Future thinking instructions improve prospective memory performance in adolescents

The Advanced BRain Imaging on ageing and Memory (ABRIM) data collection: Study design, data processing, and rationale

To understand the neurocognitive mechanisms that underlie heterogeneity in cognitive ageing, recent scientific efforts have led to a growing public availability of imaging cohort data. The Advanced BRain Imaging on ageing and Memory (ABRIM) project aims to add to these existing datasets by taking an adult lifespan approach to provide a cross-sectional, normative database with a particular focus on connectivity, myelinization and iron content of the brain in concurrence with cognitive functioning, mechanisms of reserve, and sleep-wake rhythms. ABRIM freely shares MRI and behavioural data from 295 participants between 18-80 years, stratified by age decade and sex (median age 52, IQR 36-66, 53.20% females). The ABRIM MRI collection consists of both the raw and pre-processed structural and functional MRI data to facilitate data usage among both expert and non-expert users. The ABRIM behavioural collection includes measures of cognitive functioning (i.e., global cognition, processing speed, executive functions, and memory), proxy measures of cognitive reserve (e.g., educational attainment, verbal intelligence, and occupational complexity), and various self-reported questionnaires (e.g., on depressive symptoms, pain, and the use of memory strategies in daily life and during a memory task). In a sub-sample (n = 120), we recorded sleep-wake rhythms using an actigraphy device (Actiwatch 2, Philips Respironics) for a period of 7 consecutive days. Here, we provide an in-depth description of our study protocol, pre-processing pipelines, and data availability. ABRIM provides a cross-sectional database on healthy participants throughout the adult lifespan, including numerous parameters relevant to improve our understanding of cognitive ageing. Therefore, ABRIM enables researchers to model the advanced imaging parameters and cognitive topologies as a function of age, identify the normal range of values of such parameters, and to further investigate the diverse mechanisms of reserve and resilience.

Improving children's ability to remember intentions: a literature review on strategies to improve prospective memory during childhood

Children often fail to remember executing intentions because prospective memory (PM) does not completely develop until late adolescence or young adulthood. PM failures are often observed in children and can have negative consequences on their everyday lives. Thus, in the last 50 years, various strategies to support children's PM have been designed and evaluated, such as prompting children to use different encoding modalities, such as verbal, visual, and enacted modalities, or encoding strategies, such as implementation intentions, episodic future thinking (EFT), and performance predictions, as well as providing children with verbal and visual reminders. However, not all these interventions have shown to efficiently enhance PM performance during childhood. The present literature review is aimed at summarizing these interventions and critically examining their effectiveness from a developmental perspective and by considering underlying mechanisms. The type of PM task (event-, time-, and activity-based), cognitive resource demands, and processing overlaps are also considered. Finally, directions for future research and possible applications in everyday life will be discussed.

Using an episodic specificity induction to improve children's future thinking

Episodic future thinking (EFT) is the ability to subjectively pre-experience a specific future event. Future-oriented cognition in young children positively predicts physical health and financial status later in life. Can EFT be improved in children, even temporarily? Developmental research emphasizes the importance of thinking about one's own near future to enhance EFT, whereas research in adults suggests benefits reside in constructing a richly detailed event. We bridged the two perspectives to examine whether a procedure, the "episodic specificity induction" (ESI), could be adapted to encourage an episodic mode of thinking in children, benefitting performance on a variety of subsequent EFT tasks. The present study implemented a child-friendly ESI in which children mentally simulated a future event and were probed for specific details about it. We randomly assigned 66 children aged 6 and 7 years to one of two conditions: (1) ESI, in which children imagined "having breakfast tomorrow" in detail, describing surroundings, people, and actions, or (2) a Control condition (i.e., no construction), in which children simply viewed and described a picture of another child having breakfast. Children then completed a series of future thinking tasks assessing prospective memory, recollection/imagination of events, delay of gratification, and planning. Our ESI was successful in promoting the construction of a detailed event, and subsequently increasing the number of details of recollected and imagined events on an outcome task as compared to a control condition. Nonetheless, the effect of ESI was smaller than expected - a finding that fits with recent work suggesting that such interventions may be too cognitively taxing for young children and/or that benefits may hinge on further development in episodic processes. We discuss possible modifications to the induction and implications for EFT amelioration in young children.

