An Information Processing Approach to the Problem of Medication Noncompliance among Older Adults

1988 ◽  
Vol 32 (3) ◽  
pp. 189-193 ◽  
Author(s):  
Jill Annette Strawbridge

A preliminary experiment was conducted to investigate a cognitive processing explanation for prescription drug noncompliance among older adults. The experimental construct tested was that the dynamic underlying the misinterpretation of many medicine directives is directly related to the number of mental operations that each format requires in order to answer a specific question about dosage information. Reaction times and error rates were found to follow a pattern of results which supports the hypotheses for both older and younger adults. Increasing the number of mental operations was found to be most detrimental to the performance of adults age 75 years and older.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yatin Mahajan ◽  
Jeesun Kim ◽  
Chris Davis

Abstract Background Past research indicates that when younger adults are engaged in a visual working memory task, they are less distracted by novel auditory stimuli than when engaged in a visual task that does not require working memory. The current study aimed to determine whether working memory affords the same protection to older adults. Method We examined behavioral and EEG responses in 16 younger and 16 older adults to distractor sounds when the listeners performed two visual tasks; one that required working memory (W1) and the other that did not (W0). Auditory distractors were presented in an oddball paradigm, participants were exposed to either standard tones (600 Hz: 80%) or various novel environmental sounds (20%). Results It was found that: 1) when presented with novel vs standard sounds, older adults had faster correct response times in the W1 visual task than in the W0 task, indicating that they were less distracted by the novel sound; there was no difference in error rates. Younger adults did not show a task effect for correct response times but made slightly more errors when a novel sound was presented in the W1 task compared to the W0 task. 2) In older adults (but not the younger adults), the amplitude of N1 was smaller in the W1 condition compared to the W0 condition. 3) The working memory manipulation had no effect on MMN amplitude in older adults. 4) For the W1 compared to W0 task, the amplitude of P3a was attenuated for the older adults but not for the younger adults. Conclusions These results suggest that during the working memory manipulation older adults were able to engage working memory to reduce the processing of task-irrelevant sounds.


2018 ◽  
Vol 71 (5) ◽  
pp. 1219-1233 ◽  
Author(s):  
Angela de Bruin ◽  
Sergio Della Sala

Older adults have been argued to have impoverished inhibitory control compared to younger adults. However, these effects of age may depend on processing speed and their manifestation may furthermore depend on the type of inhibitory control task that is used. We present two experiments that examine age effects on inhibition across three tasks: a Simon arrow, static flanker and motion flanker task. The results showed overall slower reaction times (RTs) for older adults on all three tasks. However, effects of age on inhibition costs were only found for the Simon task, but not for the two flanker tasks. The motion flanker task furthermore showed an effect of baseline processing speed on the relation between age and inhibition costs. Older adults with slower baseline responses showed smaller inhibition costs, suggesting they were affected less by the flanker items than faster older adults. These findings suggest that effects of age on inhibition are task dependent and can be modulated by task-specific features such as the type of interference, type of stimuli and processing speed.


2012 ◽  
Vol 23 (02) ◽  
pp. 081-091 ◽  
Author(s):  
Jessica Banh ◽  
Gurjit Singh ◽  
M. Kathleen Pichora-Fuller

Background: Age-related declines in auditory and cognitive processing may contribute to the difficulties with listening in noise that are often reported by older adults. Such difficulties are reported even by those who have relatively good audiograms that could be considered “normal” for their age (ISO 7029-2000 [ISO, 2000]). The Speech, Spatial, and Qualities of Hearing Scale (SSQ; Gatehouse and Noble, 2004) is a questionnaire developed to measure a listener's self-reported ability to hear in a variety of everyday situations, such as those that are challenging for older adults, and it can provide insights into the possible contributions of auditory and cognitive factors to their listening difficulties. The SSQ has been shown to be a sensitive and reliable questionnaire to detect benefits associated with the use of different hearing technologies and potentially other forms of intervention. Establishing how age-matched listeners with audiograms “normal” for their age rate the items on the SSQ could enable an extension of its use in audiological assessment and in setting rehabilitative goals. Purpose: The main purpose of this study was to investigate how younger and older adults who passed audiometric screening and who had thresholds considered to be “normal” for their age responded on the SSQ. It was also of interest to compare these results to those reported previously for older listeners with hearing loss in an attempt to tease out the relative effects of age and hearing loss. Study Sample: The SSQ was administered to 48 younger (mean age = 19 yr; SD = 1.0) and 48 older (mean age = 70 yr, SD = 4.1) adults with clinically normal audiometric thresholds below 4 kHz. The younger adults were recruited through an introductory psychology course, and the older adults were volunteers from the local community. Data Collection and Analysis: Both age groups completed the SSQ. The differences between the groups were analyzed. Correlations were used to compare the pattern of results across items for the two age groups in the present study and to assess the relationship between SSQ scores and objective measures of hearing. Comparisons were also made to published results for older adults with hearing loss. Results: The pattern of reported difficulty across items was similar for both age groups, but younger adults had significantly higher scores than older adults on 42 of the 46 items. On average, younger adults scored 8.8 (SD = 0.6) out of 10 and older adults scored 7.7 (SD = 1.2) out of 10. By comparison, scores of 5.5 (SD = 1.9) have been reported for older adults (mean age = 71 yr, SD = 8.1) with moderate hearing loss (Gatehouse and Noble, 2004). Conclusions: By establishing the best scores that could reasonably be expected from younger and older adults with “normal” hearing thresholds, these results provide clinicians with information that should assist them in setting realistic targets for interventions for adults of different ages.


