OTRCTNeuropsychological rehabilitation2018

Calendaring and alarms can improve naturalistic time-based prospective memory for youth infected with HIV.

Marika Pers Faytell, Katie Doyle, Sylvie Naar-King and 4 others

PMID 27687290

WHAT IT FOUND

For young adults with HIV, using a content-free daily phone alarm together with a calendar entry improved remembering to text at a set time; alarm alone looked helpful but was not clear, and calendar alone did not help.

Key findings

01Combined alarm and calendaring improved naturalistic time-based PM compared with control (p=.0142, d=1.2).

02Alarm alone showed a non-significant advantage over control (p=.0862, d=1.1).

03Calendaring alone did not improve performance compared with control (p=.575).

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Although randomised, the groups differed on mood, immune measures and AIDS status before the outcome analysis. The alarm-alone and calendar-alone results were not significant, so the main positive finding rests on the combined condition. The outcome was a short text task, not medication adherence or real-world instrumental activities. The sample was small and multiple comparisons were made, so the effect sizes and subgroup interpretations are uncertain. The study did not identify which participants benefited most, because larger variance in the alarm and combined groups was not explained by laboratory PM scores.

The easy way to misread this

Do not conclude that a phone alarm alone is proven to improve everyday memory for young adults with HIV. Only the combined alarm and calendar condition was significantly better than control, and alarm alone was a non-significant trend.

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