Medication Schemas and Memory for Automated Telephone Messages

The present study investigated whether older and younger adults use a schema to organize and remember spoken reminder messages for taking medication. Previous research has shown that older and younger adults share preferences for organizing printed instructions for taking medication, suggesting a shared schema. Older and younger participants in Experiment 1 of the present study used a similar schema to organize medication reminder messages. This finding suggests that the medication schema generalizes across communication purpose (to remind or to instruct) as well as across patient age. Medication reminder messages were better understood and remembered when organized to match this schema, whether the reminders were presented as automated telephone messages (Experiment 2) or in printed form (Experiment 3). Schema-compatible organization especially helped people draw inferences from the messages, suggesting that organization helps older and younger adults construct a situation model of the medication-taking task from the messages. Potential applications of organized messages include increasing the impact of automated systems for delivering health services002E

[1]  P. David Pearson Handbook of reading research. , 1990 .

[2]  Daniel G. Morrow,et al.  Repetition Improves Older and Younger Adult Memory for Automated Appointment Messages , 1999, Hum. Factors.

[3]  C B Mills,et al.  The effects of interaction with the device described by procedural text on recall, true/false, and task performance , 1995, Memory & cognition.

[4]  R. Heidel,et al.  Healthy People 2000: national health promotion and disease prevention objectives (excerpts). US Public Health Service. , 1991, Journal of allied health.

[5]  David E. Kieras,et al.  Toward a Model of Acquiring Procedures from Text , 1989 .

[6]  E. Tanke,et al.  Elders' schema for taking medication: implications for instruction design. , 1991, Journal of gerontology.

[7]  L. M. Carver,et al.  Effects of aging, message repetition, and note-taking on memory for health information. , 1999, The journals of gerontology. Series B, Psychological sciences and social sciences.

[8]  V. Leirer,et al.  Adherence and Medication Instructions Review and Recommendations , 1988, Journal of the American Geriatrics Society.

[9]  Lawrence Hubert,et al.  Evaluating Object Set Partitions: Free-Sort Analysis and Some Generalizations. , 1976 .

[10]  Thomas M. Hess,et al.  Aging and cognition : knowledge organization and utilization , 1990 .

[11]  Ruth B. Ekstrom,et al.  Manual for kit of factor-referenced cognitive tests , 1976 .

[12]  Gillian Cohen,et al.  Language comprehension in old age , 1979, Cognitive Psychology.

[13]  Arthur D. Fisk,et al.  Handbook of human factors and the older adult , 1997 .

[14]  R. Robinson,et al.  Comprehension in Patient Literature: The Importance of Text and Reader Characteristics , 1994 .

[15]  R. Shiffrin,et al.  A retrieval model for both recognition and recall. , 1984, Psychological review.

[16]  Arthur Wingfield,et al.  How much do working memory deficits contribute to age differences in discourse memory , 1990 .

[17]  A. Parkin,et al.  Human memory , 1999, Current Biology.

[18]  M. Dimatteo,et al.  Enhancing Medication Adherence Through Communication and Informed Collaborative Choice , 1994 .

[19]  D W Baker,et al.  Health literacy among Medicare enrollees in a managed care organization. , 1999, JAMA.

[20]  F. Craik,et al.  The handbook of aging and cognition , 1992 .

[21]  Thomas M. Hess,et al.  Chapter Three Aging and Schematic Influences on Memory , 1990 .

[22]  D. Morrow,et al.  Increasing Influenza Vaccination Adherence Through Voice Mail , 1989, Journal of the American Geriatrics Society.

[23]  E. A. Stine,et al.  Age differences in reading time allocation for propositionally dense sentences. , 1994 .

[24]  J. Hartley,et al.  Aging and prose memory: tests of the resource-deficit hypothesis. , 1993, Psychology and aging.

[25]  J. Piette Moving Diabetes Management From Clinic to Community: Development of a Prototype Based on Automated Voice Messaging , 1997, The Diabetes educator.

[26]  D. Morrow Improving Consultations between Health-Care Professionals and Older Clients: Implications for Pharmacists , 1997, International journal of aging & human development.

[27]  K. Schaie,et al.  Everyday problem solving in older adults: observational assessment and cognitive correlates. , 1995, Psychology and aging.

[28]  C. Perfetti Psycholinguistics and reading ability. , 1994 .

[29]  Rolf A. Zwaan,et al.  Situation models in language comprehension and memory. , 1998, Psychological bulletin.

[30]  V. Leirer,et al.  Automated Telephone Reminders in Tuberculosis Care , 1994, Medical care.

[31]  D. B. Mitchell,et al.  The handbook of aging and cognition , 2001 .

[32]  Daniel G. Morrow,et al.  Older and younger adult memory for health appointment information: Implications for automated telephone messaging design. , 1998 .

[33]  T. Salthouse Mediation of Adult Age Differences in Cognition by Reductions in Working Memory and Speed of Processing , 1991 .

[34]  V. Leirer,et al.  Use of automated reminders for tuberculin skin test return. , 1997, American journal of preventive medicine.

[35]  W. Kintsch,et al.  Strategies of discourse comprehension , 1986 .

[36]  Daniel G. Morrow,et al.  SPECIAL SECTION: Medication Instruction Design: Younger and Older Adult Schemas for Taking Medication , 1996, Hum. Factors.

[37]  V O Leirer,et al.  The influence of list format and category headers on age differences in understanding medication instructions. , 1998, Experimental aging research.

[38]  V. Leirer,et al.  Commercial cognitive/memory systems: A case study , 1993 .