Skip to main content

Table 1 Study and participant characteristics of the included studies

From: Prognostic factors for change in memory test performance after memory training in healthy older adults: a systematic review and outline of statistical challenges

Study

Sample

Training

Outcomes

Prognostic factors

Study design

Initial sample size for the experimental group

Dropout and reasons

Age (years, M, SD)

Sex

Education(years, M, SD)

Description of memory training—content and frequency

Total length of training in minutes

Definition and method of assessment

Timing of outcome assessment

Definition and methods

♂

♀

Pesce et al. [20]

Stratified randomized study

n = 30

n = 29

70.40 (7.00)

14

15

9.60 (1.80)

Method of loci and general strategies.

24 weeks, 2 times a week for 1 h

2880

RAVLT, MMSE

Antioxidant levels assessed with the Biological Antioxidant potential Test; reactive oxygen metabolites derivative compounds assessed with the d-ROMs Test

O'Hara et al. [9]

Non-randomized, non-controlled longitudinal study

n = 531

n = 419 due to several reasons at 5-year follow-up

73.73(7.62)

34

78

15.56 (2.79)

Method of loci.

2 weeks, 5 times a week for 2 h

1200

Number of words correctly recalled, number of words correctly recalled in order.

Assessed at baseline and 5-year follow-up measurement

Pre-training, gain scores following training, age, education, reported use of mnemonic at follow-up, type of pre-training (standard vs. comprehensive) and length of training.

Mohs et al. [21]

RCT

n = 68

n = n.a.

78.30 (7.40)

15

53

16.00 (2.70)

Structured memory training focusing on memory improvement and different strategies.

Nine 90-min sessions

810

Verbal memory assessed with CVLT, non-verbal memory assessed with BFLT.

Assessed 2 times at baseline, at post-test, 3 months and 6 months follow-up

Age, education, gender, subjective reported memory assessed with the MFI and the MFQ

Kirchhoff et al. [22]

Non-randomized, non-controlled longitudinal study

n = 16

n = 2 due to technical difficulties

72.00 (66–81)

7

7

14.70 (2.90)

Memory strategy training and practice.

2 training sessions

Missing information

Memory retrieval using Remember/Know/New recognition memory decisions

Assessed at pre-training and post-training

Hippocampal activity

Kirchhoff et al. [23]

Controlled trial

n = 16

n = n.a.

71.9 (66–81)

8

8

14.8 (2.7)

Memory strategy training and practice

2 training sessions.

Missing information

Recognition memory using Remember/Know/New recognition memory decisions.

Assessed at pre-training and post-training

Activity in prefrontal cortex, left lateral temporal cortex.

Leahy et al. [24, 25]

RCT

n = 22

n = 1

74.77 (6.57)

8

13

18.77 (2.62)

Memory specificity training to improve the specificity of older adults’ retrieval of autobiographical memories by providing systematic practice.

4 weeks, once a week for 60 min

240

Autobiographical memory specificity.

Assessed at pre-test, post-test, and 3 months follow-up.

Memory specificity assessed with MEPS, functional limitations assessed with FLP, self-rated depression assessed with HADS, independence assessed with IADL

Andrewes et al. [26]

RCT controlled for sex

n = 20

n = 3

60–70 years

10

10

Some secondary schooling: n = 3

Secondary school + trade qualifications: n = 5

Complete secondary school: n = 6

Began tertiary school: n = 6

Memory handbook training for face-name and prospective memory areas; independently implemented at home

4 weeks, 30 min per session

Missing information

Improvement in: Face-name Test, Laboratory Prospective Memory Assessment, Everyday Prospective Memory Assessment.

Assessed at pre-test, post-test and 4-month FU

RAVLT, Warrington Forced-Choice Recognition for Faces, BDI, NART, Mattis Dementia Rating Scale.

Anschutz et al. [27]

Non-randomized, non-controlled longitudinal study

n = 10

n = 1 due to severe illness

73.50 (n.a.)

