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A patient's adherence to their treatment plan is crucial for management of chronic disease. The literature supports the fact that adherence is low, often at or below 50%. In order to adhere to one’s treatment plan, a patient must have accurate recall of this plan. A large body of research

A patient's adherence to their treatment plan is crucial for management of chronic disease. The literature supports the fact that adherence is low, often at or below 50%. In order to adhere to one’s treatment plan, a patient must have accurate recall of this plan. A large body of research has established that patient recall is poor, and there is a growing body of research examining ways to improve recall, and thus, treatment outcomes. The present study examines differing delivery methods of the After Visit Summary in order to improve adherence, treatment outcomes, and patient satisfaction. It also evaluates the impact of visit modality (virtual vs. face-to-face visits) on patient recall for treatment information.
ContributorsSutherland, Isabella (Author) / Hartwell, Leland (Thesis director) / Hollmann, Thomas (Committee member) / Barrett, The Honors College (Contributor) / School of Life Sciences (Contributor) / Department of Psychology (Contributor) / School of International Letters and Cultures (Contributor)
Created2022-05
Description

After answering a test question, feedback of the correct answer provided after a brief delay can be more beneficial to learning than feedback provided immediately (Brackbill & Kappy, 1962; Kulhavy & Anderson, 1972). Several theoretical models have been proposed to explain this delay-of-feedback benefit, with the most well supported being

After answering a test question, feedback of the correct answer provided after a brief delay can be more beneficial to learning than feedback provided immediately (Brackbill & Kappy, 1962; Kulhavy & Anderson, 1972). Several theoretical models have been proposed to explain this delay-of-feedback benefit, with the most well supported being that delaying feedback promotes anticipation of the correct answer, which has been examined using curiosity as a measure of answer anticipation (Mullaney et al. 2014). The present study tested this model across two task designs, one designed to elicit epistemic curiosity, and one designed to elicit perceptual curiosity, to determine if the relationship between curiosity and feedback delay is type-dependent. In Task 1, participants answered trivia questions, reported their subjective level of curiosity to know the answer, and then received correct answer feedback after a variable delay (0s, 4s, or 8s). Task 2 was identical to Task 1, except that participants learned and were tested on the identities of blurred pictures, rather than trivia question answers. A subsequent learning retention test demonstrated a significant effect of curiosity, but not feedback delay, on performance in the trivia task, and no significant effect of curiosity, but a negative effect of feedback delay, on performance in the blurred pictures task. Neither task found a significant interaction effect between curiosity and delay group, which fails to support the answer anticipation model of the delay-of-feedback benefit.

ContributorsMcDaniel, Layla (Author) / Brewer, Gene (Thesis director) / Pages, Erika (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2023-05
Description
It is well documented that menopause and the related decline in circulatory steroid hormones estrogen and progesterone are associated with memory alterations. Rodent models of surgical menopause can be used to study these effects, including ovariectomy (Ovx), or the surgical removal of the ovaries. This thesis aimed to characterize the

It is well documented that menopause and the related decline in circulatory steroid hormones estrogen and progesterone are associated with memory alterations. Rodent models of surgical menopause can be used to study these effects, including ovariectomy (Ovx), or the surgical removal of the ovaries. This thesis aimed to characterize the effects of surgical menopause on spatial working and reference memory in rats and examine profiles of uterine gene expression alterations that may serve as indications of mechanisms underlying this association. Eighteen female rats were randomly assigned to one of two surgical treatment groups, either Ovx (the surgical menopause group) or sham (the control group). All subjects underwent testing on the water version of the radial arm maze (WRAM) which allows for the assessment of reference memory errors and two types of working memory errors. After behavioral testing, rat uterine tissues were dissected and RNA sequenced. The results showed that Ovx impaired spatial reference memory performance during a maze learning phase, with Ovx rats making reference memory failures earlier in the day, even before working memory load increased, as compared to control rats. There were no surgical menopause effects on spatial working memory, which may be due to the low working memory load and the young age of the rats. Post-hoc analyses showed that reference memory performance was correlated with nerve growth factor (NGF) and acetylcholinesterase (AChE) gene expression in uterine tissues. These findings add to the literature on the impact of estrogen and female cyclicity on memory and cognition. The results suggest that Ovx impairment of the ability to learn long-term spatial memory information relates to uterine gene expression underlying cellular functioning and that NGF and AChE genes are involved in pathways that give way to underlying cellular functioning that impacts cognition. Future studies should continue to evaluate the effects of menopause on memory function and the effectiveness of hormone therapy.
ContributorsOyen, Emma (Author) / Bimonte-Nelson, Heather (Thesis director) / Corbin, William (Committee member) / Wilson, Melissa (Committee member) / Lizik, Camryn (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2024-05
Description

