Aging and effort expenditure: The impact of subjective perceptions of task demands

Perceptions of task difficulty predict cognitive effort for older adults

This study examined age differences in effort devoted to completing cognitively demanding tasks. Fifty-two younger adults ages 18-30 years (Mage = 21.19) and 57 older adults ages 61-93 years (Mage = 76.56) completed a series of memory tests. Following each test, participants rated the test's difficulty and had their blood pressure measured. Effort was indexed by systolic blood pressure response (SBP-R) with greater increases in SBP-R reflecting more effort. Multilevel modeling was used to examine age differences in the intraindividual association between trial-level subjective task difficulty and trial-level effort. Results showed that increases in task difficulty were significantly related to decreases in SBP-R for the older but not younger adults, suggesting the older adults disengaged from the tests they perceived as highly difficult. Findings support Selective Engagement Theory (Hess, 2014), which suggests the perceived cognitive costs of completing difficult tasks may reduce older adults' motivation to engage in the tasks.

How older adults manage misinformation and information overload - A qualitative study

BACKGROUND

The COVID-19 pandemic was characterized by an abundance of information, some of it reliable and some of it misinformation. Evidence-based data on the impact of misinformation on attitudes and behaviours remains limited. Studies indicate that older adults are more likely to embrace and disseminate misinformation than other population groups, making them vulnerable to misinformation. The purpose of this article is to explore the effects of misinformation and information overload on older adults, and to present the management strategies put in place to deal with such effects, in the context of COVID-19.

METHODS

A qualitative exploratory approach was adopted to conduct this research. A total of 36 semi-structured interviews were conducted with older adults living in Quebec, Canada. The interviews were fully transcribed and subjected to a thematic content analysis.

RESULTS

Participants said they could easily spot misinformation online. Despite this, misinformation and its treatment by the media could generate fear, stress and anxiety. Moreover, the polarization induced by misinformation resulted in tensions and even friendship breakdowns. Participants also denounced the information overload produced largely by the media. To this end, the participants set up information routines targeting the sources of information and the times at which they consulted the information.

CONCLUSIONS

This article questions the concept of vulnerability to misinformation by highlighting older adults' agency in managing misinformation and information overload. Furthermore, this study invites us to rethink communication strategies by distinguishing between information overload and misinformation.

The Relationship Between Older Adults' Subjective Age and Perceived Effort on Cognitive Tasks

BACKGROUND

Although engagement in cognitively-demanding activities is beneficial for older adults, research suggests that older adults may be less motivated to engage in these types of activities because of the increased age-related costs associated with task engagement and their perceptions of the task demands.

METHODS

Across three studies, we investigated if older adults' subjective age predicted their perceptions of effort over the course of a working memory task. Younger and older adults reported their subjective age and then completed an increasingly difficult series of working memory trials, indicating perceived task demands and effort after each trial.

RESULTS

Results from all three studies showed that there was no age difference in performance or in perceptions of task difficulty, contrary to previous results. Also, there was no significant association between older adults' subjective age and perceived effort, suggesting that subjective age may not be a reliable predictor of perceptions of task demands in older adults.

DISCUSSION

Participant characteristics and the testing environment may play a role in determining the relationship between subjective age and perceived effort.

The need to change: Is there a critical role of midlife adaptation in mental health later in life?

Although late-life depression (LLD) is a serious health problem and more common than dementia in people over 60, it is underdiagnosed and undertreated. The cognitive-emotional etiology of LLD is particularly poorly understood. This is in contrast to the now extensive literature from psychology and cognitive neuroscience on the characteristics of emotionally healthy aging. This research consistently shows a change in emotional processing in older adults that is modulated by prefrontal regulation. Lifespan theories explain this change in terms of neurocognitive adaptation to limited opportunities and resources that typically occur in the second half of life. Epidemiological data on an increase in well-being after a low point around age 50 suggest that the majority of people seem quite capable of making this adaptation, even though empirical evidence for a causal modulation of this so called 'paradox of aging' and for the role of the midlife dip is still lacking. Intriguingly, LLD is associated with deficits in emotional, cognitive, and prefrontal functions similar to those shown to be crucial for healthy adaptation. Suspected causes of these deficits, such as white matter lesions or affective instability, become apparent as early as midlife when internal and external changes as well as daily challenges set in. Based on these findings, we propose that some individuals who develop depression at older ages may not have been able to successfully implement self-regulatory adaptation at midlife. Here, we review the current evidence and theories on successful aging, the neurobiology of LLD, and well-being across the lifespan. Drawing on recent advances in lifespan theories, emotion regulation research, and cognitive neuroscience, we propose a model of successful versus unsuccessful adaptation that emphasizes the increasing need for implicit habitual control and resource-based regulatory choice during midlife.