2020 ◽  
Author(s):  
Anne-Sophie Laurin ◽  
Julie Ouerfelli-Éthier ◽  
Laure Pisella ◽  
Aarlenne Zein Khan

Older adults show declines performing visual search, but their nature is unclear. We propose that it is related to greater attentional reliance on central vision. To investigate this, we tested how occluding central vision would affect younger and older adults in visual search. Participants (14 younger, M = 21.6 years; 16 older, M = 69.6 years) performed pop-out and serial search tasks in full view and with different sized gaze-contingent artificial central scotomas (no scotoma, 3°, 5° or 7° diameter).In pop-out search, older adults showed longer search times for peripheral targets during full viewing. Their reaction times, saccades and fixation durations also increased as a function of scotoma size, contrary to younger adults. These declines may reflect a relative impairment in peripheral visual attention for global processing in aging.In serial search, despite older adults being generally slower, we found no difference between groups in reaction time increases for eccentric targets and for bigger scotomas. These results may come from the difficulty of serial search, in which both groups used centrally limited attentional windows.We conclude that older adults allocate more attentional resources towards central vision compared to younger adults, impairing their peripheral processing primarily in pop-out visual search.


2017 ◽  
Vol 60 (7) ◽  
pp. 2081-2089 ◽  
Author(s):  
Deena Schwen Blackett ◽  
Stacy M. Harnish ◽  
Jennifer P. Lundine ◽  
Alexandra Zezinka ◽  
Eric W. Healy

Purpose Although there is evidence that emotional valence of stimuli impacts lexical processes, there is limited work investigating its specific impact on lexical retrieval. The current study aimed to determine the degree to which emotional valence of pictured stimuli impacts naming latencies in healthy younger and older adults. Method Eighteen healthy younger adults and 18 healthy older adults named positive, negative, and neutral images, and reaction time was measured. Results Reaction times for positive and negative images were significantly longer than reaction times for neutral images. Reaction times for positive and negative images were not significantly different. Whereas older adults demonstrated significantly longer naming latencies overall than younger adults, the discrepancy in latency with age was far greater when naming emotional pictures. Conclusions Emotional arousal of pictures appears to impact naming latency in younger and older adults. We hypothesize that the increase in naming latency for emotional stimuli is the result of a necessary disengagement of attentional resources from the emotional images prior to completion of the naming task. We propose that this process may affect older adults disproportionately due to a decline in attentional resources as part of normal aging, combined with a greater attentional preference for emotional stimuli.


2021 ◽  
pp. 174702182110376
Author(s):  
Tianfang Han ◽  
Robert Proctor

Posner et al. (1973) reported that, at short fixed foreperiods, a neutral warning tone reduced reaction times (RTs) in a visual two-choice task while increasing error rates for both spatially compatible and incompatible stimulus-response mappings. Consequently, they concluded that alertness induced by the warning does not affect the efficiency of information processing but the setting of a response criterion. We conducted two experiments to determine the conditions under which the tradeoff occurs. In Experiment 1, participants performed the same two-choice task as in Posner et al.’s study without RT feedback. Results showed that the warning tone speeded responses with no evidence of speed/accuracy tradeoff. In Experiment 2, RT feedback was provided after each response, and a speed/accuracy trade off was found for the 50-ms foreperiod. However, better information-processing efficiency was evident for the 200-ms foreperiod. We conclude that the foreperiod effect of a 50-ms foreperiod is a result of response-criterion adjustment and that providing trial-level RT feedback is critical for replicating this pattern. On the other hand, fixed foreperiods of 200-ms or longer benefit both speed and accuracy, implying a more controlled preparation component that improves response efficiency.


