Load effects in attention: Comparing tasks and age groups

Differential Impact of WM Load on Attention in Young Adults Versus Children and Adolescents

Background: This study aimed to examine how concurrent working memory (WM) loads affect selective attention, and to explore developmental differences between young adults and children/adolescents aged 10 to 14 years. Methods: We employed a modified Stroop task with verbal or spatial WM loads to assess their impact on attention. Results: In adults, we found increased Stroop effects when WM load overlapped with target processing and decreased Stroop effects when WM load overlapped with distractor processing. Conversely, in children/adolescents, WM loads did not significantly impact target or distractor processing, indicating no change in Stroop effects under dual-task conditions. Interestingly, results from the correlational analyses revealed that as participants' ages increase, the interference effect under the WM load that shares resources with distractor processing in the attention task decreases. Conclusions: Our findings suggest that the interaction between attention and WM differs across developmental stages. While adults showed distinctive effects of concurrent WM loads on attention processing depending on the cognitive resources utilized, children/adolescents failed to show the interaction between the two cognitive systems. Furthermore, a significant relationship between age and the effects of WM load on attention was observed, providing insights into the development of the interaction between WM and attention.

Auditory attentional load modulates the temporal dynamics of audiovisual integration in older adults: An ERPs study

As older adults experience degenerations in perceptual ability, it is important to gain perception from audiovisual integration. Due to attending to one or more auditory stimuli, performing other tasks is a common challenge for older adults in everyday life. Therefore, it is necessary to probe the effects of auditory attentional load on audiovisual integration in older adults. The present study used event-related potentials (ERPs) and a dual-task paradigm [Go / No-go task + rapid serial auditory presentation (RSAP) task] to investigate the temporal dynamics of audiovisual integration. Behavioral results showed that both older and younger adults responded faster and with higher accuracy to audiovisual stimuli than to either visual or auditory stimuli alone. ERPs revealed weaker audiovisual integration under the no-attentional auditory load condition at the earlier processing stages and, conversely, stronger integration in the late stages. Moreover, audiovisual integration was greater in older adults than in younger adults at the following time intervals: 60–90, 140–210, and 430–530 ms. Notably, only under the low load condition in the time interval of 140–210 ms, we did find that the audiovisual integration of older adults was significantly greater than that of younger adults. These results delineate the temporal dynamics of the interactions with auditory attentional load and audiovisual integration in aging, suggesting that modulation of auditory attentional load affects audiovisual integration, enhancing it in older adults.

Decline in the integration of top-down and bottom-up attentional control in older adults with mild cognitive impairment

Individuals with mild cognitive impairment (MCI) have deficits in goal-directed top-down and stimulus-driven bottom-up attentional control. However, it remains unclear whether and how the interaction between the two processes is altered in individuals with MCI. We collected electroencephalography (EEG) data from 30 older adults with MCI and 30 demographically matched healthy controls (HCs) when they were performing a perceptual decision-making task, in which we manipulated the cognitive load involved in task-relevant top-down processing and the surprise level involved in task-irrelevant bottom-up processing. We found the significant group difference in the interaction between top-down and bottom-up processes. HCs showed enlarged P3 and strengthened event-related microstate C on high (vs. low) surprise level trials under high cognitive load, while there was no such surprise effect suggesting distraction under low cognitive load. In contrast, participants with MCI showed increased P2 and P3 amplitudes and strengthened microstates C and D on high (vs. low) surprise level trials under low cognitive load yet no surprise effect under high load. These results suggested that participants with MCI were distracted by task-irrelevant information under low cognitive load, while under high load, they might experience a passive inhibition on the task-irrelevant bottom-up processing because of the exhaustion of attentional resources; in addition, this altered interaction observed in the MCI group occurred at the stages of selective attention and uncertainty reduction.

Neurologic Music Therapy via Telehealth: A Survey of Clinician Experiences, Trends, and Recommendations During the COVID-19 Pandemic

This cross-sectional survey investigated the transition of Neurologic Music Therapy (NMT) services from in-person (pre-COVID-19) to telehealth (since COVID-19) to (1) determine whether the use of an NMT paradigm contributes to the successful transition of therapy services to telehealth, (2) identify which NMT domains and techniques are transferable from in-person to telehealth, (3) identify whether there are differences in the transition of NMT services across different employment settings, and (4) evaluate the potential benefits and challenges of telehealth NMT. An online survey comprised of 49 closed and open-ended questions was distributed by the Academy of Neurologic Music Therapy to 2,778 NMT affiliates worldwide. The survey sought information on demographics, telehealth perceptions, technology, assessment, clinical practice, safety, and caregiver involvement. Quantitative and qualitative analyses were applied. Eighty-one participants answered the survey and the 69 who completed the survey in its entirety were included in the analysis. Results indicated that the frequency of NMT technique usage had no impact on the overall number of clinical hours retained over telehealth. Correlation analysis revealed an association between more frequent NMT usage and perceived likelihood of using telehealth in the future (i.e., once COVID-19 is no longer a major threat), as well as with fewer group sessions lost over telehealth. All NMT domains transferred to telehealth, although within the sensorimotor domain, fewer therapists implemented rhythmic auditory stimulation for telehealth sessions compared to in-person. Overall, NMTs had fewer hours for telehealth compared to in-person regardless of employment setting. Technological challenges were notable drawbacks, while major benefits included the ability to continue providing NMT when in-person sessions were not possible, increased accessibility for remote clients, and positive outcomes related to increased caregiver involvement. Based on the results, our recommendations for implementing telehealth in Neurologic Music Therapy include integrating telehealth into routine care, mitigating safety concerns, identifying those who could benefit most from remote delivery, involving caregivers, and developing/sharing resources for telehealth NMT.