Imagine to Remember: An Episodic Future Thinking Intervention to Improve Medication Adherence in Patients with Type 2 Diabetes

PURPOSE

Medication nonadherence is prevalent in diabetic populations, with "forgetting" a commonly cited reason. This issue of forgetfulness is due, in part, to a failure of prospective memory (PM). Episodic future thinking (EFT) has been shown to improve PM but has not been used to improve medication adherence.

PATIENTS AND METHODS

The current study used a multiple baseline design (N = 4) to test the effects of EFT on medication non-adherence for four patients with a diagnosis of type 2 diabetes or prediabetes, with comorbid high blood pressure or high cholesterol. Medication adherence was objectively measured over 15 weeks using medication event monitoring systems.

RESULTS

Results of visual analysis showed medication adherence was reliably improved, confirmed by mixed model analysis of variance (p < 0.001), with significant differences from baseline to treatment (Tau <0.05) for 3 of 4 participants. Improvements in two measures of PM (effect size (ES) = 0.73, 0.80) and delay discounting (ES = 1.20) were observed.

CONCLUSION

This study provides a feasible way to improve medication adherence in patients with prediabetes or type 2 diabetes.

The role of semantic memory in prospective memory and episodic future thinking: new insights from a case of semantic dementia

Prospective memory (PM), the ability to remember to execute planned actions, and episodic future thinking (EFT), the ability to imagine future personal events, are two core aspects of future-oriented cognition. The present study aimed for the first time at examining the role of semantic memory loss in PM and EFT in a single case patient (SL) at the early stage of semantic dementia.First, we investigated various types of PM as well as episodic memory of new events using a validated ecological assessment via virtual reality. Second, we examined EFT using a temporally extended version of the TEMPau task, which measures episodic aspects of remembering the past and imagining the future taking temporal distance into account.Patient SL was deficient in semantically linked event-based PM and was unable to provide any EFT for the most distant period but was preserved in other types of PM and near and intermediate EFT.These findings provide new evidence on the role of semantic memory in PM depending on the type of intention and in EFT depending on the temporal distance mirroring autobiographical memory. Finally, they point out a specific link between PM and near EFT in future-oriented cognition.

Effects of Mental Imagery on Prospective Memory: A Process Analysis in Individuals with Amnestic Mild Cognitive Impairment

INTRODUCTION

Prospective memory (PM) is a multiphasic cognitive function important for autonomy and functional independence but is easily disrupted by pathological aging processes. Through cognitive simulation of perceptual experiences, mental imagery could be an effective compensatory strategy to enhance PM performance. Nevertheless, relevant research in individuals with amnestic mild cognitive impairment (MCI) has been limited, and the underlying mechanism of the therapeutic effect has not been sufficiently elucidated. The present study aimed to examine complex PM performances and the effect of mental imagery on each phase in older adults with MCI and to investigate the underlying cognitive mechanism from a process perspective.

METHODS

Twenty-eight MCI and 32 normal aging controls completed a seminaturalistic PM task, in addition to a series of neuropsychological tests. Participants from each group were randomly assigned to a mental imagery condition or a standard repeated encoding condition before performing the PM task. Four indices were used to measure performance in the intention formation, intention retention, intention initiation, and intention execution phases of PM. Performances in each phase was compared between the 2 diagnostic groups and the 2 instruction conditions.

RESULTS

The MCI group performed worse than the normal aging group in the intention formation and intention retention phases. The participants in the mental imagery condition performed significantly better than those in the standard condition during the intention formation, intention retention, and intention execution phases, regardless of the diagnostic group. Moreover, there was a significant interaction between the group and condition during intention retention, showing that people with MCI benefited even more from mental imagery than normal aging in this phase. Performance in the intention retention phase predicted performance in the intention initiation and intention execution phases.