2

7

10.70 (n.a.)

Method of loci

No information on training duration and frequency

Missing information

Free-recall of two lists and recognition of two lists consisting of 12 nouns each.

Assessed at pre-test and 34 months after finishing the training

Free-recall pre-test, free recall list 1, age

Bissig and Lustig [28]

Non-randomized, non-controlled longitudinal study

n = 19

n = 1 due to low accuracy of studied words

74.50 (6.10)

n.a.

n.a.

18.00 (3.30)

Modified recollection training procedure

2 weeks, 4 sessions per day at 7 days

Missing information

Ranking: participants were ranked by final lag level (lag between lure repetitions).

Assessed and adapted individually during each training performance

Age, crystallized intelligence

Bråthen et al. [29]

Controlled trial

n = 126

n = 3

Old: 73.40 (3.00)

Old: 29

Old: 49

Old: 14.70 (2.90)

Learning and practicing the Method of loci technique aiming to improve episodic memory performance

10 weeks, once a week + 8 weekly online home assignments

Missing information

Memory improvement: change in correct written recall of word list consisting of 100 nouns.

Assessed at pre-test and post-test

Cortical volume, hippocampal volume, ALFF, fALFF

Brooks et al. [8]

RCT

n = 224

Dropout not reported

68.58 (7.05)

n.a.

n.a.

15.33 (2.58)

Pre-training: imagery training, verbal elaboration and relaxation.

Name-Face Mnemonic: three-step mnemonic

Method of loci: method of loci for serial word recall.

2 weeks, 5 times a week for 120 min)

1200

Proper name recall task, word recall task (16 common words).

Assessed at pre-test and post-test

Pretraining, pretest score, age, length of training, pretraining x length

Clark et al. [30]

Multi-site RCT (ACTIVE)

n = n.a.

n = n.a.

No demographics separately for the memory training groups were reported.

Memory training focused on improving verbal episodic memory through instruction and practice in strategy use

6 weeks, 10 60-min sessions

600

HVLT, RAVL, RBMT.

Measured at baseline, immediate post-training, 1-;2-, 3-; 5-, and 10-year FU

Obesity, determined from BMI (in kg/m2) computed from measured height and weight data obtained at baseline

Clark et al. [31]

Multi-site RCT (ACTIVE)

n = n.a.

n = n.a.

No demographics separately for the memory training groups were reported.

Memory training focused on improving verbal episodic memory through instruction and practice in strategy use

6 weeks, 10 60-min sessions

600

Hopkins Verbal Learning Test, RAVL, RBMT.

Measured at baseline, immediate post-training, 1-;2-, 3-; 5-, and 10-year FU

Education (self-reported as years of completed schooling)

de Lange et al., [32]

Controlled trial

n = 76

n = 9 due to time constraints

73.60 (3.00)

25

51

15.00 (2.70)

Learning and practicing the Method of Loci technique aiming to improve episodic memory performance.

10 weeks, once a week + 8 weekly online home assignments

Missing information

Memory improvement: Word list recall

Interindividual variability in white matter microstructure

de Lange et al., [33]

Controlled trial

n = 44

n = 0

73.30 (2.70)

21

23

15.70 (3.10)

Learning and practicing the Method of Loci technique aiming to improve episodic memory performance.

10 weeks, once a week + 8 weekly online home assignments

Missing information

Memory improvement: word list test (100 words)

White matter microstructure

Tomaszewski Farias et al. [34]

Multi-site RCT (ACTIVE)

n = n.a.

n = n.a.

No demographics separately for the memory training groups were reported

Memory training focused on improving verbal episodic memory through instruction and practice in strategy use

6 weeks, 10 60-min sessions

600

Memory factor: Immediate recall HVLT, RAVLT, paragraph recall, RBMT

Instrumental activities of daily living, 18 questions of the Minimum Dataset Home Care scale

Finkel and Yesavage [35]

Controlled trial

n = 77

n = 16 due to illness (n = 5), frustration (n = 7), bad weather (n = 2), no reason (n = 1)

71.29 (6.31)

30%

70%

n.a.

