Navigability of Residential Care Homes From Residents', Family Members', and Staff's Points of View: The Residential Care Home Navigability Scale

BACKGROUND AND OBJECTIVES

Navigational skills display clear signs of decline with increasing age, especially in pathological aging. Therefore, navigability-the extent to which destinations can be reached with reasonable effort and time-should be considered in residential care home design. We aimed to develop a scale assessing environmental features (i.e., indoor visual differentiation, signage, and layout) for navigability in residential care homes: the Residential Care Home Navigability (RCHN) scale. To this end, we examined whether navigability and its factors were associated with a sense of direction within the residential care homes to different degrees for older adult residents, caregivers, and staff. The relationship between navigability and residential satisfaction was also considered.

RESEARCH DESIGN AND METHODS

A sample of 523 participants (230 residents, 126 family caregivers, and 167 staff members) responded to the RCHN, assessed their sense of orientation and general satisfaction, and performed a pointing task.

RESULTS

Results confirmed the RCHN scale's 3-level factor structure, good reliability, and validity. A subjective sense of direction, but not pointing task performance, was associated with navigability and its factors. In particular, visual differentiation is positively associated with a sense of direction regardless of group, whereas signage and layout contributed to a better experience of a sense of direction, especially among older residents. Navigability was not related to residents' satisfaction.

DISCUSSION AND IMPLICATIONS

Navigability supports perceived orientation in residential care homes, especially for older residents. Moreover, the RCHN is a reliable tool for the assessment of RCHN, with important implications for minimizing spatial disorientation through environmental interventions.

Psychological Reactions during and after a Lockdown: Self-Efficacy as a Protective Factor of Mental Health

The aim of the present study was to investigate the effects of home confinement/social isolation (i.e., lockdown), imposed to reduce large-scale spread of a disease in the population, on the mental health of individuals. Through an online survey during the lockdown (DL) related to COVID-19 (1085 respondents, 627 females, agerange: 18-82) (Italy, 23 April-2 May 2020), we revealed that situational factors, i.e., the presence of children at home and female gender, and psychological factors, i.e., a greater sense of isolation, lower perception of safety outside the home and higher trait anxiety, predicted higher levels of state anxiety (R2 = 0.58). The same factors, but with young age instead of the presence of children, predicted higher levels of perceived stress (R2 = 0.63). Then, these data were compared with those collected after the lockdown (AL) (174 respondents, 128 females, agerange: 19-78) (Italy, 1 July-31 October 2021). The results showed that along with a reduced sense of isolation (DL = 2.90 vs. AL = 2.10) and an increased perception of safety outside the home (DL = 2.63 vs. AL = 3.05), a reduction in state anxiety (DL = 45.76 vs. AL= 40.88) and stress appeared (DL = 18.84 vs. AL = 17.63). However, the situation was better for men than for women. Perceived self-efficacy emerged as a protective factor for mental health (R2range: 0.03-0.27). The results are discussed in light of the evidence on the effects of lockdown on individuals worldwide. These results may be used to make more educated decisions on targeted help for individuals who may be most adversely affected by the adoption of lockdowns in the future.

Trajectories across the healthy adult lifespan on sense of direction, spatial anxiety, and attitude in exploring places

Introduction

Self-evaluations about orientation and navigation in the environment contribute to individual differences in spatial cognition. Evidence suggests that they may change, even slightly, with the progression of adulthood. It is necessary to improve the framing of environment-related subjective self-evaluations in adulthood and aging by examining how they change and the factors related to them. Therefore, this study aimed to examine the developmental trajectories of sense of direction, spatial anxiety, and attitude in exploring place across the adult lifespan while also considering gender and education.

Materials and methods

A sample of 1,946 participants (1,068 women), aged 18-87 years, completed the sense of direction and spatial representation, spatial anxiety, and attitude in exploring scales.

Results

The regression models showed a linear increase in sense of direction with age, stable spatial anxiety until age 66 years when anxiety began increasing, and a stable attitude in exploring with a deflection by age 71 years. Gender played a role in all three types of self-evaluations, with men reporting higher ratings in sense of direction and attitude toward exploring (especially in older men), and lower levels of spatial anxiety than women did. Education also played a role, with higher education years associated with lower ratings in spatial anxiety and a higher sense of direction, nullifying gender differences in the latter.

Discussion

These results offer, in the spatial cognition framework, a better understanding of how specific environment-related self-evaluations develop with age and related factors, such as education. This underscores the importance of enhancing them, particularly in women and older adults.

