Optimal cognitive offloading: Increased reminder usage but reduced proreminder bias in older adults

Research into prospective memory suggests that older adults may face particular difficulties remembering delayed intentions. One way to mitigate these difficulties is by using external reminders but relatively little is known about age-related differences in such cognitive offloading strategies. We examined younger and older adults' (N = 88) performance on a memory task where they chose between remembering delayed intentions with internal memory (earning maximum reward per item) or external reminders (earning a reduced reward). This allowed us to distinguish (a) the absolute number of reminders used versus (b) the proreminder or antireminder bias, compared with each individual's optimal strategy. Older adults used more reminders overall, as might be expected, because they also had poorer memory performance. However, when compared against the optimal strategy weighing the costs versus benefits of reminders, it was only the younger adults who had a proreminder bias. Younger adults overestimated the benefit of reminders, whereas older adults underestimated it. Therefore, even when aging is associated with increased use of external memory aids overall, it can also be associated with reduced preference for external memory support, relative to the objective need for such support. This age-related difference may be driven at least in part by metacognitive processes, suggesting that metacognitive interventions could lead to improved use of cognitive tools. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

An investigation of the saving-enhanced memory effect: The role of test order and list saving

Saving information onto external resources can improve memory for subsequent information—a phenomenon known as the saving-enhanced memory effect. This article reports two preregistered online experiments investigating (A) whether this effect holds when to-be-remembered information is presented before the saved information and (B) whether people choose the most advantageous strategy when given free choice of which information to save. Participants studied two lists of words; test order and whether and which list was saved (and re-presented again later) were manipulated. The saving-enhanced memory effect was only found when the first list (List A) was saved and tested after the second list (List B). When free to choose which list to save, participants preferred to save List A, but only when it was recalled after List B—that is, when it benefited memory. These findings suggest boundary conditions for the saving-enhanced memory effect and that people offload the most profitable information

Outsourcing Memory to External Tools: A Review of 'Intention Offloading'

How do we remember delayed intentions? Three decades of research into prospective memory have provided insight into the cognitive and neural mechanisms involved in this form of memory. However, we depend on more than just our brains to remember intentions. We also use external props and tools such as calendars and diaries, strategically placed objects, and technologies such as smartphone alerts. This is known as 'intention offloading'. Despite the progress in our understanding of brain-based prospective memory, we know much less about the role of intention offloading in individuals' ability to fulfil delayed intentions. Here, we review recent research into intention offloading, with a particular focus on how individuals decide between storing intentions in internal memory versus external reminders. We also review studies investigating how intention offloading changes across the lifespan and how it relates to underlying brain mechanisms. We conclude that intention offloading is highly effective, experimentally tractable, and guided by metacognitive processes. Individuals have systematic biases in their offloading strategies that are stable over time. Evidence also suggests that individual differences and developmental changes in offloading strategies are driven at least in part by metacognitive processes. Therefore, metacognitive interventions could play an important role in promoting individuals' adaptive use of cognitive tools

Association between miR-200c and survival of stage I epithelial ovarian cancer patients. A retrospective study on two independent tumour tissue collections.

BACKGROUND: International Federation of Gynecology and Obstetrics stage I epithelial ovarian cancer (EOC) has a significantly better prognosis than stage III/IV EOC, with about 80% of patients surviving at 5 years (compared with about 20% of those with stage III/IV EOC). However, 20% of patients with stage I EOC relapse within 5 years. It is therefore crucial that the biological properties of stage I EOCs are further elucidated. MicroRNAs (miRNAs) have shown diagnostic and prognostic potential in stage III and IV EOCs, but the small number of patients diagnosed with stage I EOC has so far prevented an investigation of its molecular features. We profiled miRNA expression in stage I EOC tumours to assess whether there is a miRNA signature associated with overall and progression-free survival (PFS) in stage I EOC. METHODS: We analysed tumour samples from 144 patients (29 of whom relapsed) with stage I EOC gathered from two independent tumour tissue collections (A and B), both with a median follow-up of 9 years. 89 samples from tumour tissue collection A were stratified into a training set (51 samples, 15 of which were from patients who relapsed) for miRNA signature generation, and into a validation set (38 samples, seven of which were from patients who relapsed) for signature validation. Tumour tissue collection B (55 samples, seven of which were from patients who relapsed) was used as an independent test set. The Cox proportional hazards model and the log-rank test were used to assess the correlation of quantitative reverse transcription PCR (qRT-PCR)-validated miRNAs with overall survival and PFS. FINDINGS: A signature of 34 miRNAs associated with survival was generated by microarray analysis in the training set. In both the training set and validation set, qRT-PCR analysis confirmed that 11 miRNAs (miR-214, miR-199a-3p, miR-199a-5p, miR-145, miR-200b, miR-30a, miR-30a*, miR-30d, miR-200c, miR-20a, and miR-143) were expressed differently in relapsers compared with non-relapsers. Three of these miRNAs (miR-200c, miR-199a-3p, miR-199a-5p) were associated with PFS, overall survival, or both in multivariate analysis. qRT-PCR analysis in the test set confirmed the downregulation of miR-200c in relapsers compared with non-relapsers, but not the upregulation of miR-199a-3p and miR-199a-5p. Multivariate analysis confirmed that downregulation of miR-200c in the test set was associated with overall survival (HR 0\ub7094, 95% CI 0\ub7012-0\ub7766, p=0\ub70272) and PFS (0\ub7035, 0\ub7004-0\ub7311; p=0\ub70026), independent of clinical covariates. INTERPRETATION: miR-200c has potential as a predictor of survival, and is a biomarker of relapse, in stage I EOC