Category: Cognitive Science/ Cognitive Processes
Catherine Callaway, PhD
Doctoral Student
University of California at Berkeley
Los Gatos, California
Allison Harvey, Ph.D.
Professor
University of California, Berkeley
BERKELEY, California
Lu Dong, Ph.D.
Associate Behavioral and Social Scientist
RAND Corporation
Santa Monica, California
Catherine Callaway, PhD
Doctoral Student
University of California at Berkeley
Los Gatos, California
Nicole Gumport, Ph.D.
Postdoctoral Fellow
Stanford University
Stanford, California
Garret Zieve, M.A.
Graduate Student
University of California, Berkeley
Oakland, California
Laurel Sarfan, Ph.D.
Postdoctoral Scholar
University of California, Berkeley
Berkeley, California
Patient recall of the contents of treatment is astoundingly poor. Patients recall approximately one third of the recommendations made by a physician or a therapist during a treatment session (Lee & Harvey, 2015; Pickney & Arnason, 2005) and much of what is recalled is inaccurate (Bober et al., 2007; Gumport et al., 2015). Unsurprisingly, poorer memory has been associated with poorer adherence (Ihle et al., 2017) and poorer response to treatment (Braund et al., 2020). These concerning findings prompted the development of the Memory Support Intervention, designed to improve outcomes by engaging a novel mechanism of change: patient memory for treatment. The intervention includes eight strategies derived from the educational and cognitive psychology literatures. These strategies can be divided into four constructive strategies (encourages generation of new ideas, inferences, and connections about treatment contents that go beyond what has been explicitly presented by the therapist) and four nonconstructive strategies (does not encourage generation of new ideas, inferences, and connections) (Zieve et al., 2019). The Memory Support Intervention is designed to be ‘transdiagnostic’ (relevant to a broad range of mental disorders) and ‘pantreatment’ (relevant to a broad range of types of treatment). It is simple, inexpensive, easily integrated into cognitive and behavioral treatment-as-usual and thus well-positioned for dissemination efforts to reach those most impacted by mental health disparities. This symposium will summarize findings on the Memory Support Intervention to date. Presentations span (a) the impact of the intervention on patient recall, therapist recall, and patient outcomes, and optimal dosage of memory support, (b) clinician fidelity, and (c) novel forms of assessing patient recall. This symposium provides an exemplar of the Experimental Therapeutics Approach and research grounded in the NIH Stage Model (Onken et al 2014).
The first speaker will describe the main findings testing whether the Memory Support Intervention improves patient memory, illness course, and functional impairment in major depressive disorder and cognitive therapy. The second speaker will review data evaluating the impact of constructive and non-constructive memory support on therapist recall of treatment sessions. The third speaker will present findings on a brief, efficient provider-rated measure of fidelity to the Memory Support Intervention for use in routine care settings. The fourth speaker will review psychometric data for a Conceptualization Task, a novel measure to capture patient memory for treatment. The fifth speaker will present data on the dose of constructive memory support strategies needed to optimize treatment outcomes, engage treatment mechanisms, and maximize patient recall for treatment. Lastly, a leading expert in the field of treatment development research will discuss cross-cutting themes, critique the findings presented, explore future directions, and highlight considerations for dissemination and implementation efforts.
Presenter: Lu Dong, Ph.D. – RAND Corporation
Co-author: Garret Zieve, M.A. – University of California, Berkeley
Co-author: Nicole B. Gumport, Ph.D. – Stanford University
Co-author: Courtney Armstrong, MA – University of California Berkeley
Co-author: Cynthia Alvarado-Martinez, BS – University of California Davis
Co-author: Armando Martinez, BA – Howard Hughes Medical Institute
Co-author: Shayna Howlett, BA – University of California, Berkeley
Co-author: Eve Fine, LCSW – University of California Berkeley
Co-author: Melanie Tran, PhD – University of Illinois at Chicago
Co-author: Mary E. McNamara, M.A. – The University of Texas at Austin
Co-author: Claire Weaver, MEd – Northwestern Feinberg School of Medicine
Co-author: Alison Tuck, BA – Washington University in St. Louis
Co-author: Heather Hilmoe, BA – California State University, Sacramento
Co-author: Emma Agnew, LCSW, LCSW – University of California, Berkeley
Co-author: Krista R. Fisher, BA – University of California, Berkeley
Co-author: Marlen Diaz, BA – University of California Berkeley
Co-author: Jason Lee, PhD – University of California Berkeley
Co-author: Steven Hollon, Ph.D. – Vanderbilt University
Co-author: Haruka Notsu, MA – Pennsylvania State University
Co-author: Allison G. Harvey, Ph.D. – University of California Berkeley
Presenter: Catherine Callaway, PhD – University of California at Berkeley
Co-author: Garret Zieve, M.A. – University of California, Berkeley
Co-author: Allison G. Harvey, Ph.D. – University of California Berkeley
Presenter: Nicole B. Gumport, Ph.D. – Stanford University
Co-author: Garret Zieve, M.A. – University of California, Berkeley
Co-author: Lu Dong, Ph.D. – RAND Corporation
Co-author: Allison G. Harvey, Ph.D. – University of California Berkeley
Presenter: Garret Zieve, M.A. – University of California, Berkeley
Co-author: Courtney Armstrong, MA – University of California Berkeley
Co-author: Ian Richardson, BA – University of California, Berkeley
Co-author: Sydney Garcia, BA – University of California, Berkeley
Co-author: Allison G. Harvey, Ph.D. – University of California Berkeley
Presenter: Laurel D. Sarfan, Ph.D. – University of California, Berkeley
Co-author: Garret Zieve, M.A. – University of California, Berkeley
Co-author: Nicole B. Gumport, Ph.D. – Stanford University
Co-author: Mo Xiong, PhD – University of California, Berkeley
Co-author: Allison G. Harvey, Ph.D. – University of California Berkeley