Determinants of Social Cognitive Aging: Predicting Resilience and Risk

This review focuses on conceptual and empirical research on determinants of social cognitive aging. We present an integrated model [the social cognitive resource (SCoRe) framework] to organize the literature and describe how social cognitive resilience is determined jointly by capacity and motivational resources. We discuss how neurobiological aging, driven by genetic and environmental influences, is associated with broader sensory, neural, and physiological changes that are direct determinants of capacity as well as indirect determinants of motivation via their influence on expectation of loss versus reward and cognitive effort valuation. Research is reviewed that shows how contextual factors, such as relationship status, familiarity, and practice, are fundamental to understanding the availability of both types of resource. We conclude with a discussion of the implications of social cognitive change in late adulthood for everyday social functioning and with recommendations for future research.

Older adults' memory beliefs predict perceptions of memory strategy difficulty and effectiveness

The current study investigated whether memory self-efficacy and beliefs about the controllability of memory abilities relate to older adults' perceptions of the difficulty and effectiveness of various strategies for improving their everyday memory. One hundred and fifteen older adults (ages 65-89) completed the Personal Beliefs about Memory Instrument to evaluate their beliefs about their own memory abilities and the Memory Strategies Questionnaire to assess perceptions of the difficulty and effectiveness of utilizing six different strategic approaches for optimizing memory function. Results showed that memory-self efficacy related to older adults' perceptions of how difficult various memory strategies are to implement, whereas control beliefs related to perceptions of memory strategy effectiveness. These results advance our understanding of how memory beliefs influence older adults' selection of approaches to improve their everyday memory abilities.

The perceived mental effort of everyday activities in older adults

People's perceptions of the mental effort required for everyday activities may drive variation in the relationships between lifestyles and cognitive ability. We asked n = 259 healthy older adults aged 60 to 70 years (90 males, 169 females) to provide a rating of the Perceived Mental Effort (PME) for each activity instance they recalled over a 48-h period as part of a time-use recall. PME was rated on a 9-point scale from "very, very low" (score of 1) to "very, very high" (score of 9). Across the entire sample, participants rated a total of 196 different activities and 17,433 activity instances. The mean PME for individual activities was 3.50 ± 1.58. PMEs varied significantly by activity domain, with highest ratings being for Work (5.48 ± 1.72) and the lowest for Self-Care (2.89 ± 0.98). In multivariate analyses, PME ratings were higher in males than females (+0.30), PMEs were higher later in the day, increased with task duration, and decreased with age (all p < 0.0001). Time-weighted average individual PMEs across the two days of recall ranged from 1.86 to 6.50, and were 0.3 units higher for males, but unrelated to age. Repeated intra-individual PME ratings for the same activity were very reliable (ICC = 0.995, mean absolute difference = 0.03 ± 0.17). PMEs show promise as a reliable measure of mental effort.

Aging attitudes and changes in the costs of cognitive engagement in older adults over 5 years

The costs associated with performing a specific activity may play an important role in determining engagement, potentially impacting the willingness of older adults to engage in activities-particularly those with high demands-that may have benefits for physical and cognitive health. The present study examined changes in both objective (effort expenditure) and subjective (perceived task demands) costs associated with engagement in a cognitively challenging memory-scan task across a 5-year period in 163 older adults aged 64-81. Consistent with assumptions of selective engagement theory (SET; Hess, 2014), the effort associated with performing the task-as assessed by systolic blood pressure responses-was observed to increase over time. Subjective assessments of costs, as assessed by the National Aeronautics and Space Administration task load index (NASA TLX), were also observed to increase. In addition, the increases in both objective and subjective costs were greatest at high levels of task demands. We further found that both the effort and, to a lesser extent, perceived costs associated with performance were moderated by aging attitudes. Specifically, more positive attitudes were associated with greater effort expenditure and lower perceived costs. These findings suggest that negative attitudes about aging may have detrimental effects on perceived ability to perform challenging tasks. Given the importance of costs in determining activity participation, promoting positive aging attitudes along with more realistic perceptions of task demands may provide important means for promoting engagement in beneficial activities. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Purpose in Life and Cognition Interact to Impact Healthcare and Financial Decision Making in Old Age

