This paper reviews Graham J. McDougall's 2004 nursing research study examining the relationship between memory self-efficacy and actual memory performance among Black and White older adults. The study sampled 89 Black and 83 White community-dwelling elders with a mean age of 76.52 years, using structured interviews, subjective questionnaires, and the Rivermead Behavioral Memory Test. Findings revealed that African-American participants scored lower on both perceived memory self-efficacy and memory performance than their White counterparts, and that self-efficacy accounted for a meaningful portion of variance in memory outcomes. The paper also considers how societal factors contributing to lower self-confidence may negatively affect cognitive performance in aging populations.
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Everyone experiences memory lapses, even the youngest among us. Everyone experiences certain cognitive lapses and deficits, to varying degrees, in their long-term but particularly their short-term memory as they age. How does a practitioner assess this in an unbiased fashion? How does one discern the difference between normal cognitive functioning of memory and normal responses to aging, and pathological or severe dementia that requires intervention? How does one improve the factors that contribute to retention as subjects age?
Graham J. McDougall's article does not purport to answer all of those questions. However, he does offer the intriguing proposition that the greater the diversity of the sampling of elderly people, the clearer the portrait of the aging mind that can be gleaned for geriatric research. A lack of self-confidence overall, because of societal factors, can create less confidence in one's memory as one ages.
McDougall's study was adjusted for demographic as well as racial differences. The memory performance of Black and White American older adults was examined over the course of the study and compared. All participants were adults living in community settings. They participated in face-to-face interviews and filled out structured, subjective questionnaires, and then submitted to performance tests, including the Rivermead Behavioral Memory Test.
The total study sample consisted of 89 Black and 83 White adults with a mean age of 76.52 years. All had previously scored within a non-impaired range on the Mini-Mental State Examination. Although memory self-efficacy scores for the entire sample were low overall among White participants (M = 31.95 ± 18.20), African-American participants scored even lower on both perceived memory self-efficacy and memory performance.
Memory self-efficacy predicted memory performance in the White group (r [83] = .41; p ≤ .05). While the correlation for the Black group between perceived and actual memory performance was statistically not significant (r [89] = .16), when the entire sample was combined for the regression analyses, the relationship was significant (r [173] = .30; p ≤ .05).
While age and education were also factors in memory retention, self-efficacy accounted for 13% of the variance. Low self-confidence in one's memory also negatively influences everyday memory performance in elders.
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