Guidelines for Psychological Practice With Older Adults.

Presents the American Psychological Association Guidelines for psychological practice with older adults. The present document is intended to assist psychologists in evaluating their own readiness for working clinically with older adults and in seeking and using appropriate education and training to increase their knowledge, skills, and experience relevant to this area of practice, when desired and appropriate. The specific goals of these guidelines are to provide practitioners with (a) a frame of reference for engaging in clinical work with older adults and (b) basic information and further references in the areas of attitudes, general aspects of aging, clinical issues, assessment, intervention, consultation, and continuing education and training relative to work with older adults. These guidelines build on, and are intended to be entirely consistent with, the APA's (2002a) "Ethical Principles of Psychologists and Code of Conduct" and other APA policies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Source-monitoring training facilitates preschoolers' eyewitness memory performance.

Preschool children are more susceptible to misleading postevent information than are older children and adults. One reason for young children's suggestibility is their failure to monitor the source of their memories, as in, for example, discriminating whether an event was seen live versus on television. The authors investigated whether source-monitoring training would decrease preschoolers' suggestibility. Thirty-six 3-4-year-olds observed target live and video events and were then given source-monitoring or recognition (control) training on nontarget events. Following training, all children answered 24 misleading and nonmisleading target-event questions. Children given source-monitoring training were more accurate than control group children in response to misleading and nonmisleading yes-no questions and in response to nonmisleading, open-ended questions. Implications for strategy development, dual representation, and child witness interviewing are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Impact of working memory training on memory performance in old-old adults.

Memory impairments constitute an increasing objective and subjective problem with advancing age. The aim of the present study was to investigate the impact of working memory training on memory performance. The authors trained a sample of 80-year-old adults twice weekly over a time period of 3 months. Participants were tested on 4 different memory measures before, immediately after, and 1 year after training completion. The authors found overall increased memory performance in the experimental group compared to an active control group immediately after training completion. This increase was especially pronounced in visual working memory performance and, to a smaller degree, also in visual episodic memory. No group differences were found 1 year after training completion. The results indicate that even in old?old adults, brain plasticity is strong enough to result in transfer effects, that is, performance increases in tasks that were not trained during the intervention. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictors of working with older adults in an Australian psychologist sample: Revisiting the influence of contact.

Despite increasing numbers of older people in most global populations and increasing evidence of the efficacy of psychological therapy in older clinical populations, few psychologists work with older clients as compared with other clinical groups. In the present research, the authors examine potential influences on psychologists choosing to specialize in working in the field of aging. The authors surveyed 1,498 psychologists Australia-wide to examine which factors exerted the most influence on choosing to specialize in clinical work with older clients. Clinical exposure to older clients and age-related course content within training programs, together with further education external to formal training, were significantly correlated with specializing in aged care. Holding a more negative attitude toward one's own aging was another predictor of specialist category membership, with interest in working with older clients also being a significant factor based on direct logistic regression analysis. In contrast to previous work, amount or quality of contact with older persons did not appear to relate to working with older adults. These findings highlight the importance of quality training experiences in influencing attitudes toward working with older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Plasticity of executive functioning in young and older adults: Immediate training gains, transfer, and long-term maintenance.

The authors investigated immediate training gains, transfer effects, and 18-month maintenance after 5 weeks of computer-based training in updating of information in working memory in young and older subjects. Trained young and older adults improved significantly more than controls on the criterion task (letter memory), and these gains were maintained 18 months later. Transfer effects were in general limited and restricted to the young participants, who showed transfer to an untrained task that required updating (3-back). The findings demonstrate substantial and durable plasticity of executive functioning across adulthood and old age, although there appear to be age-related constraints in the ability to generalize the acquired updating skill. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Can training in a real-time strategy video game attenuate cognitive decline in older adults?

Declines in various cognitive abilities, particularly executive control functions, are observed in older adults. An important goal of cognitive training is to slow or reverse these age-related declines. However, opinion is divided in the literature regarding whether cognitive training can engender transfer to a variety of cognitive skills in older adults. In the current study, the authors trained older adults in a real-time strategy video game for 23.5 hr in an effort to improve their executive functions. A battery of cognitive tasks, including tasks of executive control and visuospatial skills, were assessed before, during, and after video-game training. The trainees improved significantly in the measures of game performance. They also improved significantly more than the control participants in executive control functions, such as task switching, working memory, visual short-term memory, and reasoning. Individual differences in changes in game performance were correlated with improvements in task switching. The study has implications for the enhancement of executive control processes of older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The accelerate study: The longitudinal effect of speed of processing training on cognitive performance of older adults.

