Everyday Multitasking Abilities in Older HIV+ Adults: Neurobehavioral Correlates and the Mediating Role of Metacognition
The prevalence of older adults living with HIV is rising, as is their risk for everyday functioning problems associated with neurocognitive dysfunction. Multitasking, the ability to maintain and carry out subgoals in support of a larger goal, is a multidimensional skill ubiquitous during most real-l...
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| Veröffentlicht in: | Archives of clinical neuropsychology 2017-12, Vol.32 (8), p.917-928 |
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| container_title | Archives of clinical neuropsychology |
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| creator | Fazeli, P L Casaletto, K B Woods, S P Umlauf, A Scott, J C Moore, D J |
| description | The prevalence of older adults living with HIV is rising, as is their risk for everyday functioning problems associated with neurocognitive dysfunction. Multitasking, the ability to maintain and carry out subgoals in support of a larger goal, is a multidimensional skill ubiquitous during most real-life tasks and associated with prefrontal networks that are vulnerable in HIV. Understanding factors associated with multitasking will improve characterization of HIV-associated neurocognitive disorders. Metacognition is also associated with frontal systems, is impaired among individuals with HIV, and may contribute to multitasking.
Ninety-nine older (≥50 years) adults with HIV completed: the Everyday Multitasking Test (MT), a performance-based measure during which participants concurrently attempt four everyday tasks (e.g., medication management) within a time limit; a comprehensive neuropsychological battery; measures of metacognition regarding their MT performance (e.g., metacognitive knowledge and online awareness).
Better global neuropsychological performance (i.e., average T-score across all domains) was associated with better Everyday MT total scores (rho = 0.34; p < .001), as was global metacognition (rho = 0.37, p < .01). Bootstrapping mediation analysis revealed global metacognition was a significant partial mediator between neurocognition and Everyday MT (b = 0.09, 95% confidence interval [CI] = 0.01, 0.25). Specifically, metacognitive knowledge (but not online awareness) drove this mediation (b = 0.13, 95% CI = 0.03, 0.27).
Consistent with findings among younger persons with HIV, neuropsychological performance is strongly associated with a complex, laboratory-based test of everyday multitasking, and metacognition of task performance was a pathway through which successful multitasking occurred. Interventions aimed at modifying metacognition to improve daily functioning may be warranted among older adults with HIV. |
| doi_str_mv | 10.1093/arclin/acx047 |
| format | Article |
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Ninety-nine older (≥50 years) adults with HIV completed: the Everyday Multitasking Test (MT), a performance-based measure during which participants concurrently attempt four everyday tasks (e.g., medication management) within a time limit; a comprehensive neuropsychological battery; measures of metacognition regarding their MT performance (e.g., metacognitive knowledge and online awareness).
Better global neuropsychological performance (i.e., average T-score across all domains) was associated with better Everyday MT total scores (rho = 0.34; p < .001), as was global metacognition (rho = 0.37, p < .01). Bootstrapping mediation analysis revealed global metacognition was a significant partial mediator between neurocognition and Everyday MT (b = 0.09, 95% confidence interval [CI] = 0.01, 0.25). Specifically, metacognitive knowledge (but not online awareness) drove this mediation (b = 0.13, 95% CI = 0.03, 0.27).