Investigating the different domains of environmental knowledge acquired from virtual navigation and their relationship to cognitive factors and wayfinding inclinations

When learning an environment from virtual navigation people gain knowledge about landmarks, their locations, and the paths that connect them. The present study newly aimed to investigate all these domains of knowledge and how cognitive factors such as visuospatial abilities and wayfinding inclinations might support virtual passive navigation. A total of 270 participants (145 women) were tested online. They: (i) completed visuospatial tasks and answered questionnaires on their wayfinding inclinations; and (ii) learnt a virtual path. The environmental knowledge they gained was assessed on their free recall of landmarks, their egocentric and allocentric pointing accuracy (location knowledge), and their performance in route direction and landmark location tasks (path knowledge). Visuospatial abilities and wayfinding inclinations emerged as two separate factors, and environmental knowledge as a single factor. The SEM model showed that both visuospatial abilities and wayfinding inclinations support the environmental knowledge factor, with similar pattern of relationships in men and women. Overall, factors related to the individual are relevant to the environmental knowledge gained from an online virtual passive navigation.

Effects of an outdoor horticultural activities program on cognitive and behavioral functioning, mood, and perceived quality of life in people with dementia: a pilot study

Introduction

One of various non-pharmacological treatments for people with dementia (PwD) is horticultural therapy. The aim of this double-blind, pre- and post-test, pilot study was to examine the effects of horticultural activities (HA) for PwD at a residential and daytime care facility. Whether combining HA with elements drawn from other psychosocial interventions (cognitive stimulation) would maximize any benefits was also newly examined.

Materials and methods

Twenty-four PwD were involved either in HA, alone (TG1, N = 7) or combined with some cognitive stimulation (TG2, N = 8), or in indoor treatment-as-usual activities (CG, N = 9). Benefits were assessed in terms of general cognitive functioning (for participants with mild-to-moderate dementia), mood, behavioral and psychological symptoms, and quality of life.

Results

No differences emerged between TG1 and TG2 in any outcome measure, so the two groups were combined (N = 15). Compared with the CG, the TG involved in HA exhibited less frequent and severe behavioral and psychological symptoms and an improved mood after the intervention. Caregivers also reported less distress in the TG after the intervention than in the CG. Considering only PwD with mild-to-moderate dementia, the TG also showed benefits in a measure of general cognitive functioning, and self-reported quality of life, compared with the CG.

Discussion

Our results further confirm that engaging PwD in participatory HA in contact with natural elements can decrease their dementia symptoms and their caregivers' distress, but also increase PwD's quality of life. Our findings also suggest the need to consider dementia severity when assessing the benefits of horticultural therapy.

Psychological impacts of intervention to improve a therapeutic garden for older adults with dementia: a case study conducted at a care facility

Introduction

Exposure to nature is known to support psychological wellbeing, and can support People with Dementia (PwD). Here we describe a case study conducted at a care facility for PwD to examine the effect of their exposure to nature after intervention to renovate an existing Therapeutic Garden (TG). Changes in frequency of attendance and behavior in the TG were examined. A single case was also considered to assess individual benefits.

Materials and methods

Twenty-one PwD participated in the study. Their behavior in the TG was observed for 4 weeks before and after the intervention (using behavioral mapping), and measures of individual characteristics (general cognitive functioning, behavioral/neuropsychiatric symptoms, depression, and quality of life) were administered.

Results

Ten of the 21 PwD visited the TG more often after the intervention, their social behaviors (e.g., talking to others) increased, and their active isolated behavior in the garden (e.g., smelling, touching flowers) tended to increase. The increase in social behavior related to less severe baseline depressive symptoms. Passive isolated behaviors related to more impaired baseline cognitive functioning. The case of Mrs. A extended the findings for the whole sample: although her dementia symptoms (apathy, motor disturbances) worsened, she visited the TG more often after the intervention, her social exchanges and active isolated actions increased, and her agitation and wandering decreased.

Discussion

These results support the benefits of exposure to nature for PwD, and underscore the importance of considering users' profiles to optimize their use of a TG.

The influence of individual characteristics on perceived restorativeness and benefits associated with exposure to nature in a garden

This study newly explored the relationship between individual characteristics (i.e., connectedness to nature, a preference for natural rather than built environments, personality, visuospatial preferences) with perceived restorativeness, as well as affective and memory-related benefits of exposure to the nature. Eighty adults were individually exposed to nature by walking in a landscape garden. Measures of connectedness to nature, preference for natural environments, personality traits, and visuospatial preferences were administered. Before and after walking in the garden, participants completed measures of affect (positive and negative emotions) and memory (short-term and working memory, and spatial memory). After walking they completed a Perceived Restorativeness scale. Perceived Restorativeness was found to be significantly explained by Extraversion (personality trait) and Connectedness to Nature. There was no significant influence of individual characteristics on benefits to affect and memory measures. Overall, the results showed that perception of the restorative effect of a natural environment is related to connectedness to nature and personality (extraversion trait). Taken together, our findings highlight the importance of considering individual characteristics to better capture restorative/recovery effects of a natural environment in an individual, and to tailor/implement nature-based solutions to ensure a sustainable urban green environment and to promote quality of life for their citizens.

