence regarding PM functions in TBI and clarify the role of neuropsychological deficits, metamemory, and mood disorders. We used a laboratory-based clinical measure, the Virtual Week, to examine PM function in 18 patients with TBI and 18 healthy control subjects. Measures of attention, processing speed, executive functions, episodic memory, and self-report questionnaires were also administered. In line with prior literature, our findings indicate that individuals with TBI had a consistent deficit compared to controls across all PM tasks. In previous studies, TBI patients had more severe impairment on time-based tasks; nevertheless, our results show that across all participants event-based tasks were easier to perform compared to time-based only when the retrospective memory demand was high. The patients were not only impaired on the prospective component of PM but also failed to recognise the content of their task (the retrospective component). Interestingly, the TBI group did not report higher levels of everyday memory problems, anxiety and depression compared to the control group. These measures also failed to correlate with PM and recognition memory performance. This study found that besides the neuropsychological deficits, a global impairment in PM functioning is present in individuals with TBI across various task types, tasks low and high in retrospective demands, and event versus time-based.

The effect of response inhibition on the aftereffects of completed prospective memory

The aftereffects of completed prospective memory (PM) refer to the phenomenon that, after PM task completion, it interferes with the subsequent task or results in the repetition of the previous intended behavior. Inhibition processing and monitoring processing are two important theoretical perspectives to explain the emergence of the aftereffects of PM. The present study aimed at exploring the processing mechanisms of PM aftereffects. In experiment 1, the response delay time was manipulated during the intention response to assess the role of response inhibition in the aftereffects of PM. In experiment 2, the convenience of response was manipulated by changing different response keys during task response phase, to further examine the effect of response inhibition. The results of Experiment 1 showed that the response speed of the ongoing tasks in the experimental group was slower than that in the control group under the non-delay condition. The results of Experiment 2 also showed that both convenient response group and inconvenient response group had slower response speed than control group. The results of Experiment 1 showed that more commission errors were generated under the delay condition. The results of the ongoing tasks indicate that PM aftereffects involve a controlled processing in both experiments. The results of commission errors in Experiment 1 indicate that the controlled processing involved in PM aftereffects is inhibition rather than monitoring, which supports the inhibition view.

From the lab to the classroom: Improving children's prospective memory in a natural setting

BACKGROUND

Laboratory-based studies have shown that children's ability to remember intentions (i.e., prospective memory; PM) can be improved by asking them to imagine performing the PM task beforehand (i.e., episodic future thinking; EFT) or to predict their PM performance. Moreover, combining the two strategies resulted in an additional improvement in children's PM performance. However, the effectiveness of these encoding strategies on real-life PM tasks is still unknown.

AIMS

The aim of the present study was to evaluate the effect of EFT instructions, performance predictions, and of their combination on children's PM in a natural setting, namely in the classroom.

SAMPLE

Twelve classes composed by a total of 121 children (53% females) aged between seven and 9 years participated to the study.

METHODS

As a PM task, children were asked by their teachers to deliver a letter to their parents and to bring it back to school the next day. Children were divided into four groups: control, prediction, EFT, and the EFT + prediction group. Parent reports on children's everyday prospective and retrospective memory failures were also collected.

RESULTS

Results showed that encoding strategies were effective in enhancing children's PM performance. However, differences compared to previous laboratory-based findings emerged since predicting PM performance resulted to be most effective in enhancing real-life PM performance. Moreover, parent reports were related to children's PM performance.

CONCLUSIONS

These novel findings highlight the importance of studying PM interventions in natural settings in order to increase their ecological validity and inform educational practices.