Objective: Examine the short-term and long-term impact of speed of processing training on cognitive performance in older adults. Study Design: Randomly assigned, 2-group experimental design with assessment periods at baseline, immediately after training, and at 2 subsequent annual points. Setting: Laboratory. Participants: Older adults (N=159) with speed of processing impairments. Interventions: Speed of processing training group or a social contact Internet control group. Participants in both groups received approximately ten 1-hr training sessions. Main Outcome Measures: Cognitive measures. Results: Speed of processing training resulted in improved performance on two measures of information processing (Useful Field of View and the Starry Night tests). Conclusions: Speed of processing training produced significant processing speed improvement that was robust over a 2-year period. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Working memory training in older adults: Evidence of transfer and maintenance effects.

Few studies have examined working memory (WM) training-related gains and their transfer and maintenance effects in older adults. This present research investigates the efficacy of a verbal WM training program in adults aged 65–75 years, considering specific training gains on a verbal WM (criterion) task as well as transfer effects on measures of visuospatial WM, short-term memory, inhibition, processing speed, and fluid intelligence. Maintenance of training benefits was evaluated at 8-month follow-up. Trained older adults showed higher performance than did controls on the criterion task and maintained this benefit after 8 months. Substantial general transfer effects were found for the trained group, but not for the control one. Transfer maintenance gains were found at follow-up, but only for fluid intelligence and processing speed tasks. The results are discussed in terms of cognitive plasticity in older adults. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychologists in practice with older adults: Current patterns, sources of training, and need for continuing education.

Rapid population growth among older adults means an increased need for psychologists prepared to provide mental health services to this population. A representative survey of 1,227 practitioner members of the American Psychological Association yielded information about current patterns of practice with older adults, sources of training in geropsychology, perceived need for continuing education (CE) in geropsychology, and preferred CE formats. Most respondents provided some services to older adults, but typically very little. The services provided are inadequate to meet projected demand. Most respondents lacked formal training in geropsychology and perceived themselves as needing additional training. CE workshops at the regional level and distance education were the most popular formats. These data serve as a call to the field to expand training opportunities at all levels of training, with an emphasis on the need for empirically based, broadly accessible CE offerings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Improving Computer Skill Training: Behavior Modeling, Symbolic Mental Rehearsal, and the Role of Knowledge Structures.

Effective computer skill training is vital to organizational productivity. Two experiments (N = 288) demonstrated that the behavior modeling approach to computer skill training could be substantially improved by incorporating symbolic mental rehearsal (SMR). SMR is a specific form of mental rehearsal that establishes a cognitive link between visual images and symbolic memory codes. As theorized, the significant effects of SMR on declarative knowledge and task performance were shown to be fully mediated by changes in trainees' knowledge structures. The mediational role of knowledge structures is expected to generalize to other training interventions and cognitive skill domains. Our findings have the immediate implications that practitioners should use SMR for improving the effectiveness of computer skill training. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Real-time training: Transfer of knowledge through computer-mediated, real-time feedback.

In this article, the author describes an interactive, computer-mediated method/technology for promoting transfer of knowledge, theoretically grounded in cognitive science, that responds specifically to needs outlined by Binder (1993; 1999) and Berger (2004) for integrating cognitive psychology principles and interactive, computer-mediated methods with psychotherapy training. The article provides a context for understanding the process known as Real-Time Training (RTT; Rosenberg, 2000a) by reviewing expertise research literature as applied to clinical training, describing the conceptual framework underlying the development of RTT, reviewing live and computer-mediated supervision methods for clinical training, providing preliminary research validation of RTT, and discussing clinical training and supervision implications. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Memory interference effects and aging: Findings from a test of frontal lobe function.

Performance on behavioral measures of self-ordered pointing and 2-choice recognition memory was evaluated in young adults (aged 18–23 yrs) and 2 groups of older adults (aged 61–70 yrs and 71–80 yrs). The self-ordered pointing test involves working memory and has been used as an index of frontal lobe dysfunction; to perform well, Ss must organize stimulus information and monitor responses. Both groups of older adults exhibited impairment on the pointing test, but the pattern of impairment was different for the 2 groups. Individuals in their 60s exhibited impairment on a 2nd block of trials but not on the 1st block. Individuals in their 70s exhibited deficits on both blocks of trials. On the recognition test, only individuals in their 70s exhibited impairment. The findings suggest that age-related impairments occur in both working memory and recognition memory. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Using the e-SOFTA for video training and research on alliance-related behavior.