Objectives: Little is known about the contribution of positive psychological factors, such as purpose in life, to healthcare and financial decision making in aging. Here, we examined the relationship between purpose and decision making and tested the hypothesis that purpose benefits decision making, particularly when cognition is limited. Methods: Participants were 1081 community-based older adults without dementia. Healthcare and financial decision making was measured via a 12-item performance-based instrument. Purpose was measured via a 10-item scale. Results: In a linear regression model adjusted for age, sex, and education, higher global cognition was associated with better performance on the decision making measure, as expected. Purpose was not directly related to decision making. However, the interaction of purpose with cognition was significant, such that greater purpose was associated with better decision making among persons with lower cognition. Discussion: Purpose in life may promote better decision making among older adults with lower cognition.

Development and Co-design of NeuroOrb: A Novel “Serious Gaming” System Targeting Cognitive Impairment in Parkinson’s Disease

Whilst Parkinson’s disease (PD) is typically thought of as a motor disease, a significant number of individuals also experience cognitive impairment (CI), ranging from mild-CI to dementia. One technique that may prove effective in delaying the onset of CI in PD is cognitive training (CT); however, evidence to date is variable. This may be due to the implementation of CT in this population, with the motor impairments of PD potentially hampering the ability to use standard equipment, such as pen-and-paper or a computer mouse. This may, in turn, promote negative attitudes toward the CT paradigm, which may correlate with poorer outcomes. Consequently, optimizing a system for the delivery of CT in the PD population may improve the accessibility of and engagement with the CT paradigm, subsequently leading to better outcomes. To achieve this, the NeuroOrb Gaming System was designed, coupling a novel accessible controller, specifically developed for use with people with motor impairments, with a “Serious Games” software suite, custom-designed to target the cognitive domains typically affected in PD. The aim of the current study was to evaluate the usability of the NeuroOrb through a reiterative co-design process, in order to optimize the system for future use in clinical trials of CT in individuals with PD. Individuals with PD (n = 13; mean age = 68.15 years; mean disease duration = 8 years) were recruited from the community and participated in three co-design loops. After implementation of key stakeholder feedback to make significant modifications to the system, system usability was improved and participant attitudes toward the NeuroOrb were very positive. Taken together, this provides rationale for moving forward with a future clinical trial investigating the utility of the NeuroOrb as a tool to deliver CT in PD.

The influence of age and age simulation on task-difficulty choices in motor tasks

    Having a realistic perception of one's motor abilities is important for successful aging. We used two different motor tasks, carrying a tray with cube-towers (study 1; n = 20 young adults; n = 20 older adults), and stepping over a crossbar (study 2; n = 23 young adults; n = 21 older adults), to investigate how physical risk influences task-difficulty choices. We also investigated the effect of wearing an age simulation suit on young adults. For the tray-carrying task, older adults were more risk-tolerant in their task-difficulty choices. When stepping over the crossbar, older adults left a larger "safety-buffer" than young adults. When wearing the age suit, young adults adopted a more careful strategy in the stepping task. We conclude that healthy older adults flexibly adjust their strategies to postural risks, and that young adults' strategy-choices can be influenced by experimentally inducing some of the sensory-motor constraints of old age.