DISCUSSION

PM deficits in MCI mainly manifest during planning and retaining intentions. Mental imagery was able to promote performance in all but the initiation phase, although a trend for improvement was observed in this phase. The effects of mental imagery may be exerted in the intention retention phase by strengthening the PM cue-action bond, thereby facilitating the probability of intention initiation and bolstering fidelity to the original plan during intention execution.

Improving prospective memory in school-aged children: Effects of future thinking and performance predictions

Recently, event-based prospective memory (PM) performance of children has been shown to benefit from different encoding strategies such as imagining the execution of a future PM task (i.e., future thinking) and making performance predictions (i.e., metacognitive monitoring). This study aimed to investigate whether and how these two encoding strategies affect PM performance alone and in combination. For this purpose, 127 children aged 8-11 years were assigned to four encoding conditions: (a) standard, (b) performance predictions, (c) future thinking, and (d) future thinking + performance predictions. The ongoing task performance costs (i.e., attentional monitoring), working memory (WM) span, and metacognitive monitoring judgments, such as task difficulty expectations, performance postdictions, confidence judgments, and strategy use, were also evaluated among participants. The results show that combining future thinking instructions with performance predictions considerably improved children's PM performance without incurring additional attentional monitoring costs. Moreover, whereas children generally tended to overestimate their PM performance, more realistic lower-performance predictions were related to higher PM scores for children in the combined condition. Finally, age, WM, and strategy use significantly predicted PM performance independent of the encoding condition. This study is the first to demonstrate that combining future thinking instructions with performance predictions enhances children's PM performance compared with each encoding strategy alone. Moreover, this work is the first to show that by simply imagining the execution of a PM task, children's prediction accuracy can be improved, which is significantly related to the PM performance advantage.

Revealing the dynamics of prospective memory processes in children with eye movements

Prospective memory (PM), the memory for delayed intentions, develops during childhood. The current study examined PM processes, such as monitoring, PM cue identification and intention retrieval with particular focus on their temporal dynamics and interrelations during successful and unsuccessful PM performance. We analysed eye movements of 6-7 and 9-10 year olds during the inspection of movie stills while they completed one of three different tasks: scene viewing followed by a snippet allocation task, a PM task and a visual search task. We also tested children's executive functions of inhibition, flexibility and working memory. We found that older children outperformed younger children in all tasks but neither age group showed variations in monitoring behaviour during the course of the PM task. In fact, neither age group monitored. According to our data, initial processes necessary for PM success take place during the first fixation on the PM cue. In PM hit trials we found prolonged fixations after the first fixation on the PM cue, and older children showed a greater efficiency in PM processes following this first PM cue fixation. Regarding executive functions, only working memory had a significant effect on children's PM performance. Across both age groups children with better working memory scores needed less time to react to the PM cue. Our data support the notion that children rely on spontaneous processes to notice the PM cue, followed by a resource intensive search for the intended action.

Rational use of episodic and working memory: A normative account of prospective memory

Humans often simultaneously pursue multiple plans at different time scales, a capacity known as prospective memory (PM). The successful realization of non-immediate plans (e.g., post package after work) requires keeping track of a future plan while accomplishing other intermediate tasks (e.g., write a paper). Prospective memory capacity requires the integration of noisy evidence from perceptual input with evidence from both short-term working memory (WM) and long-term or episodic memory (LTM/EM). Here we formulate a set of empirical studies of prospective memory, all dual-task problems, as problems of computational rationality. We ask how a rational model should integrate noisy perceptual evidence and memory to maximize payoffs in these PM studies. The model combines reinforcement learning (optimal action selection) with evidence accumulation (optimal inference) in order to derive good decision parameters for optimal task performance (i.e., performing an ongoing task while monitoring for a cue that triggers executing a second prospective task). We compare model behavior to human behavioral evidence of key accuracy and reaction time phenomena in PM. Notably, our normative approach to theorizing and modeling these phenomena makes no assumptions about mechanisms of attention or retrieval. This approach can be extended to study the learning and use of meta-parameters governing the boundedly rational use of memory in planned action in health and disease. A computational psychiatry extension of the model can capture compensatory mnemonic strategies in neuropsychiatric disorders that may be rational responses to disturbances of inference, memory, and action selection.