I created an annotated bibliography on the many factors that affect eyewitnesses recollection and testimony.

ContributorsWood, Paul (Author) / Ingram-Waters, Mary (Thesis director) / Litwak, Jack (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / School of Politics and Global Studies (Contributor) / Sanford School of Social and Family Dynamics (Contributor)
Created2022-05
Description
The need to fully understand the possible consequences of young-adult cannabis use has become increasingly critical as a result of major cannabis policy changes. The purpose of this study was to determine if young-adult users exhibit cognitive deficits on laboratory-based tests and memory and attention deficits in everyday life. Participants

The need to fully understand the possible consequences of young-adult cannabis use has become increasingly critical as a result of major cannabis policy changes. The purpose of this study was to determine if young-adult users exhibit cognitive deficits on laboratory-based tests and memory and attention deficits in everyday life. Participants were 152 students from a large U.S. university enrolled in introductory psychology courses and the top and bottom 10% of the 12-item Yale University PRIME Screening Test for psychotic-like experiences. Participants were asked about their cannabis use and were given six cognitive tests spanning executive function and memory. To test functional impairment in memory and attention, participants were asked to nominate informants (people who knew them well) and these rated the participants on an attention problems scale of four items and a memory problems scale of three items. Results showed that individuals who used cannabis more frequently were rated as having more attention and memory problems and that, consistent with prior research, more frequent cannabis use was associated with worse memory test performance, though the association was not present between frequency of use and executive function test performance. Additionally, it was found that informant-reported attention problems were associated with poorer performance on two of the executive function cognitive tests. The present findings suggest that individuals who use cannabis more frequently experience noticeable memory and attention problems in everyday life, despite the lack of significant correlation between this functional impairment and cognitive test performance. Informant reports, therefore, may be useful in future research for understanding or predicting cognitive impairment in young adults.
ContributorsCarbajal, Lucia (Author) / Meier, Madeline (Thesis director) / McClure, Samuel (Committee member) / Department of Psychology (Contributor) / School of Molecular Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
Estradiol (E2) and Levonorgestrel (Levo) are two hormones commonly used in hormone therapy (HT) to decrease symptoms associated with menopause. Both of these hormones have been shown to have beneficial effects on cognition when given alone in a rodent model of menopause. However, it is unknown whether these hormones, when

Estradiol (E2) and Levonorgestrel (Levo) are two hormones commonly used in hormone therapy (HT) to decrease symptoms associated with menopause. Both of these hormones have been shown to have beneficial effects on cognition when given alone in a rodent model of menopause. However, it is unknown whether these hormones, when taken in combination, are beneficial or harmful to cognition. This is a critically important question given that these hormones are most often given in combination versus separately. This thesis is composed of two studies examining the cognitive effects of E2 and Levo using a rat model of surgical menopause. Study 1 assessed how the dose of E2 treatment in rats impacted cognitive performance, and found that low dose E2 enhanced working memory performance. Next, based on the results from Study 1, Study 2 used low dose E2 in combination with different doses of Levo to examine the cognitive effects of several E2 to Levo ratio combinations. The results from Study 2 demonstrated that the combination of low dose E2 with a high dose of Levo at a 1:2 ratio impaired cognition, and that the ratio currently used in HT, 3:1, may also negatively impact cognition. Indeed, there was a dose response effect indicating that working and reference memory performance was incrementally impaired as Levo dose increased. The findings in this thesis suggest that the E2 plus Levo combination is likely not neutral for cognitive function, and prompts further evaluation in menopausal women, as well as drug discovery research to optimize HT using highly controlled preclinical models.
ContributorsBerns-Leone, Claire Elizabeth (Co-author) / Prakapenka, Alesia (Co-author) / Pena, Veronica (Co-author) / Northup-Smith, Steven (Co-author) / Melikian, Ryan (Co-author) / Ladwig, Ducileia (Co-author) / Patel, Shruti (Co-author) / Croft, Corissa (Co-author) / Bimonte-Nelson, Heather (Thesis director) / Glenberg, Arthur (Committee member) / Conrad, Cheryl (Committee member) / School of Life Sciences (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
Description
Brief memory tasks for use with pet dogs were developed using radial arm maze performance as a standard comparison measurement of memory capacity. Healthy pet dogs were first tested in a radial arm maze, where more errors made in completing the maze indicated poorer memory. These dogs were later tested