Influences of dopaminergic system dysfunction on late-life depression

Deficits in cognition, reward processing, and motor function are clinical features relevant to both aging and depression. Individuals with late-life depression often show impairment across these domains, all of which are moderated by the functioning of dopaminergic circuits. As dopaminergic function declines with normal aging and increased inflammatory burden, the role of dopamine may be particularly salient for late-life depression. We review the literature examining the role of dopamine in the pathogenesis of depression, as well as how dopamine function changes with aging and is influenced by inflammation. Applying a Research Domain Criteria (RDoC) Initiative perspective, we then review work examining how dopaminergic signaling affects these domains, specifically focusing on Cognitive, Positive Valence, and Sensorimotor Systems. We propose a unified model incorporating the effects of aging and low-grade inflammation on dopaminergic functioning, with a resulting negative effect on cognition, reward processing, and motor function. Interplay between these systems may influence development of a depressive phenotype, with an initial deficit in one domain reinforcing decline in others. This model extends RDoC concepts into late-life depression while also providing opportunities for novel and personalized interventions.

Effort Mobilization and Healthy Aging

Healthy aging is in part dependent upon people's willingness and ability to mobilize the effort necessary to support behaviors that promote health and well-being. People may have the best information relating to health along with the best intentions to stay healthy (e.g., health-related goals), but positive outcomes will ultimately be dependent upon them actually investing the necessary effort toward using this information to achieve their goals. In addition, the influences on effort mobilization may vary as a function of physical, psychological, and social changes experienced by the individual across the life span. Building on the overall theme of this special issue, we explore the relationships between motivation, effort mobilization, and healthy aging. We begin by characterizing the relationship between motivation and effort, and identify the factors that influence effort mobilization. We then consider the factors associated specifically with aging that may influence effort mobilization (e.g., changes in cardiovascular and neural mechanisms) and, ultimately, the health and well-being of older adults. Finally, distinguishing between those influential factors that are modifiable versus intractable, we identify ways to structure situations and beliefs to optimize mobilization in support of healthy aging.

Seizing the opportunity: Lifespan differences in the effects of the opportunity cost of time on cognitive control

Previous work suggests that lifespan developmental differences in cognitive control reflect maturational and aging-related changes in prefrontal cortex functioning. However, complementary explanations exist: It could be that children and older adults differ from younger adults in how they balance the effort of engaging in control against its potential benefits. Here we test whether the degree of cognitive effort expenditure depends on the opportunity cost of time (average reward rate per unit time): if the average reward rate is high, participants should withhold cognitive effort whereas if it is low, they should invest more. In Experiment 1, we examine this hypothesis in children, adolescents, younger, and older adults, by applying a reward rate manipulation in two cognitive control tasks: a modified Erikson Flanker and a task-switching paradigm. We found that young adults and adolescents reflexively withheld effort when the opportunity cost of time was high, whereas older adults and, to a lesser degree children, invested more resources to accumulate reward as quickly as possible. We tentatively interpret these results in terms of age- and task-specific differences in the processing of the opportunity cost of time. We qualify our findings in a second experiment in younger adults in which we address an alternative explanation of our results and show that the observed age differences in effort expenditure may not result from differences in task difficulty. To conclude, we think that our results present an interesting first step at relating opportunity costs to motivational processes across the lifespan. We frame the implications of further work in this area within a recent developmental model of resource-rationality, which points to developmental sweet spots in cognitive control.

Evaluating the Consistency of Subjective Activity Assessments and Their Relation to Cognition in Older Adults

(1) Background: Research examining whether activity engagement is related to cognitive functioning in older adults has been limited to using retrospective reports of activity which may be affected by biases. This study compared two measurements (estimated weekly versus reported daily), and whether these activity assessments were related to cognition in older adults; (2) Methods: Participants from US (n = 199) and Australian (n = 170) samples completed a weekly estimate of activity, followed by 7 consecutive days of daily reporting. Differences between weekly estimates and daily reports were found, such that estimations at the weekly level were lower than self-reported daily information. Multivariate multiple regression was used to determine whether total activity, activity domains and the discrepancy between assessment types (i.e., weekly/daily) predicted cognitive performance across three cognitive domains (fluid, verbal, memory); (3) Results: When activity assessments were totaled, neither predicted cognition; however, when activity was grouped by domain (cognitive, social, physical), different domains predicted different cognitive outcomes. Daily reported cognitive activity significantly predicted verbal performance (β = 1.63, p = 0.005), while weekly estimated social activity predicted memory performance (β = −1.81, p = 0.050). Further, while the magnitude of discrepancy in total activity did not significantly predict cognitive performance, domain specific differences did. Differences in physical activity reported across assessments predicted fluid performance (β = −1.16, p = 0.033); (4) Conclusions: The significant discrepancy between the measurement types shows that it is important to recognize potential biases in responding when conducting activity and cognition research.