Consistent with findings among younger persons with HIV, neuropsychological performance is strongly associated with a complex, laboratory-based test of everyday multitasking, and metacognition of task performance was a pathway through which successful multitasking occurred. Interventions aimed at modifying metacognition to improve daily functioning may be warranted among older adults with HIV.</description><identifier>ISSN: 0887-6177</identifier><identifier>EISSN: 1873-5843</identifier><identifier>DOI: 10.1093/arclin/acx047</identifier><identifier>PMID: 28575231</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Activities of Daily Living - psychology ; Aged ; Awareness - physiology ; Female ; HIV Infections - complications ; HIV Infections - psychology ; Humans ; Male ; Middle Aged ; Neurocognitive Disorders - etiology ; Neuropsychological Tests ; Online Systems - statistics & numerical data ; Original Empirical ; Statistics as Topic</subject><ispartof>Archives of clinical neuropsychology, 2017-12, Vol.32 (8), p.917-928</ispartof><rights>The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</rights><rights>The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3027-adbff5faa345a8b353836de687792dcbd2416bbe3b9f651d05092a36a7587b1e3</citedby><cites>FETCH-LOGICAL-c3027-adbff5faa345a8b353836de687792dcbd2416bbe3b9f651d05092a36a7587b1e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28575231$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fazeli, P L</creatorcontrib><creatorcontrib>Casaletto, K B</creatorcontrib><creatorcontrib>Woods, S P</creatorcontrib><creatorcontrib>Umlauf, A</creatorcontrib><creatorcontrib>Scott, J C</creatorcontrib><creatorcontrib>Moore, D J</creatorcontrib><creatorcontrib>HNRP Group</creatorcontrib><creatorcontrib>the HNRP Group</creatorcontrib><title>Everyday Multitasking Abilities in Older HIV+ Adults: Neurobehavioral Correlates and the Mediating Role of Metacognition</title><title>Archives of clinical neuropsychology</title><addtitle>Arch Clin Neuropsychol</addtitle><description>The prevalence of older adults living with HIV is rising, as is their risk for everyday functioning problems associated with neurocognitive dysfunction. Multitasking, the ability to maintain and carry out subgoals in support of a larger goal, is a multidimensional skill ubiquitous during most real-life tasks and associated with prefrontal networks that are vulnerable in HIV. Understanding factors associated with multitasking will improve characterization of HIV-associated neurocognitive disorders. Metacognition is also associated with frontal systems, is impaired among individuals with HIV, and may contribute to multitasking.
Ninety-nine older (≥50 years) adults with HIV completed: the Everyday Multitasking Test (MT), a performance-based measure during which participants concurrently attempt four everyday tasks (e.g., medication management) within a time limit; a comprehensive neuropsychological battery; measures of metacognition regarding their MT performance (e.g., metacognitive knowledge and online awareness).
Better global neuropsychological performance (i.e., average T-score across all domains) was associated with better Everyday MT total scores (rho = 0.34; p < .001), as was global metacognition (rho = 0.37, p < .01). Bootstrapping mediation analysis revealed global metacognition was a significant partial mediator between neurocognition and Everyday MT (b = 0.09, 95% confidence interval [CI] = 0.01, 0.25). Specifically, metacognitive knowledge (but not online awareness) drove this mediation (b = 0.13, 95% CI = 0.03, 0.27).
Consistent with findings among younger persons with HIV, neuropsychological performance is strongly associated with a complex, laboratory-based test of everyday multitasking, and metacognition of task performance was a pathway through which successful multitasking occurred. Interventions aimed at modifying metacognition to improve daily functioning may be warranted among older adults with HIV.</description><subject>Activities of Daily Living - psychology</subject><subject>Aged</subject><subject>Awareness - physiology</subject><subject>Female</subject><subject>HIV Infections - complications</subject><subject>HIV Infections - psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurocognitive Disorders - etiology</subject><subject>Neuropsychological Tests</subject><subject>Online Systems - statistics & numerical data</subject><subject>Original Empirical</subject><subject>Statistics as Topic</subject><issn>0887-6177</issn><issn>1873-5843</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkdFrFDEQh4Mo9qw--ip5FMraZLPZZPtQOI5qC60FUV_DZDN7F80lbbJ79P57t1wt-jQw8803Az9C3nP2ibNOnELug4-n0D-wRr0gC66VqKRuxEuyYFqrquVKHZE3pfxijEnO69fkqNZSyVrwBXm42GHeO9jTmymMfoTy28c1XVof_OixUB_pbXCY6eXVzxO6dDNVzuhXnHKyuIGdTxkCXaWcMcA4L0B0dNwgvUHnYXyUfUsBaRrmzgh9WsdZnOJb8mqAUPDdUz0mPz5ffF9dVte3X65Wy-uqF6xWFTg7DHIAEI0EbYUUWrQOW61UV7veurrhrbUobDe0kjsmWVeDaEFJrSxHcUzOD967yW7R9RjH-WFzl_0W8t4k8Ob_SfQbs047I3XLGJez4OOTIKf7Cctotr70GAJETFMxvGNSCcHrZkarA9rnVErG4fkMZ-YxLXNIyxzSmvkP__72TP-NR_wBPHWVUQ</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Fazeli, P