Method of loci

No information on training duration and frequency

Missing information

Memory improvement gain scores of a list of 16 common words recall

Age, education, MMSE score, depression score, neuroticism and extraversion scale of the NEO-PI

Hampstead et al. [36]

RCT

n = 12

n = 1 due to ongoing disease

73.20 (7.70)

n.a.

n.a.

16.10 (3.40)

Object Location Assignment encoding and retrieval with mnemonic strategy from a cognitive rehabilitation program

2 weeks, 5 sessions + 1 follow-up session one month later

Missing information

Modified change score of Object Location Assignment accuracy

Medial temporal lobe volumetrics (hippocampus, amygdala, inferior lateral ventricles), standardized neuropsychological measures (RBANS Delayed Memory Index, TMT B)

Hill et al. [37]

Controlled trial

n = 59

n = n.a.

67.80 (7.50)

n.a.

n.a.

5.80 (1.10)

Mnemonic training

2 weeks, twice a week for 120 min

1680

Recall performance in name-face recall

Rated confidence (perceived confidence in recalling the names of unfamiliar faces).

Hill et al. [38]

Non-randomized, non-controlled longitudinal study

n = 102

n = n.a.

75.40 (10.50)

32

70

n.a.

Name- and face and list-learning program using an imagery and judgment technique and method of loci method.

2 weeks, 7 times a week for 120 min

1680

Improvement in Name-Face recall, Improvement in List-Recall

MMSE.

Leahy, Ridout, and Holland, [24]

RCT

n = 20

n = 1 due to unrelated health problems

76.85 (5.27)

6

14

17.75 (2.65)

Memory flexibility program

4 weeks, once a week for 60 min

240

Autobiographical memory specificity in the AMT.

Assessed at pre-test, post-test, and 3 month FU.

Baseline cognitive flexibility measured with the verbal fluency sub-score of ACE-III.

López-Higes et al. [39]

RCT

n = 50

n = 0

ApoE 4 carriers:

71.64 (5.72)

Non-carriers:

71.68 (5.65)

n.a.

n.a.

n.a.

Memory training consisting of cognitive stimulation, memory concepts, management of forgetting everyday experiences, meta-memory training

3 months, 30 90-min sessions

2700

Logical Memory and Word List from WMS-III

Apolipoprotein E genotyping

McDougall et al., [40]

RCT

n = 135

Loss to post-test: n = 8

Loss to FU: n = 12

Loss to end of study: n = 8

74.69 (5.74)

30

105

13.39 (3.90)

CBMEM-based intervention, based on the four components of self-efficacy theory

4 weeks, twice a week including 8 sessions and 4 booster sessions

720

HVLT-R, BVMT-R, RBMT.

All outcome measures were administered at baseline, post-class (2 months after baseline), post-booster (6 months), post-classroom FU (14) and at the end of study (24 months)

Ethnicity, group assignment, time, education

McDougall et al., [41]

RCT

n = 135

Loss to post-test: n = 8

Loss to FU: n = 12

Loss to end of study: n = 8

74.69 (5.74)

30

105

13.39 (3.90)

CBMEM-based intervention, based on the four components of self-efficacy theory

4 weeks, twice a week including 8 sessions and 4 booster sessions

720

Relative gains in HVLT-R, RBMT

All outcome measures were administered at baseline, post-class (2 months after baseline), post-booster (6 months), post-classroom FU (14) and at the end of study (24 months)

Age, education, racial/ethnic group

Neely & Bäckman [42]

RCT

n = 23

n = n.a.

73.00 (4.20)

4

19

9.90 (3.10)

Encoding operations including interactive imagery and method of loci; attention training, relaxation training.