Men's and women's egocentric and allocentric knowledge: The involvement of mental rotation ability and spatial beliefs

Individual factors can play a relevant role in explaining gender differences in environmental learning in terms of visuospatial abilities and beliefs about spatial abilities, such as stereotypes and growth mindset about navigation ability. In this study, we aim to investigate how mental rotation ability and spatial beliefs interact in the acquisition of egocentric and allocentric spatial knowledge. A sample of 244 participants (140 women) completed individual difference measures, including a mental rotation test (MRT) and questionnaires on gender stereotypes and growth mindsets about navigation ability. Participants then learned a specific route in a virtual environment and performed an egocentric pointing task and an allocentric pointing task. Men performed better in mental rotation and egocentric pointing tasks. Moreover, mental rotation ability predicted both egocentric and allocentric pointing performance; growth mindset predicted allocentric pointing. In general, these results suggest that, despite gender differences in some spatial measures, cognitive abilities and beliefs contribute to supporting environmental knowledge in both men and women.

Lessons in a Green School Environment and in the Classroom: Effects on Students' Cognitive Functioning and Affect

The positive impact of short-term exposure to nature during a green recess in a school day is documented in the literature. In this study we investigated cognitive, academic, and affective effects of a single contact with nature during a regular school lesson in the greenness, compared to an usual classroom lesson, on young students in second and third grades (N = 65). In a within-subjects design, for the cognitive effects we examined children's (a) selective and sustained attention and (b) math calculation performance in common school tasks. For affective effects we considered (c) their positive and negative mood and (d) the perception of environmental restorativeness. Findings revealed that after a single lesson taught in the green school garden, children had greater selective attention and math calculation performance in two tasks than after a similar lesson in the classroom environment. Moreover, children with higher self-reported emotional difficulties showed greater selective attention and reported a statistically significant increase in positive affect and a tendency to a significant decrease in negative affect after the lesson in the greenness than in the classroom. Students also perceived the green space as more restorative than the classroom environment. Results are discussed against theories on the benefits of exposure to natural environments, highlighting the theoretical and practical significance of the study.

Space at home and psychological distress during the Covid-19 lockdown in Italy

Prolonged periods of restrictions on people's freedom of movement during the first massive wave of the COVID-19 pandemic meant that most people engaged in all their daily activities at home. This suggested the need for the spatial features of the home and its occupants' perception of them to be investigated in terms of people's wellbeing. The present study was conducted on a large sample (N = 1354) drawn from different Italian regions. It examined the relationship between the "objective" and "subjective" dimensions of the home, measured in terms of objective home crowding and satisfaction with the space at home, in relation to perceived stress and the perceived risk of COVID-19 infection during the lockdown. The results showed that perceived stress is influenced by objective home crowding through the mediation of satisfaction with the space at home. These associations were more pronounced in younger generations. The negative association between satisfaction with the space at home and perceived stress was higher, the lower the perceived COVID-19 risk.

Short-Term Exposure to Nature and Benefits for Students’ Cognitive Performance: a Review

There is growing interest recently in the outdoor environment surrounding schools where students spent time during breaks, in-school activities, and after-school programs. Several reviews have examined the impact of long-term exposures to nearby nature on students’ academic achievement, but none has focused on the effects of short-term contacts with nature on students’ cognitive performance. The aim of this review is to understand the context in which short-term passive exposures to greenness occur, how cognitive performance is measured, and the conditions under which cognitive benefits emerge at various educational levels. We reviewed 14 studies in the extant literature that report investigations involving students at different educational levels, from elementary school to university, in a short exposure to nature lasting from 10 to 90 min during a study day. The review shows that in 12 out of the 14 studies, across educational levels, cognitive benefits emerge in terms of directed attention restoration from mental fatigue due to contact with nature. A no-cost opportunity to sustain students’ cognition is a break in a green environment after mentally demanding activities.