Baseline levels of alertness influence tES effects along different age-related directions

Normal aging is usually accompanied by several structural and functional physiological changes of the brain, which are closely related to alterations of cognitive functions (e.g., visual short-term memory). As the average age of the population increases, it has become crucial to identify cognitive-behavioural interventions to maintain a healthy level of cognitive performance. Among a variety of approaches, the targeting of specific intrinsic alertness mechanisms has shown a solid rationale and beneficial effects in both healthy and pathological ageing. In a similar vein, the use of non-invasive transcranial electrical stimulation (tES) represents another promising approach to induce an alerting state that can produce advantages in the information processing in the brain and therefore behaviour. Here, we investigated whether time-locked bursts of tES (i.e., transcranial random noise stimulation) were effective in inducing behavioural and physiological changes, consistently with an alertness increase, in both young and older healthy adults. Namely, we expected to find a beneficial alerting effect on visual short-term memory performance as a function of stimulus perceptual salience and tES. The initial results showed that the performance of younger adults was not affected by tES, while older adults scored lower correct responses for high-salience stimuli during real tES with respect to sham stimulation. However, after including a baseline measure of subjective level of alertness in the analyses, a tES-induced memory improvement did emerge in the less alerted younger adults, while only the more alerted older adults were subject to the worsening effect by tES. We discuss these results in consideration of the evidence on critical age-related differences as well as the interaction between neurostimulation and baseline alerting mechanisms.

RZ Interval as an Impedance Cardiography Indicator of Effort-Related Cardiac Sympathetic Activity

Research on effort and motivation commonly assesses how the sympathetic branch of the autonomic nervous system affects the cardiovascular system. The cardiac pre-ejection period (PEP), assessed via impedance cardiography, is a common outcome, but assessing PEP requires identifying subtle points on cardiac waveforms. The present research examined the psychometric value of the RZ interval (RZ), which has recently been proposed as an indicator of sympathetic activity, for effort research. Also known as the initial systolic time interval (ISTI), RZ is the time (in ms) between the ECG R peak and the dZ/dt Z peak. Unlike PEP, RZ involves salient waveform points that are easily and reliably identified. Data from two experiments evaluated the suitability of RZ for effort paradigms and compared it to a popular automated PEP method. In Studies 1 (n = 89) and 2 (n = 71), participants completed a standard appetitive task in which each correct response earned a small amount of cash. As expected, incentives significantly affected PEP and RZ in both experiments. PEP and RZ were highly correlated (all rs ≥ 0.89), and RZ consistently yielded a larger effect size than PEP. In Study 3, a quantitative synthesis of the experiments indicated that the effect size of RZ's response to incentives (Hedges's g = 0.432 [0.310, 0.554]) was roughly 15% larger than PEP's effect size (g = 0.376 [0.256, 0.496]). RZ thus appears promising for future research on sympathetic aspects of effort-related cardiac activity.

Losing Money and Motivation: Effects of Loss Incentives on Motivation and Metacognition in Younger and Older Adults

Incentives are usually expected to increase motivation and cognitive control and to thereby improve performance. A small but growing number of studies have begun to investigate whether the effects of incentive on cognitive performance differ for younger vs. older adults. Most have used attention and cognitive control paradigms, trial-wise implementation of incentive condition, and gain incentives (reward), with only a very few investigating the effects of loss incentives. The present study takes a complementary approach: We tested younger and older adults in a working memory paradigm with loss incentives implemented session-wide (between subjects). We also included self-report measures to ask how loss incentive affected participants’ perceptions of the mental demand of the task, as well as their perceived effort, frustration, motivation, distraction, and metacognitive judgments of how well they had performed. This allowed us to test the disparate predictions of different theoretical views: the intuitive hypothesis that incentive should increase motivation and performance, the motivational shift proposal that older adults are especially motivated to avoid losses (Freund and Ebner, 2005), a heuristic “positivity effect” perspective that older adults ignore losses (Brassen et al., 2012; Williams et al., 2017), and a more nuanced view that suggests that when negative information is unavoidable and increases perceived costs, older adults may instead disengage from the situation (Charles, 2010; Hess, 2014). The results seemed most consistent with the more nuanced view of the positivity effect. While neither group showed incentive-related performance differences, both younger and older adults reported greater perceived demand and frustration under loss incentive, especially in the most challenging conditions. Loss incentive increased the accuracy of immediate metacognitive judgments, but reduced the accuracy of later, more global judgments of competency for older adults. Self-report measures suggested that the loss incentive manipulation was distracting to young adults and demotivating for older adults. The results suggest a need for caution in generalizing from existing studies to everyday life, and that additional studies parameterizing critical aspects of task design and incentive manipulation are needed to fully understand how incentives affect cognition and motivation in younger and older adults.