L</creator><creator>Casaletto, K B</creator><creator>Woods, S P</creator><creator>Umlauf, A</creator><creator>Scott, J C</creator><creator>Moore, D J</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20171201</creationdate><title>Everyday Multitasking Abilities in Older HIV+ Adults: Neurobehavioral Correlates and the Mediating Role of Metacognition</title><author>Fazeli, P L ; Casaletto, K B ; Woods, S P ; Umlauf, A ; Scott, J C ; Moore, D J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3027-adbff5faa345a8b353836de687792dcbd2416bbe3b9f651d05092a36a7587b1e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Activities of Daily Living - psychology</topic><topic>Aged</topic><topic>Awareness - physiology</topic><topic>Female</topic><topic>HIV Infections - complications</topic><topic>HIV Infections - psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurocognitive Disorders - etiology</topic><topic>Neuropsychological Tests</topic><topic>Online Systems - statistics & numerical data</topic><topic>Original Empirical</topic><topic>Statistics as Topic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fazeli, P L</creatorcontrib><creatorcontrib>Casaletto, K B</creatorcontrib><creatorcontrib>Woods, S P</creatorcontrib><creatorcontrib>Umlauf, A</creatorcontrib><creatorcontrib>Scott, J C</creatorcontrib><creatorcontrib>Moore, D J</creatorcontrib><creatorcontrib>HNRP Group</creatorcontrib><creatorcontrib>the HNRP Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of clinical neuropsychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fazeli, P L</au><au>Casaletto, K B</au><au>Woods, S P</au><au>Umlauf, A</au><au>Scott, J C</au><au>Moore, D J</au><aucorp>HNRP Group</aucorp><aucorp>the HNRP Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Everyday Multitasking Abilities in Older HIV+ Adults: Neurobehavioral Correlates and the Mediating Role of Metacognition</atitle><jtitle>Archives of clinical neuropsychology</jtitle><addtitle>Arch Clin Neuropsychol</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>32</volume><issue>8</issue><spage>917</spage><epage>928</epage><pages>917-928</pages><issn>0887-6177</issn><eissn>1873-5843</eissn><abstract>The prevalence of older adults living with HIV is rising, as is their risk for everyday functioning problems associated with neurocognitive dysfunction. Multitasking, the ability to maintain and carry out subgoals in support of a larger goal, is a multidimensional skill ubiquitous during most real-life tasks and associated with prefrontal networks that are vulnerable in HIV. Understanding factors associated with multitasking will improve characterization of HIV-associated neurocognitive disorders. Metacognition is also associated with frontal systems, is impaired among individuals with HIV, and may contribute to multitasking.
Ninety-nine older (≥50 years) adults with HIV completed: the Everyday Multitasking Test (MT), a performance-based measure during which participants concurrently attempt four everyday tasks (e.g., medication management) within a time limit; a comprehensive neuropsychological battery; measures of metacognition regarding their MT performance (e.g., metacognitive knowledge and online awareness).
Better global neuropsychological performance (i.e., average T-score across all domains) was associated with better Everyday MT total scores (rho = 0.34; p < .001), as was global metacognition (rho = 0.37, p < .01). Bootstrapping mediation analysis revealed global metacognition was a significant partial mediator between neurocognition and Everyday MT (b = 0.09, 95% confidence interval [CI] = 0.01, 0.25). Specifically, metacognitive knowledge (but not online awareness) drove this mediation (b = 0.13, 95% CI = 0.03, 0.27).
Consistent with findings among younger persons with HIV, neuropsychological performance is strongly associated with a complex, laboratory-based test of everyday multitasking, and metacognition of task performance was a pathway through which successful multitasking occurred. Interventions aimed at modifying metacognition to improve daily functioning may be warranted among older adults with HIV.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>28575231</pmid><doi>10.1093/arclin/acx047</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Activities of Daily Living - psychology Aged Awareness - physiology Female HIV Infections - complications HIV Infections - psychology Humans Male Middle Aged Neurocognitive Disorders - etiology Neuropsychological Tests Online Systems - statistics & numerical data Original Empirical Statistics as Topic |
| title | Everyday Multitasking Abilities in Older HIV+ Adults: Neurobehavioral Correlates and the Mediating Role of Metacognition |
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