Compensation Strategies in Older Adults: Association With Cognition and Everyday Function (original) (raw)

2018, American journal of Alzheimer's disease and other dementias

Compensation strategies may contribute to greater resilience among older adults, even in the face of cognitive decline. This study sought to better understand how compensation strategy use among older adults with varying degrees of cognitive impairment impacts everyday functioning. In all, 125 older adults (normal cognition, mild cognitive impairment, dementia) underwent neuropsychological testing, and their informants completed questionnaires regarding everyday compensation and cognitive and functional abilities. Cognitively normal and mild cognitive impairment older adults had greater levels of compensation use than those with dementia. Higher levels of neuropsychological functioning were associated with more frequent compensation use. Most importantly, greater frequency of compensation strategy use was associated with higher levels of independence in everyday function, even after accounting for cognition. Use of compensation strategies is associated with higher levels of function...

Everyday functioning and cognitive correlates in healthy older adults with subjective cognitive concerns

The Clinical neuropsychologist, 2016

Few studies have examined functional abilities and complaints in healthy older adults (HOAs) with subjective cognitive concerns (SCC). The aims of this study were to assess everyday functioning in HOAs reporting high and low amounts of SCC and examine cognitive correlates of functional abilities. Twenty-six HOAs with high SCC and 25 HOAs with low SCC, as well as their knowledgeable informants, completed the Instrumental Activities of Daily Living-Compensation (IADL-C), a questionnaire measure of everyday functioning. After controlling for depression, the high-SCC group self-reported significantly more everyday difficulties on the IADL-C, including all subdomains. Compared to the low-SCC group, informants for the high-SCC group endorsed more difficulties on the IADL-C and specifically the social skills subdomain. For the high-SCC group, poorer self-report of everyday functioning was related to poorer executive functioning and temporal order memory. These findings indicate that there ...

Cognitive Activities and Instrumental Activity of Daily Living in Older Adults with Mild Cognitive Impairment

Dementia and Geriatric Cognitive Disorders Extra, 2013

Aims: This study aimed to identify differences in the implementation of cognitive activities and instrumental activities of daily living (IADLs) between healthy individuals and subjects with mild cognitive impairment (MCI). Methods: The study included 2,498 cognitively healthy subjects (mean age, 71.2 ± 5.1 years) and 809 MCI subjects (mean age, 71.8 ± 5.4 years). The subjects were interviewed regarding their participation in cognitive activities and the implementation of IADLs. Results: We found a significant association between participation in any cognitive activities (p < 0.001), using a bus or a train (p < 0.001), and MCI. After adjusting for covariates, cognitive activity of any type remained significantly associated with MCI (p < 0.005) but not with the implementation of IADLs. Conclusions: Our study revealed that greater participation in cognitive activity was associated with lower odds of MCI. Participation in cognitive activities may reflect differences between he...

Mild Cognitive Impairment and Objective Instrumental Everyday Functioning: The Everyday Cognition Battery Memory Test

Journal of the American Geriatrics Society, 2000

To examine the performance subjects with and without mild cognitive impairment (MCI) on an objective measure of everyday or real-world memory and subjective items assessing competency within the same instrumental domains; to determine whether the Everyday Cognition Battery (ECB) can uniquely predict MCI status. Cross-sectional. Independent-living sample of urban dwelling elders in Baltimore Maryland. The sample consisted of 555 subjects ranging in age from 50 to 95 (mean 68.8 +/- 9.6). Objective performance in three instrumental domains (medication use, financial management, nutrition and food preparation) was assessed using the ECB Memory Test. Subjective performance within the same instrumental domains was also assessed. No difference was found between elderly subjects with and without MCI on the subjective items of instrumental activity of daily living (IADL) competency. A significant multivariate effect for cognitive status group (F(3, 507)=21.88, P&amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;amp;lt;.05, eta(2)=.12) was observed for the objective measure, with participants with MCI performing, on average, significantly worse than those without on all thee instrumental domain subscales. The medicine use (odds ratio (OR)=0.96, 95% confidence interval (CI)=0.94-0.99) and financial management (OR=0.93, 95% CI=0.91-0.96) subscales of the ECB Memory Test were unique and significant predictors of MCI. This study adds to the growing body of literature suggesting that cognitively complex IADLs might be compromised in elderly people with MCI. Moreover, the ECB Memory Test might be a clinically useful tool in evaluating real-world competency.

Memory compensation strategies in everyday life: similarities and differences between younger and older adults

Scientific Reports, 2023

Memory compensation strategies serve an important role in everyday functioning, especially in the face of cognitive decline. Research on the external memory compensation strategies employed by older adults has focused almost entirely on non-digital tools. Less is known about how memory compensation strategies might have changed due to the rapid and widespread uptake of digital technologies. In the current research, 208 younger adults and 114 older adults freely reported what internal or external memory strategy or tool they would use to accomplish 20 different everyday memory tasks. Participants' responses were coded as involving either internal (e.g. using a mnemonic) or external (e.g. writing a list) strategies, and then underwent further categorisation to classify types of internal and external strategies (e.g. digital or physical tool). Findings indicated that external strategies were much more prevalent than internal strategies for both younger and older adults, and that digital compensation strategies were prevalent for both age groups. There were age differences such that older adults reported more strategies overall, and were less likely to report digital tools, more likely to report physical tools, more likely to report environmental tools, and less likely to report social tools than younger adults. Positive attitudes to technology were associated with digital tool use for older but not younger participants. Findings are discussed in terms of existing theories and approaches to studying memory compensation strategies and cognitive offloading.

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