Investigating EEG theta and alpha oscillations as measures of value-directed strategic processing in cognitively normal younger and older adults

Value-directed strategic processing is an ability that appears to be relatively preserved with aging, but the neurophysiological mechanisms underlying strategic processing in older adults are not well understood. The current study examined age-related spectral power differences in EEG oscillations linked to processing of high-value versus low-value information in a value-directed strategic processing task in 24 younger adults (mean age: 22.4 ± 1.2 years) and 24 older adults (mean age: 63.2 ± 6.4 years). Both groups exhibited comparable strategic processing ability behaviorally with preferential recall of high- compared to low-value words. Both groups exhibited comparable theta band power with greater synchronization for low- compared to high-value words, but age-related differences in processing were noted in alpha band power. Older adults showed more prolonged alpha desynchronization for high- compared to low-value words relative to younger adults. This neurophysiological modulation in the alpha band in older adults might reflect a compensatory neural mechanism or increased effort linked to selective engagement of neural resources, allowing them to perform similarly to younger adults behaviorally on a value-directed strategic processing task.

Predictors of engagement in young and older adults: The role of specific activity experience

Activity that places demands on cognitive resources has positive effects on cognitive health in old age. To further understand determinants of age-group differences in participation, we examined how negative aging stereotypes and responses associated with a cognitively challenging activity influenced future willingness to engage in that activity. Sixty-nine young (20-40 years) and 80 older (63-84 years) adults performed a letter-number sequencing (LNS) task at different levels of demand for 15 min, during which systolic blood pressure responses-a measure of effort mobilization-and subjective perceptions of task demands were assessed. Approximately half the participants were primed with a negative aging stereotype prior to this task. Following the LNS task, participants completed an effort-discounting task, with resulting subjective values indicating their willingness to perform the task at each level of demand. As expected, both subjective and objective indicators of cognitive demands as well as performance were associated with future willingness to engage in a difficult task, with these effects being significantly greater for older adults. In addition, although stereotype activation influenced older adults' engagement levels in the LNS task, it did not moderate willingness. Together, the results indicate that, relative to younger adults, older adults' decisions to engage in cognitively challenging activities are disproportionately affected by their subjective perceptions of demands. Interestingly, actual engagement with the task and associated success result in reduced perceptions of difficulty and greater willingness to engage. Thus, overcoming faulty and discouraging task perceptions may promote older adults' engagement in demanding but potentially beneficial activities. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Aging in an Era of Fake News

Misinformation causes serious harm, from sowing doubt in modern medicine to inciting violence. Older adults are especially susceptible - they shared the most fake news during the 2016 US election. The most intuitive explanation for this pattern blames cognitive deficits. While older adults forget where they learned information, fluency remains intact and decades of accumulated knowledge helps them evaluate claims. Thus, cognitive declines cannot fully explain older adults' engagement with fake news. Late adulthood also involves social changes, including general trust, difficulty detecting lies, and less emphasis on accuracy when communicating. In addition, older adults are relative newcomers to social media, who may struggle to spot sponsored content or manipulated images. In a post-truth world, interventions should consider older adults' shifting social goals and gaps in their digital literacy.