Author(s):  
Michael Bohan ◽  
Alex Chaparro

Aging is marked by changes in motor control which may be expected to affect performance using computer pointing devices. In this experiment, we compared older and younger adults' ability to acquire on-screen targets of varying distance and size using a mouse and trackball. The older adults moved consistently slower than their younger counterparts with both devices, particularly when making large amplitude movements. Error rates were equivalent for both age groups across all conditions. Analysis of throughput values indicated a significant interaction between age and device in which the younger adults' performance was more degraded when using the trackball than the mouse, while the older adults' performance did not vary across devices. These results are discussed in terms of potential error-averse strategies employed by the older participants in an attempt to compensate for age-related declines in motor control. Although the performance measures obtained in this study imply that older adults would perform equivalently using either the mouse or the trackball, it is not known whether these results generalize to other experimental conditions including different movement tasks, and target characteristics.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Fabian Herold ◽  
Tom Behrendt ◽  
Alexander Törpel ◽  
Dennis Hamacher ◽  
Notger G. Müller ◽  
...  

Abstract Background There is growing evidence for a positive correlation between measures of muscular strength and cognitive abilities. However, the neurophysiological correlates of this relationship are not well understood so far. The aim of this study was to investigate cortical hemodynamics [i.e., changes in concentrations of oxygenated (oxyHb) and deoxygenated hemoglobin (deoxyHb)] as a possible link between measures of muscular strength and cognitive performance. Methods In a cohort of younger adults (n = 39, 18–30 years), we assessed (i) handgrip strength by a handhold dynamometer, (ii) short-term working memory performance by using error rates and reaction times in the Sternberg task, and (iii) cortical hemodynamics of the prefrontal cortex (PFC) via functional near-infrared spectroscopy (fNIRS). Results We observed low to moderate negative correlations (rp =  ~ − 0.38 to − 0.51; p < 0.05) between reaction time and levels of oxyHb in specific parts of the PFC. Furthermore, we noticed low to moderate positive correlations (rp =  ~ 0.34 to 0.45; p < 0.05) between reaction times and levels of deoxyHb in distinct parts of the PFC. Additionally, higher levels of oxyHb (rp (35) = 0.401; p = 0.014) and lower levels of deoxyHb (rp (34) = − 0.338; p = 0.043) in specific parts of the PFC were linked to higher percentage of correct answers. We also found low to moderate correlations (p < 0.05) between measures of handgrip strength and levels of oxyHb (rp =  ~ 0.35; p < 0.05) and levels of deoxyHb (rp =  ~ − 0.25 to − 0.49; p < 0.05) in specific parts of the PFC. However, there was neither a correlation between cognitive performance and handgrip strength nor did cortical hemodynamics in the PFC mediate the relationship between handgrip strength and cognitive performance (p > 0.05). Conclusion The present study provides evidence for a positive neurobehavioral relationship between cortical hemodynamics and cognitive performance. Our findings further imply that in younger adults higher levels of handgrip strength positively influence cortical hemodynamics although the latter did not necessarily culminate in better cognitive performance. Future research should examine whether the present findings can be generalized to other cohorts (e.g., older adults).


Author(s):  
Patrick Lemaire ◽  
Thomas Hinault

To determine how younger and older adults modulate execution of strategies across successive trials, we asked participants to accomplish a computational estimation task (i.e., provide approximate products to two-digit multiplication problems like 38 × 74). For each problem, they were cued to execute a better versus a poorer strategy. Their performance revealed sequential modulations of poorer-strategy effects (i.e., longer solution times and larger error rates when asked to execute a poorer than a better strategy). That is, poorer-strategy effects were smaller on current problems after using a poorer strategy on preceding problems than after using a better strategy. Moreover, sequential modulations of these poorer-strategy effects were smaller in older than in younger adults, especially older adults with low-cognitive control skills (as measured by conflict adaptation effects in the Simon task). Our findings suggest that these sequential modulations may result from executive control mechanisms, the efficiency of which is known to decrease in older adults. These findings have important implications regarding mechanisms underlying strategy execution and aging effects on strategic variations.


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