Brief memory tasks for use with pet dogs were developed using radial arm maze performance as a standard comparison measurement of memory capacity. Healthy pet dogs were first tested in a radial arm maze, where more errors made in completing the maze indicated poorer memory. These dogs were later tested with five novel memory tests, three of which utilized a treat placed behind a box with an identical distracter nearby. The treat placement was shown to each dog, and a 35 second delay, a 15 second delay with occluder, or a 15 second delay with room exit was observed before the dog could approach and find the treat. It was found that errors on the delayed match to sample (35 second delay) and occluder/object permanence (15 second delay with occluder) tasks were significantly positively correlated with the average number of errors made in the 8th trial of the radial arm maze (r =.58, p<.01** and r =.49, p<.05*, respectively) indicating that these new brief tests can reliably be used to assess memory in pet dogs.
ContributorsBoileau, Rae Nicole (Author) / Wynne, Clive (Thesis director) / Knight, George (Committee member) / Bimonte-Nelson, Heather (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2015-05
Description
This study was conducted in order to create a brief task that more efficiently studies the memory of young and old dogs compared to previous dog radial arm mazes. The hypotheses were older dogs would perform worse than younger dogs, brief tasks with longer delays and the presence of an

This study was conducted in order to create a brief task that more efficiently studies the memory of young and old dogs compared to previous dog radial arm mazes. The hypotheses were older dogs would perform worse than younger dogs, brief tasks with longer delays and the presence of an occluder would produce worse results, and the brief task with the longest delay period without an occluder would be most correlated to the radial arm maze. 45 dogs were tested from a previous sample that had participated in a radial arm maze experiment. The dogs were tested in their owner's homes and watched the researcher place a treat behind one of two boxes. Dogs then waited during different delay periods, of 15, 30, or 45 seconds, and with or without an occluder, which was a curtain. Then, the dog was released to see if it could still remember which box the treat was behind. The results supported all the hypotheses, except the 45-second brief task with an occluder was most correlated the radial arm maze. Additionally, the dogs that had to be excluded from the radial arm maze still had a similar range of results on the brief tasks as dogs that were able to complete the radial arm maze. These results confirm the radial arm maze is very difficult and strenuous on dogs, but the brief task is correlated and probably much more effective at studying memory without these issues. This study can help researchers perfect this simple task in order to study many dogs much quicker and collect more information on dogs' memory. Future studies could overcome limitations including dogs that were not motivated by treats or that were too old to stand up. Specific breeds could be tested or longitudinal studies could be conducted to find differences in memory over time. In the future, this can hopefully relate to human cognitive decline knowledge, as dogs show similar cognitive decline to humans, and help find treatments for cognitive diseases.
ContributorsGlomski, Marissa (Author) / Wynne, Clive (Thesis director) / Presson, Clive (Committee member) / Brewer, Gene (Committee member) / Department of Psychology (Contributor) / School of Social and Behavioral Sciences (Contributor) / Barrett, The Honors College (Contributor)
Created2015-12
Description
Menopause is associated with a wide array of negative symptoms. As average lifespan increases due to advances in healthcare and technology, more women are spending a larger portion of their lives in a menopausal state low in estrogen and progesterone. Hormone therapies such as Conjugated Equine Estrogens (CEE) and the