Effectiveness of Therapeutic Gardens for People with Dementia: A Systematic Review

This paper is a systematic review of quantitative studies conducted on the benefits of visiting gardens and gardening therapy for people with dementia (PWD) in an effort to assess the effectiveness of such treatments and obtain information on the most appropriate garden design for this population. This review followed the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA) guidelines. Four databases were searched (PubMed, Web of Science, PsycINFO, Scopus), with no time limits. Out of a total of 480 articles considered, 16 studies were selected for review. In all but two of the studies examined, gardening therapy and the use of therapeutic gardens induced psychophysiological improvements in PWD. The areas showing the greatest effects were Engagement, Agitation, Depression/Mood, Stress, and Medication. It also emerged that interest in this sphere has been growing in the last decade, but there is still a shortage of empirical evidence of the beneficial effects of therapeutic gardens in relation to the type and severity of dementia, and of garden design guidelines. Despite the limited number of studies investigated, the review confirmed the benefits of gardening and therapeutic gardens in PWD. There is nonetheless a need to conduct more quantitative research to support currently-available evidence and generate more information, focusing on garden design criteria, in-garden activities, the type and severity of dementia examined, and effects on caregivers as well as on PWD.

Spatial Learning in a Virtual Environment: The Role of Self-Efficacy Feedback and Individual Visuospatial Factors

We examined the roles self-efficacy plays in environmental learning in terms of self-efficacy feedback and task-specific (navigation-based) self-efficacy. We manipulated self-efficacy using positive and neutral feedback to investigate the relationship between receiving positive feedback and environmental learning performance and subsequent recall. A total of 231 participants were administered visuospatial tasks, where 117 received positive feedback, and 114 received neutral feedback. Then, we tested environmental learning using route retracing, pointing, and map-completion tasks. Before each environmental task, participants evaluated their task-specific self-efficacy. A series of spatial self-reported preferences were gathered as well. Mediation models showed that receiving positive feedback after a visuospatial task influences environmental recall performance through the mediation of task-specific self-efficacy. Moreover, after accounting for experimental manipulation and gender, we found that task-specific self-efficacy, sense of direction, and visuospatial abilities influence spatial-recall task performance, even with some differences as a function of the specific recall tasks considered. Overall, our findings suggest that among individual characteristics, task-specific self-efficacy can sustain environmental learning. Furthermore, giving positive feedback can improve spatial self-efficacy before conducting spatial-recall tasks.

Working Memory Beats Age: Evidence of the Influence of Working Memory on the Production of Children's Emotional False Memories

Emotional valence and working memory ability (WM) affect false memories’ production in adults. Whereas a number of studies have investigated the role of emotional valence in children’s tendency to produce spontaneous false memories, individual differences in WM have not been previously included. In the current article, we were interested in investigating whether emotion and WM would interact in influencing the propensity to incur inferential false memories for scripted events. Ninety-eight typically developing children (first-, third-, and eighth- graders) were administered the Emotional false memory paradigm – allowing to study false memories for negative, positive, and neutral events – and a WM task. Results showed that regardless of age, valence influenced false memories’ production, such that positive events protected against incurring distortions. Furthermore, WM interacted with valence, such that children with higher WM abilities produced fewer false memories for negative events. Concerning confidence judgments, only the youngest group of children claimed to be overconfident when committing false memories for negative and neutral events. Results are discussed in terms of the role of individual differences in higher cognitive abilities interacting with the emotional content of to-be-remembered events.

Map Learning in Aging Individuals: The Role of Cognitive Functioning and Visuospatial Factors

Aging coincides with a decline in map learning ability, but it is unclear to what extent different aspects of the mental representation are susceptible. The present study aimed to investigate knowledge about landmarks, their positions and distances (categorical and distance relations, respectively) in relation to aging as well as cognitive functioning (measured with the Montreal Cognitive Assessment [MoCA]), visuospatial abilities, and self-reported wayfinding inclinations. Thirty young adults and 60 older adults (30 aged 63–74 and 30 aged 75–86) learned a map, freely recalled the landmarks and performed a map drawing task (considering the number of landmarks missing, position accuracy and distance accuracy). Before that, older participants were also assessed regarding their general cognitive functioning (MoCA) and a series of visuospatial measures. The results show age-related differences among adults in recalling landmarks and in both categorical and distance relations, with a worsening of performance of old-olds only in the former. Older adults’ MoCA score related to accuracy in the three measures, and an additional role of spatial anxiety was found for distance accuracy. Above and beyond the age-related decline, the quality of older people’s spatial mental representation is related to higher general cognitive level and lower spatial anxiety.

Navigating in Virtual Environments: Does a Map or a Map-Based Description Presented Beforehand Help?

