Prospective Memory in Service Members with Mild Traumatic Brain Injury.

INTRODUCTION: Prospective memory (PM) is the ability to remember the intention to perform an action in the future. Following mild traumatic brain injury (mTBI), the brain structures supporting such PM may be compromised. PM is essential for remembering activities specific to TBI survivors that promote recovery, such as following doctors' orders, taking necessary medications, completing physical rehabilitation exercises, and maintaining supportive social relationships. Since the year 2000, more than 315,897 US Service Members are reported to have sustained an mTBI1, yet little has been done to address possible PM concerns. Therefore, identifying impaired PM and interventions that may ameliorate such deficits is important. The primary aim of this study was to determine whether task encoding using implementation intentions leads to better PM performance than encoding using rote rehearsal in Service Members with mTBI (n = 35) or with bodily injuries but no TBI (n = 8) at baseline and 6 months later. MATERIALS AND METHOD: Participants were randomized to one of the two encoding conditions. They were asked to remember to complete a series of four tasks over the course of a 2-hour event-related potential session and to contact a staff member during a specified 2-hour window later that day. PM performance was assessed based on completion of each task at the appropriate time. IRB approval was obtained from The Catholic University of America, Walter Reed National Military Medical Center, and Ft. Belvoir Community Hospital. RESULTS: Service Members with mTBI using implementation intentions outperformed those using rote rehearsal. The effect of injury type and the interaction between encoding condition and injury type did not yield differences that were statistically significant. CONCLUSIONS: The results suggest that implementation intentions may be a useful PM remediation strategy for those who have sustained mTBI. Future research should validate these findings in a larger sample.

Initial planning benefits complex prospective memory at a cost.

The effect of initial planning on complex prospective memory was investigated using a virtual environment and a sample of healthy young adults (N = 34). Participants were assigned to either an initial planning or a control condition and were asked to complete a series of time- and event-based prospective memory tasks. The planning group completed the tasks more quickly and accurately than the control group. However, the total time spent, including both planning and task execution, was comparable for the two groups. Within the planning group, tasks that were planned were more likely to be completed than unplanned tasks, but inclusion of overly detailed information in the plans resulted in poorer performance. These results suggest that although initial planning can be beneficial to task completion, the complexity of a plan may contribute to decrements in performance.

Prospective memory and the efficacy of a memory strategy in multiple sclerosis.

Prospective memory (PM), which is the ability to remember to carry out actions that are planned for the future, plays an important role in professional and social life as well as in activities of daily living. This study examined PM performance among adults with multiple sclerosis (MS) and evaluated the efficacy of a mnemonic strategy, implementation intentions. Compared to controls, adults with MS were impaired on PM, both in terms of acting when encountering the correct circumstances (prospective component) and in terms of remembering the correct action to perform (retrospective component). The prospective-component deficit was greater for tasks that depended on more resource-demanding cognitive processes and smaller on tasks that could be performed more automatically. Use of implementation intentions improved MS-group performance on the prospective component, particularly on the more resource-demanding tasks, consistent with the explanation that implementation intentions improved performance by allowing the use of more automatic processes to perform these PM tasks. Implications for providing environmental support to encourage the use of mnemonic strategies are discussed.