Training was conducted in groups with 11–12 subjects, met twice a week for 5 consecutive weeks, each session lasted 1.5 h

900

Recall of concrete words, recall of objects, recall of subject-performed tasks, recall of abstract words

Assessed at pre-test, post-test directly after training, 6 months FU

Pretest score for each dependent variable, MMSE score, age, years of education

O’Hara et al., [43]

Non-randomized, non-controlled longitudinal study

n = 212

n = 113

74.00 (7.90)

68

32

15.50 (2.70)

Memory training was not further described.

Missing information on duration and frequency.

Missing information

BVRT, Logical Memory Test, Associate Learning Test, List-learning test.

Assessed at baseline and FU 4-5 years after memory training.

Apolipoprotein E genotyping.

Park et al. [7]

RCT

n = 39

n = n.a.

69.81 (4.90)

11

28

11.41 (4.31)

Multi-strategic memory training.

10 sessions once a week, each session lasted 1.5 h

900

Elderly verbal learning test of the EMS to assess verbal memory; Simple Rey Figure Test of the EMS to assess non-verbal memory.

Assessed at pre-test and post-test (within 3 months after finishing the training)

All baseline values of the scores of neuropsychological tests, age, gender, years of education

Rosi et al., [44]

Non-randomized, non-controlled longitudinal study

n = 44

n = n.a.

68.73 (6.05)

n.a.

n.a.

11.36 (3.50)

Memory training program.

6 weeks, once a week for 60 minutes.

360

Word list learning (memory practiced task), grocery list learning (memory non-practiced task), associative learning

Assessed at pre-test and post-test.

Vocabulary test, Raven standard progressive matrices, listening span test, letter comparison, age

Sandberg et al. [45]

Non-randomized, non-controlled longitudinal study

n = 112

n = 18 due to various reasons

70.90 (6.70)

38

56

11.90 (3.70)

Mnemonic training was based on the Swedish version of the number-consonant mnemonic task

5 times, twice a week

600

Number recall.

Assessed at pre-test, post-test and FU

Three measures of episodic memory (free recall of concrete nouns, free recall of abstract nouns, paired-associate recall), three measures of working memory (listening span, two versions of computation span), nine measures of processing speed, two measures of verbal knowledge, depression (ZSRDS), vocabulary

  1. All reported values regarding sample size, dropouts, and sociodemographic variables only refer to the memory training groups. For the variables age (in years) and education (in years) means and standard deviations were displayed, when reported. Otherwise, ranges and/or absolute numbers are stated
  2. RAVLT Rey Auditory Verbal Learning Task, BDI Beck Depression Inventory, NART National Adult Reading Test, dROMs reactive oxygen metabolites derivative compounds, FU follow-up, ALFF amplitude of low-frequency fluctuation, fALFF fractional amplitude of low-frequency fluctuation, BMI body mass index, MMSE Mini-Mental State Examination, NEO-PI NEO Personality Inventory, RBANS Repeatable Battery for the Assessment of Neuropsychological Status, TMT B Trial Making Test Version B, AMT Autobiographical Memory Task, ACE-III Addenbrooke’s Cognitive Examination-III, CBMEM Cognitive Behavioral Model of Everyday Memory, HVLT-R Hopkins Verbal Learning Test-Revised, RBMT Rivermead Behavioral Memory Test, BVMT-R Brief Visuospatial Memory Test revised, EMS Elderly Memory Disorder Scale, BVRT Revised Benton Visual Retention Test, WMS-III Wechsler Memory Scale III, HVLT Hopkins Verbal learning task, MEPS means end problem solving procedure, FLP functional limitation profile, HADS Hospital Anxiety and Depression Scale, IADL instrumental and basic activities of daily living, CVLT California Verbal Learning Test, BFLT Biber Figure Learning Test, MFI memory controllability inventory, MFQ Memory Functioning Questionnaire, ZSRDS Zung Self-Rating Depression Scale