BACKGROUND

One of the aims of research in spatial cognition is to examine the factors capable of optimizing environment learning from navigation, which can be examined using a virtual environment (VE). Different learning conditions can play an important part.

AIM

This study examined the benefits of presenting configured information (layout with elements arranged in it) using a map or verbal description before a learner navigates in a new environment.

METHOD

Ninety participants were assigned to three learning groups of 30 individuals (15 males and 15 females). Before participants navigated in a VE, one group was shown a map of the environment ("map before navigation"), a second group read a map-like description of the environment ("description before navigation"), and a third group started navigating without any prior input ("only navigation"). Participants then learned a path in a VE (presented as if they were driving a car). Their recall was subsequently tested using three types of task: (i) route retracing; (ii) pointing; (iii) path drawing. Several measures were administered to assess participants' individual visuospatial and verbal factors.

RESULTS

There were no differences between the three groups in route retracing. The "map before navigation" group performed better than the "only navigation" group in both the pointing and the path drawing tasks, however, and also outperformed the "description before navigation" group in the path drawing task. Some relations emerged between participants' individual difference factors and their recall performance.

CONCLUSIONS

In learning from navigation, seeing a map beforehand benefits learning accuracy. Recall performance is also supported, at least in part, by individual visuospatial and verbal factors.

Ageing- and dementia-friendly design: theory and evidence from cognitive psychology, neuropsychology and environmental psychology can contribute to design guidelines that minimise spatial disorientation

Many older people, both with and without dementia, eventually move from their familiar home environments into unfamiliar surroundings, such as sheltered housing or care homes. Age-related declines in wayfinding skills can make it difficult to learn to navigate in these new, unfamiliar environments. To facilitate the transition to their new accommodation, it is therefore important to develop retirement complexes and care homes specifically designed to reduce the wayfinding difficulties of older people and those with Alzheimer’s disease (AD). Residential complexes that are designed to support spatial orientation and that compensate for impaired navigation abilities would make it easier for people with dementia to adapt to their new living environment. This would improve the independence, quality of life and well-being of residents, and reduce the caregivers’ workload. Based on these premises, this opinion paper considers how evidence from cognitive psychology, neuropsychology and environmental psychology can contribute to ageing- and dementia-friendly design with a view to minimising spatial disorientation. After an introduction of the cognitive mechanisms and processes involved in spatial navigation, and the changes that occur in typical and atypical ageing, research from the field of environmental psychology is considered, highlighting design factors likely to facilitate (or impair) indoor wayfinding in complex buildings. Finally, psychological theories and design knowledge are combined to suggest ageing- and dementia-friendly design guidelines that aim to minimise spatial disorientation by focusing on residual navigation skills.

Multiple Dimensions of Self-Esteem and Their Relationship with Health in Adolescence

The aim of the present study was to examine how different domains of self-esteem (social, competence, affect, academic, family, and physical) relate to self-reported physical and mental health, lower back pain (LBP), smoking, and physical exercise in a sample of adolescents. A sample of 326 adolescents 14-19 years old completed several self-report questionnaires collecting epidemiological data, and information on their LBP, smoking, and physical exercise, the Short Form Health Survey (SF-36), and the Multidimensional Self-Concept Scale. Pearson's correlations were calculated between their self-esteem scores and their physical and mental health scores. Three multivariate analyses of variance (MANOVAs) were performed to estimate associations between self-esteem and LBP, smoking, and physical exercise. Self-esteem (total and subcomponent scores) correlated positively with physical and mental health, and with physical exercise, and negatively with smoking. The results also confirm gender-related differences in self-esteem, in favor of boys. This study offers the first findings on the relationship between different domains of self-esteem and a variety of health outcomes in an adolescent population. The results suggest that multidimensional interventions could be devised to improve adolescents' physical health by promoting their physical exercise, and to prevent their smoking by nurturing their self-esteem.

The role of architectural design for rheumatic patients' wellbeing: the point of view of Environmental Psychology