Perceived Benefits and Costs Contribute to Young and Older Adults' Selectivity in Social Relationships

This article explores the influence of perceived benefits and costs on willingness to engage in social interactions in 32 young adults aged 20 to 40 years and 38 older adults aged 65 to 85 years. Results showed (1) increases in perceived benefits and importance of each relationship but decreases in perceived costs associated with increases in network centrality, (2) reduced willingness in older adults to engage with social partners for whom perceived costs outweighed benefits, and (3) perceived costs and benefits subsumed the effects of the affective qualities of social interactions. Findings support an analysis of social behavior based on the selective engagement theory (Hess, 2014), with selection effects in willingness to engage in social interactions related to perceived benefits and costs.

Motor Planning of Vertical Arm Movements in Healthy Older Adults: Does Effort Minimization Persist With Aging?

Several sensorimotor modifications are known to occur with aging, possibly leading to adverse outcomes such as falls. Recently, some of those modifications have been proposed to emerge from motor planning deteriorations. Motor planning of vertical movements is thought to engage an internal model of gravity to anticipate its mechanical effects on the body-limbs and thus to genuinely produce movements that minimize muscle effort. This is supported, amongst other results, by direction-dependent kinematics where relative durations to peak accelerations and peak velocity are shorter for upward than for downward movements. The present study compares the motor planning of fast and slow vertical arm reaching movements between 18 young (24 ± 3 years old) and 17 older adults (70 ± 5 years old). We found that older participants still exhibit strong directional asymmetries (i.e., differences between upward and downward movements), indicating that optimization processes during motor planning persist with healthy aging. However, the size of these differences was increased in older participants, indicating that gravity-related motor planning changes with age. We discuss this increase as the possible result of an overestimation of gravity torque or increased weight of the effort cost in the optimization process. Overall, these results support the hypothesis that feedforward processes and, more precisely, optimal motor planning, remain active with healthy aging.

Aging, effort, and stereotyping: The evidence for the moderating role of self-involvement

A study with young and older adults (N = 91) investigated the effect of self-involvement on stereotyping tendency and effort mobilization. We hypothesized that the impact of self-involvement varies as a function of age: increased self-involvement should lead older adults to engage in more effortful information processing and decreased stereotyping, whereas increased self-involvement should have no impact on effort mobilization and stereotyping tendency in young adults. Young and older adults read narratives under low and high-self-involvement conditions before performing a recognition test that measured their stereotyping tendency. Effort was assessed as cardiovascular responses. We found that older adults in the high-self-involvement condition presented low stereotyping tendency (similar to that of young people) in comparison to older adults in the low-self-involvement condition. Furthermore, older adults in the high-self-involvement condition had decreased high-frequency heart rate variability in comparison to the other conditions, but only during the recognition test; this suggests increased effort mobilization. These findings indicate that self-involvement decreases older adults' stereotyping tendency, possibly through effort mobilization.

Motivation moderates the impact of aging stereotypes on effort expenditure

The impact of aging stereotypes on task engagement was examined. Older adults (N = 144, ages 65 to 85) were exposed to primes designed to activate positive or negative stereotypes about aging, with half of the individuals in each stereotype group also assigned to a high-accountability condition to enhance motivation. Participants performed a memory-scan task comprising 2 levels of demands (memory sets of 4 or 7 items), with 2 blocks (5 min each) at each level. Systolic blood pressure recorded throughout the task was used to monitor engagement levels. High accountability was associated with greater engagement at the highest level of task demands. Negative stereotype activation also resulted in elevated engagement levels, but only during the initial trial blocks in the high-accountability condition. Lowest levels of engagement were associated with low accountability, with no difference between stereotype conditions. An analogous differential analysis on these same data using need for cognition and attitudes toward aging as measures of motivation and stereotypes revealed similar trends. Specifically, negative aging attitudes were associated with elevated levels of engagement only in individuals who were high in intrinsic motivation, with the effects greatest at the highest levels of task demands. The results provide a more nuanced perspective on the impact of negative aging stereotypes than suggested in previous research, with the impact on behavior moderated by situational and personal factors associated with motivation. Although potentially negative in the long run, elevated cardiovascular responses indicative of task engagement may represent an adaptive response to support performance. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

The role of cognitive costs, attitudes about aging, and intrinsic motivation in predicting engagement in everyday activities