Sustained and Transient Processes in Event-based Prospective Memory in Adolescence and Adulthood

Prospective memory (PM) refers to the cognitive processes associated with remembering to perform an intended action after a delay. Varying the salience of PM cues while keeping the intended response constant, we investigated the extent to which participants relied on strategic monitoring, through sustained, top–down control, or on spontaneous retrieval via transient bottom–up processes. There is mixed evidence regarding developmental improvements in event-based PM performance after the age of 13 years. We compared PM performance and associated sustained and transient neural correlates in 28 typically developing adolescents (12–17 years old) and 19 adults (23–30 years old). Lower PM cue salience associated with slower ongoing task (OT) RTs, reflected by increased μ ex-Gaussian parameter, and sustained increases in frontoparietal activation during OT blocks, both thought to reflect greater proactive control supporting cue monitoring. Behavioral and neural correlates of PM trials were not specifically modulated by cue salience, revealing little difference in reactive control between conditions. The effect of cue salience was similar across age groups, suggesting that adolescents are able to adapt proactive control engagement to PM task demands. Exploratory analyses showed that younger, but not older, adolescents were less accurate and slower in PM trials relative to OT trials than adults and showed greater transient activation in PM trials in an occipito-temporal cluster. These results provide evidence of both mature and still maturing aspects of cognitive processes associated with implementation of an intention after a delay during early adolescence.

Emotion matters: The influence of valence on episodic future thinking in young and older adults

In young adults, valence not only alters the degree to which future events are imagined in rich episodic detail, but also how memorable these events are later on. For older adults, how valence influences episodic detail generation while imagining future events, or recalling these details at another time, remains unclear. We investigated the effect of valence on the specificity and memorability of episodic future thinking (EFT) in young and older adults. Among young and older adults, negative EFT was accompanied by less episodic detail generation relative to positive and neutral EFT. A similar reduction in episodic specificity for negative EFT was found two days later when participants recalled their previously imagined events. Notably, while older adults generated less episodically specific future thoughts relative to young adults, age did not influence the effect of valence on episodic detail generation at imagination or recollection.

Do importance instructions improve time-based prospective remembering in autism spectrum conditions?

This study explored the impact of motivation on the memory for delayed intentions (so-called, prospective memory, PM) in autistic individuals. Specifically, we were interested in the effects of personal (i.e., receiving a reward) as compared to social motivation (i.e., performing a favour for someone). Given the well-established theory of mind deficits in autism, we expected autistic individuals to benefit more strongly from personal than social importance manipulations, whereas the opposite pattern was predicted for controls. Sixty-one adolescents with autism and 61 typically developing adolescents participated, with each group distributed equally to one of the three motivation conditions of standard, social and personal reward. Participants worked on a 2-back picture-based ongoing task in which a time-based PM task was embedded. A mixed 2 (Group) x 3 (Motivation condition) analysis of covariance with age, verbal and non-verbal abilities as covariates and correct PM responses as dependent variable indicated solely a main effect of group, with controls outperforming the autism group. In contrast to our expectations, there was no main effect of condition, no significant interaction, and none of the covariates had any significant impact. However, further planned analyses revealed that controls only outperformed autistic individuals in the personal reward condition. Controls performed significantly best when a personal reward was promised, whereas there were no significant differences between the motivation conditions for autistic individuals. Findings are discussed in terms of underlying processes.

Prospective memory (partially) mediates the link between ADHD symptoms and procrastination

Individuals with attention deficit hyperactivity disorder (ADHD) often show poor planning and poor organization of tasks and activities which has been related to reduced memory for delayed intentions (prospective memory) and procrastination-in addition to other cognitive or motivational factors. This study set out to bring the fields of prospective memory and procrastination research together and to explore possible relations between the two constructs in ADHD. Twenty-nine adults with ADHD and 24 healthy controls performed several laboratory-based and real-life prospective memory tasks and filled in questionnaires measuring their symptom severity and procrastination behaviour. Overall, individuals' with ADHD showed clear deficits in everyday prospective memory performance. Individuals with ADHD recalled and executed less of their own real-life intentions. Moreover, there were clear links between everyday prospective memory performance and reported procrastination behaviour, and everyday prospective memory performance mediated the link between ADHD symptoms and procrastination behaviour.