Rheumatic diseases (RD) are among the most frequent disorders in the population and the major causes of chronic pain and disability. The resulting consequences are catastrophic, leading to a significant socio-economic burden, which includes significant reductions in quality of life (QoL) and limitations in regular work and daily activities of patients. In spite of this, rheumatic diseases are often misunderstood or diagnosed late, probably due to their characteristics of silent diseases, sometimes unrecognizable to unaffected or unskilled people. Actually, it is surprising that, despite their consequences on QoL and on individual impact, rheumatic diseases are underestimated by the public opinion, which is probably more attracted by other major diseases causing death. This silent perception can even be seen in some among the most recent psycho-social approaches to population needs in the fields of Health Psychology and Environmental Psychology. The latter, also known as Architectural Psychology, is a branch of Psychology that analyses the effects of the built environment on humans, including those affected by diseases. Paradoxically, in many cases, some components of the environments created to protect individuals and/or the population may represent barriers and subsequently causes of disability and suffering in patients with rheumatic diseases. In order to increase awareness about this particular aspect of social life, HEMOVE Onlus, a non-profit association, has promoted the creation of a multidisciplinary Task Group, which included mainly rheumatologists, psychologists and architects, with the aim of applying also for the benefit of rheumatic patients the most modern technical skills available in the context of Environmental Psychology, including in particular design and information technology.

Positive and Negative Wayfinding Inclinations, Choice of Navigation Aids, and How They Relate to Personality Traits

Abstract. This study aimed to examine the relationship between people’s self-reported wayfinding inclinations, their preference for certain navigation aids (maps vs. GPS vs. verbal directions), and their personality traits. A sample of 222 undergraduates completed questionnaires on personality traits, wayfinding inclinations and preferred navigation aids, and two spatial tasks. The results showed that spatial ability, positive wayfinding inclinations and negative wayfinding inclinations are distinct factors. Only wayfinding inclinations were related to personality traits: positive inclinations correlated positively, and negative inclinations inversely with Extraversion, Agreeableness, and Openness. Negative inclinations were only associated with poor Emotional stability. Further, Conscientiousness and Openness were correlated with a preference for map use, and Agreeableness with a preference for verbal directions. Analyzing facets of these personality traits clarified the relations. These findings are discussed within the spatial cognition domain, broadening the array of individual factors (such as spatial attitudes and personality traits) and their relation to consider in defining individual spatial profiles.

Successful navigation: the influence of task goals and working memory

There is still a need to analyze the factors that enhance navigation accuracy. This study aims to examine how success in environment learning relates to task goals and WM. A total of 90 undergraduates (46 females) learned a route from a virtual navigation experience after being given a goal that involved tracing the route (a route-based goal) or finding a shortcut (a survey-based goal). The two groups thus formed were each divided into three subgroups according to the dual-task paradigm: one only navigated (control condition); the other two did so while simultaneously performing a visuo-spatial or verbal secondary task. Afterwards, participants traced the previously seen route and found a shortcut. Several visuo-spatial and verbal WM tasks were also administered. The results showed that participants given a route-based goal performed better in the route-tracing task; and those given a survey-based goal were better at finding shortcuts. An influence of WM was also shown: higher WM (visuo-spatial and verbal) ability significantly reduced the number of route-tracing errors made while performing a secondary visuo-spatial task, regardless of the goal, whereas no such effects emerged for shortcut finding. These results offer new insight on how task goals and WM support successful navigation.

Residential Place Attachment as an Adaptive Strategy for Coping With the Reduction of Spatial Abilities in Old Age

This study intended to test whether attachment to one's own residential place at neighborhood level could represent a coping response for the elderly (consistently with the "docility hypothesis;" Lawton, 1982), when dealing with the demands of unfamiliar environments, in order to balance their reduction of spatial abilities. Specifically, a sequential path was tested, in which neighborhood attachment was expected to play a buffer role between lowered spatial competence and neighborhood satisfaction. The participants (N = 264), senior citizens (over 65-year-old), responded to a questionnaire including the measures of spatial self-efficacy, spatial anxiety, attitude toward wayfinding, residential attachment and residential satisfaction. Results from the mediation analysis showed that a lower perceived spatial self-efficacy is associated to a higher spatial anxiety, and both promote a more negative attitude toward wayfinding tasks in non-familiar places. This leads to a higher attachment to one's own neighborhood, which in turn predicts a higher residential satisfaction. Thus, the "closure" response of becoming more attached to their residential place may be an adaptive strategy of the elderly for compensating the Person-Environment (P-E) mis-fit (Lawton and Nahemow, 1973) when they feel unable (or less able) to cope with the demands of unfamiliar environments.

Specifying the boundary conditions of the multimedia effect: The influence of content and its distribution between text and pictures

It was investigated whether the beneficial effect of picture presentation might be influenced by the content conveyed through text and pictures and the way information is distributed between them. Ninety-nine students learnt in five between-subjects learning conditions (i.e., text with spatial contents plus pictures, text with visual contents plus pictures, only text with spatial contents, only text with visual contents, only picture) about a tourist centre and a holiday farm. Results showed that pictures (i.e., maps) were beneficial for learning if spatial knowledge had to be acquired, but did not support learning when non-spatial, visual knowledge had to be acquired. Furthermore, a high overlap of spatial information in text and picture was helpful, which can be explained by the assumption that learning is a text-guided process. On the other hand, regarding non-spatial visual information, a high text-picture overlap did not influence learning, probably because text alone was sufficient for acquiring visual knowledge. The implications of these findings are discussed.