Engagement in cognitively demanding everyday activities has been shown to benefit cognitive health in later life. We investigated the factors that influence engagement, with specific interest in determining the extent to which the costs of engaging cognitive resources are associated with intrinsic motivation and, ultimately, participation in everyday activities. Older adults (N = 153) aged from 65 to 81 years completed a challenging cognitive task, with the costs of cognitive engagement-operationalized as the effort required to maintain performance-assessed using systolic blood pressure responses (SBP-R). We also assessed participation in everyday activities using both 2-year retrospective reports and five daily reports over a 5-week period. Structural models revealed that lower levels of costs were associated with more positive attitudes about aging, which in turn were associated with higher levels of intrinsic motivation. Motivation was subsequently predictive of everyday activity engagement, with the effect being specific to those activities thought to place demands on cognitive resources. The measure of engagement had minimal impact on the nature of the observed effects, suggesting that the retrospective and weekly assessments were tapping into similar constructs. Taken together, the results are consistent with expectations derived from Selective Engagement Theory (Hess, 2014), which argues that engagement in demanding activities is related to the cost associated with such engagement, which in turn leads to selective participation through changes in motivation. (PsycINFO Database Record

Correlates of healthcare and financial decision making among older adults without dementia

OBJECTIVE

Healthcare and financial decision making among older persons has been previously associated with cognition, health and financial literacy, and risk aversion; however, the manner by which these resources support decision making remains unclear, as past studies have not systematically investigated the pathways linking these resources with decision making. In the current study, we use path analysis to examine the direct and indirect pathways linking age, education, cognition, literacy, and risk aversion with decision making. We also decomposed literacy into its subcomponents, conceptual knowledge and numeracy, in order to examine their associations with decision making.

METHOD

Participants were 937 community-based older adults without dementia from the Rush Memory and Aging Project who completed a battery of cognitive tests and assessments of healthcare and financial decision making, health and financial literacy, and risk aversion.

RESULTS

Age and education exerted effects on decision making, but nearly two thirds of their effects were indirect, working mostly through cognition and literacy. Cognition exerted a strong direct effect on decision making and a robust indirect effect working primarily through literacy. Literacy also exerted a powerful direct effect on decision making, as did its subcomponents, conceptual knowledge and numeracy. The direct effect of risk aversion was comparatively weak.

CONCLUSIONS

In addition to cognition, health and financial literacy emerged as independent and primary correlates of healthcare and financial decision making. These findings suggest specific actions that might be taken to optimize healthcare and financial decision making and, by extension, improve health and well-being in advanced age. (PsycINFO Database Record

Linkages between Resources, Motivation, and Engagement in Everyday Activities

The goal of this research was to examine the linkage between personal resources, intrinsic motivation, and participation in everyday activities. It was hypothesized the reductions in resources in later life will be associated with reduced motivation to engage in cognitively demanding activities, leading to reduction in participation in such activities in everyday life. To test this, we utilized data from the 2010 and 2012 waves of the Health and Retirement Survey. We used structural equation modeling to construct latent factors associated with health resources, cognitive resources, and intrinsic motivation. Cognitive and health resources were positively associated with intrinsic motivation, which in turn partially mediated the association between these resources and engagement in cognitively demanding everyday activities. Some variation in the fit of the model was observed across sexes, and the predictive power of the model was somewhat attenuated in the oldest old (ages 81+). The results support expectations derived from Selective Engagement Theory (Hess, 2014), which argues that increases in the costs associated with cognitive activity in later life negatively affects the motivation to engage in these potentially beneficial activities.

Implicit activation of the aging stereotype influences effort-related cardiovascular response: The role of incentive

Based on previous research on implicit effects on effort-related cardiovascular response and evidence that aging is associated with cognitive difficulties, we tested whether the mere activation of the aging stereotype can systematically influence young individuals' effort-mobilization during cognitive performance. Young participants performed an objectively difficult short-term memory task during which they processed elderly vs. youth primes and expected low vs. high incentive for success. When participants processed elderly primes during the task, we expected cardiovascular response to be weak in the low-incentive condition and strong in the high-incentive condition. Unaffected by incentive, effort in the youth-prime condition should fall in between the two elderly-prime cells. Effects on cardiac pre-ejection period (PEP) and heart rate (HR) largely supported these predictions. The present findings show for the first time that the mere activation of the aging stereotype can systematically influence effort mobilization during cognitive performance-even in young adults.