Menopause is associated with a wide array of negative symptoms. As average lifespan increases due to advances in healthcare and technology, more women are spending a larger portion of their lives in a menopausal state low in estrogen and progesterone. Hormone therapies such as Conjugated Equine Estrogens (CEE) and the bioidentical estrogen, 17-estradiol (E2), are commonly prescribed to treat the negative symptoms of menopause. Our laboratory has previously shown that CEE has differential effects on cognitive ability depending on whether menopause is transitional (VCD) or surgical (ovariectomy, OVX). Further, the negative impact of CEE on cognitive function in a transitional ovary-intact model of menopause was associated with high levels of serum androstenedione; the primary hormone circulating in a follicle-deplete menopausal state. Here, we investigate the cognitive effects of these two common hormone therapies separately, and in conjunction with the hormone androstenedione, in a "blank-slate" OVX mouse model. We assessed cognitive ability using two behavioral tasks such at the Water Radial Arm Maze (WRAM, measuring spatial working and reference memory) and the Morris water maze (MM, measuring spatial reference memory). In the WRAM, every treatment group saw impaired performance compared to Vehicle but the combination group of E2 plus Androstenedione. In the MM, the combination group of E2 plus Androstenedione actually enhanced performance in the maze compared to every other comparable group. Translationally, these results suggest that CEE given in the presence of an androstenedione-dominant hormone milieu is impairing to cognition, E2 in this same manner is not. These results yield valuable insight into optimal hormone therapies for menopausal women.
ContributorsGranger, Steven Jay (Author) / Bimonte-Nelson, Heather (Thesis director) / Presson, Clark (Committee member) / Hiroi, Sheri (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
Women are now living longer than ever before, yet the age of spontaneous menopause has remained stable. This results in an increasing realization of the need for an effective treatment of cognitive and physiological menopausal and post-menopausal symptoms. The most common estrogen component of hormone therapy, conjugated equine estrogens (CEE;

Women are now living longer than ever before, yet the age of spontaneous menopause has remained stable. This results in an increasing realization of the need for an effective treatment of cognitive and physiological menopausal and post-menopausal symptoms. The most common estrogen component of hormone therapy, conjugated equine estrogens (CEE; Premarin) contains many estrogens that are not endogenous to the human body, and that may or may not be detrimental to cognition (Campbell and Whitehead, 1977; Engler-Chiurazzi et al., 2011; Acosta et al., 2010). We propose the use of a novel treatment option in the form of a naturally-circulating (bioidentical) estrogen called estriol. Due to estriol’s observed positive effects on synaptic functioning and neuroprotective effects in the hippocampus (Ziehn et al., 2012; Goodman et al., 1996), a brain structure important for spatial learning and memory, estriol is promising as a hormone therapy option that may attenuate menopausal- and age- related memory decline. In the current study, we administered one of the three bioidentical estrogens (17β-Estradiol, 4.0 µg/day; Estrone, 8.0 µg/day; Estriol, 8.0 µg/day) or the vehicle polyethylene glycol by subcutaneous osmotic pump to ovariectomized Fisher-344 rats. We compared these groups to each other using a battery of spatial learning tasks, including the water radial-arm maze (WRAM), Morris water maze (MM), and delayed-match-to-sample maze (DMS). We found that all estrogens impaired performance on the WRAM compared to vehicle, while 17β-estradiol administration improved overnight forgetting performance for the MM. The estriol group showed no cognitive enhancements relative to vehicle; however, there were several factors indicating that both our estriol and estradiol doses were too high, so future studies should investigate whether lower doses of estriol may be beneficial to cognition.
ContributorsStonebarger, Gail Ashley (Author) / Bimonte-Nelson, Heather (Thesis director) / Knight, George (Committee member) / Engler-Chiurrazzi, Elizabeth (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor)
Created2015-05