The relationship between episodic future thinking and prospective memory in middle childhood: Mechanisms depend on task type

Episodic future thinking (EFT), the ability to imagine experiencing a future event, and prospective memory (PM), the ability to remember and carry out a planned action, are core aspects of future-oriented cognition that have individually been the focus of research attention in the developmental literature. However, the relationship between EFT and PM, including the extent to which it varies with PM task type, remains poorly delineated, particularly in middle childhood. The current study tested this relationship in 62 typically developing children aged 8-12 years. Results indicated that EFT ability was significantly related to performance on three types of PM tasks (regular and irregular event based and regular time based). Age was not found to moderate the relationship. Children's performance on the retrospective memory component of the PM tasks mediated the relationship between EFT ability and their performance on three types of PM tasks. For irregular event-based tasks, however, EFT made an additional significant contribution. This study adds to the limited empirical literature supporting a relationship between EFT and PM in this age band and supports theoretical models arguing that EFT ability may support PM performance by strengthening the encoding of PM task details in retrospective memory. However, additional mechanisms were also indicated for irregular event-based PM tasks, possibly involving strengthening of cue-context associations. These data show for the first time that the contribution of EFT to children's PM performance varies across task types. This study provides an important and novel contribution to current understanding of the processes that underlie PM development.

Episodic future thinking improves children's prospective memory performance in a complex task setting with real life task demands

Research on children's prospective memory (PM) shows an increase of performance across childhood and provides first evidence that encoding strategies such as episodic future thinking (EFT; i.e., engaging in a vivid prospection of oneself performing future tasks) may improve performance. The present study aimed at testing whether the beneficial effects of EFT extend from typical lab-based tasks to more complex tasks with real life demands. Further, it was tested whether children's ability to project themselves into different perspectives (i.e., self-projection) moderates the effects of EFT encoding on PM. Overall, 56 children (mean age: M = 10.73 years) were included in this study who were randomly assigned to either an EFT or control condition. Children participated in a 'sightseeing tour' (ongoing activity) inside the lab with various socially relevant and neutral PM tasks embedded. Results showed significantly higher PM performance in the EFT compared to the control group. There was no difference between neutral and social PM tasks and no interaction between type of PM tasks with encoding condition. Further, self-projection did not moderate the effects of EFT encoding on PM. Results suggest that EFT is an effective strategy to improve children's everyday PM. These beneficial effects seem to occur independent from children's general ability to change perspectives and for different types of PM tasks.

Effects of Episodic Future Thinking and Self-Projection on Children's Prospective Memory Performance

The present study is the first to investigate the benefits of episodic future thinking (EFT) at encoding on prospective memory (PM) in preschool (age: M = 66.34 months, SD = 3.28) and primary school children (age: M = 88.36 months, SD = 3.12). A second aim was to examine if self-projection influences the possible effects of EFT instructions. PM was assessed using a standard PM paradigm in children with a picture-naming task as the ongoing activity in which the PM task was embedded. Further, two first- and two second-order ToM tasks were administered as indicator of children’s self-projection abilities. Forty-one preschoolers and 39 school-aged children were recruited. Half of the participants in each age group were instructed to use EFT as a strategy to encode the PM task, while the others received standard PM instructions. Results revealed a significant age effect, with school-aged children significantly outperforming preschoolers and a significant effect of encoding condition with overall better performance when receiving EFT instructions compared to the standard encoding condition. Even though the interaction between age group and encoding condition was not significant, planned comparisons revealed first evidence that compared to the younger age group, older children’s PM benefitted more from EFT instructions during intention encoding. Moreover, results showed that although self-projection had a significant impact on PM performance, it did not influence the effects of EFT instructions. Overall, results indicate that children can use EFT encoding strategies to improve their PM performance once EFT abilities are sufficiently developed. Further, they provide first evidence that in addition to executive functions, which have already been shown to influence the development of PM across childhood, self-projection seems to be another key mechanism underlying this development.