Allison Harvey





Improving Good Practice by Enhancing Memory for Treatment

Patients accurately recall only about one third of the recommendations made during a CBT session (Chambers, 1991; Lee & Harvey, 2015). Following other types of counseling, 60% of the patients did not remember the recommendations and 25% remembered recommendations that were not made (Bober, Hoke, Duda, & Tung, 2007). Recall is particularly poor for health behavior change advice (Flocke & Stange, 2004). Perhaps not surprisingly, poor memory for the content of treatment is associated with poorer adherence (Jansen et al., 2008) and poor adherence is associated with poorer outcome (Simpson et al., 2011). Also, there is evidence that poor memory for the content of a treatment is associated with poorer outcome (Lee & Harvey, 2015).
The Memory Support Intervention, derived from basic science in cognitive psychology and education and tested in research studies (Harvey et al., 2016), will be taught to participants in this workshop. The Memory Support Intervention is comprised of eight powerful memory promoting strategies. These strategies are proactively, strategically and intensively integrated into treatment-as-usual to support encoding. The Memory Support Intervention is designed to be applicable across disorders (‘transdiagnostic’) and across treatments (‘pantreatment’). Applications within and between sessions and to interventions delivered via the internet will be considered. We will also discuss additional novel pathways to improving memory, such as improving sleep and the differential provision of services to children and older adults (memory and learning processes change across the lifespan).

Bober, S. L., Hoke, L. A., Duda, R. B., & Tung, N. M. (2007). Recommendation recall and satisfaction after attending breast/ovarian cancer risk counseling. Journal of Genetic Counseling, 16, 755-762.
Chambers, M. J. (1991). Patient recall of recommendations in the behavioural treatment of insomnia. Sleep Research, 20, 222.
Flocke, S. A., & Stange, K. C. (2004). Direct observation and patient recall of health behavior advice. Preventive Medicine, 38, 343-349.
Harvey, A. G., Lee, J., Smith, R. L., Gumport, N. B., Hollon, S. D., Rabe-Hesketh, S., et al. (2016). Improving outcome for mental disorders by enhancing memory for treatment. Behaviour research and therapy, 81, 35-46.
Jansen, J., Butow, P. N., van Weert, J. C., van Dulmen, S., Devine, R. J., Heeren, T. J., et al. (2008). Does age really matter? Recall of information presented to newly referred patients with cancer. Journal of Clinical Oncology, 26, 5450-5457.
Lee, J., & Harvey, A. G. (2015). Memory for therapy in bipolar disorder and comorbid insomnia. Journal of Consulting and Clinical Psychology, 83, 92-102.
Simpson, H. B., Maher, M. J., Wang, Y., Bao, Y., Foa, E. B., & Franklin, M. (2011). Patient adherence predicts outcome from cognitive behavioral therapy in obsessive-compulsive disorder. Journal of Consulting and Clinical Psychology, 79(2), 247.