Older adults want to live independently in the community for as long as possible. Factors which place older adults at a high risk for institutionalization include loss of memory performance, and the need for assistance with instrumental activities of daily living. Education and cognitively demanding environments are considered important means of remaining mentally fit. Older adults are capable of improving their memory but whether a psychosocial intervention may assist them to improve or maintain their instrumental activities of daily living is not known.
The aims of the study are to determine (1) the effects of the Cognitive Behavioral Model of Everyday Memory (CBMEM)-based memory training intervention with booster sessions on memory self-efficacy, metamemory, anxiety, depression, memory performance, and instrumental activities of daily living; (2) whether the CBMEM based memory intervention will affect the distal functional outcome through its effect on the mediator variables (anxiety, depression, memory self-efficacy and metamemory) and the proximal outcome of memory performance; and (3) to examine the participants' views of the most and least helpful aspects of the CBMEM intervention. The intervention is an 8-session, 1 1/2 hour classroom course designed to teach older adults the use of strategies to improve everyday memory. Strategically placed booster sessions will be provided to subjects within 3 months following the last class session. Bandura's self-efficacy theory guides this study. A sample of 240 adults, aged 65 and older and living independently in the community will be recruited from Austin Travis County, from high rise apartments and retirement facilities. Individuals scoring <23 on the Mini-Mental Status Exam will be excluded from the study. All participants will complete the MMSE, Rivermead Behavioral Memory Test, the CES-D Depression Scale, Spielberger State-Trait Anxiety Inventory, the Medical Outcome Study-36, the Direct Assessment of Functional Status, and the Metamemory and Memory Self-Efficacy scales. In this randomized clinical trial subjects will be randomly assigned to experimental and comparison groups. Data collections will occur over 27 months on five occasions with face-to-face interviews. Data analysis will include descriptive statistics, correlations, 2X5 MANOVA and hierarchical regressions.

National Institute of Health (NIH)
National Institute on Aging (NIA)
Research Project (R01)
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Special Emphasis Panel (ZRG1-RPHB-3 (01))
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Elias, Jeffrey W
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University of Texas Austin
Schools of Nursing
United States
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McDougall Jr, Graham J; Vance, David E; Wayde, Ernest et al. (2015) Memory training plus yoga for older adults. J Neurosci Nurs 47:178-88
McDougall Jr, Graham J; Simpson, Gaynell; Friend, Mary Louanne (2015) Strategies for research recruitment and retention of older adults of racial and ethnic minorities. J Gerontol Nurs 41:14-23; quiz 24-5
McDougall, Graham Joseph; Pituch, Keenan A; Stanton, Marietta P et al. (2014) Memory performance and affect: are there gender differences in community-residing older adults? Issues Ment Health Nurs 35:620-7
McDougall Jr, Graham J; Oliver, JoAnn S; Scogin, Forrest (2014) Memory and cancer: a review of the literature. Arch Psychiatr Nurs 28:180-6
Whittaker, Tiffany A; Pituch, Keenan A; McDougall Jr, Graham J (2014) Latent growth modeling with domain-specific outcomes comprised of mixed response types in intervention studies. J Consult Clin Psychol 82:746-59
McDougall Jr, Graham J (2014) The 2013 Doris Schwartz Gerontological Nursing Research Award: Eileen M. Sullivan-Marx, PhD, CRNP, RN, FAAN. J Gerontol Nurs 40:7-9
McDougall Jr, Graham J; Morgan, Stephanie; Vaughan, Phillip W (2012) Sixteen-month evaluation of depressive symptomatology in older adults. Arch Psychiatr Nurs 26:e13-21
McDougall Jr, Graham J; Mackert, Michael; Becker, Heather (2012) Memory performance, health literacy, and instrumental activities of daily living of community residing older adults. Nurs Res 61:70-5
McDougall, Graham J; Becker, Heather; Acee, Taylor W et al. (2011) Symptom management of affective and cognitive disturbance with a group of cancer survivors. Arch Psychiatr Nurs 25:24-35
McDougall Jr, Graham J; Becker, Heather; Pituch, Keenan et al. (2010) The SeniorWISE study: improving everyday memory in older adults. Arch Psychiatr Nurs 24:291-306

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