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Updated: Jun 13, 2025

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Evaluating practice effects across learning trials - ceiling effects or something more?

Dustin B Hammers1, Shreya Bothra1, Angelina Polsinelli1

  • 1Department of Neurology, Indiana University School of Medicine, Indianapolis, IN, USA.

Journal of Clinical and Experimental Neuropsychology
|September 11, 2024
PubMed
Summary
This summary is machine-generated.

Practice effects (PE) improve memory test performance, especially on initial trials. These effects were seen across trials but not learning slopes in older adults, including those with Mild Cognitive Impairment (MCI).

Keywords:
NeuropsychologyReliable changeassessmentmemorypractice effects

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Area of Science:

  • Neuroscience
  • Cognitive Psychology
  • Gerontology

Background:

  • Practice effects (PE) traditionally signify performance gains from repeated testing.
  • Previous research focused PE solely on total scores, overlooking individual trials and learning dynamics.
  • This study investigates PE across total scores, individual trials, and learning slopes in memory assessments.

Purpose of the Study:

  • To examine one-week practice effects (PE) on individual trial and learning slope performance.
  • To compare PE in cognitively intact older adults versus those with Mild Cognitive Impairment (MCI).
  • To assess PE on the BVMT-R and HVLT-R memory tests.

Main Methods:

  • 151 cognitively intact participants and 131 participants with MCI (aged 65+) were assessed.
  • One-week test-retest design was employed for the BVMT-R and HVLT-R.
  • Performance was analyzed across summary total scores, individual trials, and learning slopes.

Main Results:

  • Practice effects (PE) were evident across all trials and total scores for both memory measures.
  • PE were most pronounced on the initial learning trial, diminishing in participants with MCI.
  • No significant PE were observed for learning slopes, potentially due to ceiling effects.

Conclusions:

  • Practice effects (PE) are present in individual memory learning trials, benefiting initial trials most.
  • PE are diminished but not absent in individuals with Mild Cognitive Impairment (MCI).
  • Learning slopes appear stable in longitudinal assessments, possibly influenced by ceiling effects, unlike individual trials.