Tracing a Route and Finding a Shortcut: The Working Memory, Motivational, and Personality Factors Involved

Wayfinding (WF) is the ability to move around efficiently and find the way from a starting point to a destination. It is a component of spatial navigation, a coordinate and goal-directed movement of one’s self through the environment. In the present study, the relationship between WF tasks (route tracing and shortcut finding) and individual factors were explored with the hypothesis that WF tasks would be predicted by different types of cognitive, affective, motivational variables, and personality factors. A group of 116 university students (88 F.) were conducted along a route in a virtual environment and then asked first to trace the same route again, and then to find a shortcut between the start and end points. Several instruments assessing visuospatial working memory, mental rotation ability, self-efficacy, spatial anxiety, positive attitude to exploring, and personality traits were administered. The results showed that a latent spatial ability factor (measured with the visuospatial working memory and mental rotations tests) – controlled for gender – predicted route-tracing performance, while self-report measures of anxiety, efficacy, and pleasure in exploring, and some personality traits were more likely to predict shortcut-finding performance. We concluded that both personality and cognitive abilities affect WF performance, but differently, depending on the requirements of the task.

Combining Structural Magnetic Resonance Imaging and Visuospatial Tests to Classify Mild Cognitive Impairment

Background:

Recently, efforts have been made to combine complementary perspectives in the assessment of Alzheimer type dementia. Of particular interest is the definition of the fingerprints of an early stage of the disease known as Mild Cognitive Impairment or prodromal Alzheimer's Disease. Machine learning approaches have been shown to be extremely suitable for the implementation of such a combination.

Methods:

In the present pilot study we combined the machine learning approach with structural magnetic resonance imaging and cognitive test assessments to classify a small cohort of 11 healthy participants and 11 patients experiencing Mild Cognitive Impairment. Cognitive assessment included a battery of standardised tests and a battery of experimental visuospatial memory tests. Correct classification was achieved in 100% of the participants, suggesting that the combination of neuroimaging with more complex cognitive tests is suitable for early detection of Alzheimer Disease.

Results:

In particular, the results highlighted the importance of the experimental visuospatial memory test battery in the efficiency of classification, suggesting that the high-level brain computational framework underpinning the participant's performance in these ecological tests may represent a “natural filter” in the exploration of cognitive patterns of information able to identify early signs of the disease.

How to enhance route learning and visuo-spatial working memory in aging: a training for residential care home residents

OBJECTIVES

This study aimed to assess the efficacy of a route-learning training in a group of older adults living in a residential care home. We verified the presence of training-specific effects in tasks similar to those trained - route-learning tasks - as well as transfer effects on related cognitive processes - visuo-spatial short-term memory (VSSTM; Corsi Blocks Test (CBT), forward version), visuo-spatial working memory (VSWM; CBT, backward version; Pathway Span Tasks; Jigsaw Puzzle Test) - and in self-report measures. The maintenance of training benefits was examined after 3 months.

METHOD

Thirty 70-90-year-old residential care home residents were randomly assigned to the route-learning training group or to an active control group (involved in non-visuo-spatial activities).

RESULTS

The trained group performed better than the control group in the route-learning tasks, retaining this benefit 3 months later. Immediate transfer effects were also seen in visuo-spatial span tasks (i.e., CBT forward and backward version and Pathway Span Task); these benefits had been substantially maintained at the 3-month follow-up.

CONCLUSION

These findings suggest that a training on route learning is a promising approach to sustain older adults' environmental learning and some related abilities (e.g., VSSTM and VSWM), even in residential care home residents.

Are People with High and Low Mental Rotation Abilities Differently Susceptible to the Alignment Effect?

We investigated whether the alignment effect (Levine et al, 1982 Journal of Experimental Psychology: General111 157–175) is influenced by mental rotation abilities. In two experiments, groups of undergraduate students with high and low performance in mental rotation tasks were required to study either schematic (experiment 1) or more complex (experiment 2) maps, and to perform a number of pointing tasks adopting a perspective which could be aligned, misaligned (45°, 135°), or counteraligned (180°) with the perspective assumed during learning. Cognitive styles in spatial representation have also been considered. Results of experiment 1 show that people with low performance in mental rotation tasks prefer to adopt a representation of space focused more on landmarks. Their performance in the pointing tasks depends on the alignment conditions, with more errors in the counteraligned condition followed by the two misaligned and aligned ones. In contrast to this, high-ability mental rotators prefer survey and route spatial representations and are affected only by the aligned and non-aligned conditions. In the second experiment, practice was studied as a function of mental rotation and alignment. The group high in mental rotation ability was found to be free from the alignment effect in the pointing tasks performed after the final of four learning phases.