In this article, we describe a specific technology for training/supervision and research on the working alliance in either individual or couple/family therapy. The technology is based on the System for Observing Family Therapy Alliances (SOFTA; Friedlander, Escudero, & Heatherington, 2006), which contains four conceptual dimensions (Engagement in the Therapeutic Process, Emotional Connection with the Therapist, Safety within the Therapeutic System, and Shared Sense of Purpose within the Family), observational rating tools (SOFTA-o), and self-report measures (SOFTA-s) shown to be important indicators of therapeutic progress. The technology, e-SOFTA, is a computer program (available for PC downloading free of charge) that can be used to rate client(s) and therapist on the specific SOFTA-o behaviors that contribute to or detract from a strong working alliance in each dimension. In addition to providing time-stamped frequencies of alliance-related behaviors, e-SOFTA allows users to link the observed behaviors to qualitative comments and to compare one person's rating of a session to that of another person. Suggestions are provided for using e-SOFTA in research, in didactic training, and in supervision, including a specific training module for introducing graduate students to the working alliance and assessing their observational and executive skills. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Developing sexual health software incorporating user feedback: a British experience

This article describes an interactive prototyping model for development of four computer software modules for British youth on sexual issues. An iterative cycle of development, user review and feedback, and subsequent modification and retesting was used with approximately 150 young adults, with particular attention to presentation style, screen design, usability, relevance of material, enjoyment, and learning. The software was designed to be realistically accommodated in school settings, to be used as a reference tool by students working alone or in a group teaching situation. Feedback from youth and adults attests to the feasibility of development, implementation, and instructional usefulness. Interactive prototyping proved essential in the face of skepticism from teachers concerning young people's information needs and acceptance of a computerized educational approach.     

Divergent trajectories in the aging mind: Changes in working memory for affective versus visual information with age.

Working memory mediates the short-term maintenance of information. Virtually all empirical research on working memory involves investigations of working memory for verbal and visual information. Whereas aging is typically associated with a deficit in working memory for these types of information, recent findings suggestive of relatively well-preserved long-term memory for emotional information in older adults raise questions about working memory for emotional material. This study examined age differences in working memory for emotional versus visual information. Findings demonstrate that, despite an age-related deficit for the latter, working memory for emotion was unimpaired. Further, older adults exhibited superior performance on positive relative to negative emotion trials, whereas their younger counterparts exhibited the opposite pattern. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effects of alternative training methods on self-efficacy and performance in computer software training.

Alternative training methods on self-efficacy and mastery of a computer software program were compared in the context of a field experiment involving 108 university managers. A behavioral modeling approach relative to a tutorial approach yielded higher self-efficacy scores and higher performance on an objective measure of computer software mastery. Participants scoring high in self-efficacy performed significantly better than participants with low computer self-efficacy scores. Participants low in self-efficacy reported greater confidence in their ability to master the software training in the modeling compared with the tutorial conditions. Participants in the modeling training reported more effective cognitive working styles, more ease with the task, more satisfaction with training, and less frustration compared with participants in tutorial training. Implications for training interventions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A training plan for first year graduate psychology students in a Veterans Administration hospital.

The geographical proximity and working relationship of the University of Utah and the Salt Lake City VA Hospital have facilitated integration of academic and practician phases of the cooperative training program in psychology. Consultants from the university have a just-across-the-street contact with the students practicum work, and VA staff psychologists are used by the university in planning curricula and in teaching. The training plan described here represents an attempt to use the close working relationship of university and hospital in planning and carrying out a meaningful training experience for first year graduate students. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Comparison of computer-based versus counselor-based occupational information systems with disadvantaged vocational students.

Based on the rationale that occupational information is an educational essential, 72 Ss, who were occupational work experience 10th-12th graders, were randomly assigned to individual guidance from either a computerized occupational information system or a counselor-based information system or assigned to a control group. Ss were posttested on the Assessment of Career Development to determine which group learned the most information. Results demonstrate a hierarchical learning effect: The computer group learned more than the counseled group, which learned more than the control group. Only the treatment effects were significantly different between the groups, since there was no interaction of IQ and treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Right View of Your Patient: A Computer-Assisted, Individualized Module for Psychotherapy Training.

Because there is no uniform treatment, it is obvious that everything psychotherapists say and do depends on their view of a patient. The ability to develop a working model of patients' problems is generally not as good as desired. Even experienced therapists often have difficulty developing sufficiently complete and useful case conceptualizations. It is argued that this is partly due to traditional psychotherapy training models, which are considered insufficient. In accordance with research on expertise, the authors favor an individualized training procedure with concise and intensive feedback. A computer-supported approach makes such training affordable. An evaluation of the program completed by psychotherapy trainees shows good acceptance and a clear improvement in the ability to cover the relevant aspects of a case conceptualization. (PsycINFO Database Record (c) 2010 APA, all rights reserved)