The role of visual and spatial working memory in forming mental models derived from survey and route descriptions

This study examines the involvement of spatial and visual working memory (WM) in the construction of flexible spatial models derived from survey and route descriptions. Sixty young adults listened to environment descriptions, 30 from a survey perspective and the other 30 from a route perspective, while they performed spatial (spatial tapping [ST]) and visual (dynamic visual noise [DVN]) secondary tasks - believed to overload the spatial and visual working memory (WM) components, respectively - or no secondary task (control, C). Their mental representations of the environment were tested by free recall and a verification test with both route and survey statements. Results showed that, for both recall tasks, accuracy was worse in the ST than in the C or DVN conditions. In the verification test, the effect of both ST and DVN was a decreasing accuracy for sentences testing spatial relations from the opposite perspective to the one learnt than if the perspective was the same; only ST had a stronger interference effect than the C condition for sentences from the opposite perspective from the one learnt. Overall, these findings indicate that both visual and spatial WM, and especially the latter, are involved in the construction of perspective-flexible spatial models.

Relationship between spatial ability, visuospatial working memory and self-assessed spatial orientation ability: a study in older adults

This paper describes some novel spatial tasks and questionnaires designed to assess spatial and orientation abilities. The new tasks and questionnaires were administered to a sample of 90 older adults (41 males, age range 57-90), along with some other tests of spatial ability (Minnesota Paper Form Board, Mental Rotations Test, and Embedded Figures Test) and tests of visuospatial working memory (Corsi's Block Test and Visual Pattern Test). The internal reliability of the new tasks and questionnaires was analyzed, as well as their relationship with the spatial and working memory tests. The results showed that the new spatial tasks are reliable, correlate with working memory and spatial ability tests and, compared with the latters, show stronger correlations with the self-report questionnaires referring to orientation abilities. A model was also tested (with reference to Allen et al. in Intelligence 22:327-355, 1996) in which the new tasks were assumed to relate to spatial ability and predict orientation abilities as assessed by the self-report measures.

Memory and comprehension deficits in spatial descriptions of children with non-verbal and reading disabilities

The present study investigated the difficulties encountered by children with non-verbal learning disability (NLD) and reading disability (RD) when processing spatial information derived from descriptions, based on the assumption that both groups should find it more difficult than matched controls, but for different reasons, i.e., due to a memory encoding difficulty in cases of RD and to spatial information comprehension problems in cases of NLD. Spatial descriptions from both survey and route perspectives were presented to 9–12-year-old children divided into three groups: NLD (N = 12); RD (N = 12), and typically developing controls (TD; N = 15); then participants completed a sentence verification task and a memory for locations task. The sentence verification task was presented in two conditions: in one the children could refer to the text while answering the questions (i.e., text present condition), and in the other the text was withdrawn (i.e., text absent condition). Results showed that the RD group benefited from the text present condition, but was impaired to the same extent as the NLD group in the text absent condition, suggesting that the NLD children’s difficulty is due mainly to their poor comprehension of spatial descriptions, while the RD children’s difficulty is due more to a memory encoding problem. These results are discussed in terms of their implications in the neuropsychological profiles of children with NLD or RD, and the processes involved in spatial descriptions.

Encoding and updating spatial information presented in narratives

Four experiments investigated whether directional spatial relations encoded by reading narratives are updated following described protagonist rotations. Participants memorized locations of objects described in short stories that placed them, as the protagonist, in remote settings. After reading a description that the protagonist rotated to the left or the right of the initial orientation, participants made judgements about object relations in the described environment (Experiment 1). Before making these judgements, participants were instructed to physically rotate to match (Experiment 2) or mismatch (Experiment 4) the protagonist's described rotation and in Experiments 3 and 4 to also visualize the changed relations following rotation. Participants' performance suggested that they relied on the initial representation they constructed during encoding rather than on the updated protagonist-to-object relations. Participants' physical movement to match the described rotation and additional visualization instructions did not facilitate updating through a sensorimotor process. In these respects, updating spatial relations in situation models constructed from narratives differs from updating in perceptually experienced environments.