Risk of not being in employment, education or training (NEET) in late adolescence is signalled by school readiness measures at 4-5 years.

BACKGROUND: Not being in employment, education, or training (NEET) is associated with poor health (physical and mental) and social exclusion. We investigated whether England's statutory school readiness measure conducted at 4-5 years provides a risk signal for NEET in late adolescence. METHODS: We identified 8,118 individuals with school readiness measures at 4-5 years and NEET records at 16-17 years using Connected Bradford, a bank of linked routinely collected datasets. Children were categorised as 'school ready' if they reached a 'Good Level of Development' on the Early Years Foundation Stage Profile. We used probit regression and structural equation modelling to investigate the relationship between school readiness and NEET status and whether it primarily relates to academic attainment. RESULTS: School readiness was significantly associated with NEET status. A larger proportion of young people who were not school ready were later NEET (11%) compared to those who were school ready (4%). Most of this effect was attributable to shared relationships with academic attainment, but there was also a direct effect. Measures of deprivation and Special Educational Needs were also strong predictors of NEET status. CONCLUSIONS: NEET risk factors occur early in life. School readiness measures could be used as early indicators of risk, with interventions targeted to prevent the long-term physical and mental health problems associated with NEET, especially in disadvantaged areas. Primary schools are therefore well placed to be public health partners in early intervention strategies.

Intact high-resolution working memory binding in a patient with developmental amnesia and selective hippocampal damage.

Debate continues regarding the possible role of the hippocampus across short-term and working memory tasks. The current study examined the possibility of a hippocampal contribution to precise, high-resolution cognition and conjunctive memory. We administered visual working memory tasks featuring a continuous response component to a well-established developmental amnesic patient with relatively selective bilateral hippocampal damage (Jon) and healthy controls. The patient was able to produce highly accurate response judgments regarding conjunctions of color and orientation or color and location, using simultaneous or sequential presentation of stimuli, with no evidence of any impairment in working memory binding, categorical accuracy, or continuous precision. These findings indicate that hippocampal damage does not necessarily lead to deficits in high-resolution cognitive performance, even when the damage is severe and bilateral.

Do actions speak louder than words? Examining children's ability to follow instructions.

The ability to encode, retain, and implement instructions within working memory is central to many behaviours, including classroom activities which underpin learning. The three experiments presented here explored how action-planned, enacted, and observed-impacted 6- to 10-year-old's ability to follow instructions. Experiment 1 (N = 81) found enacted recall was superior to verbal recall, but self-enactment at encoding had a negative effect on enacted recall and verbal recall. In contrast, observation of other-enactment (demonstration) at encoding facilitated both types of recall (Experiment 2a: N = 81). Further, reducing task demands through a reduced set of possible actions (Experiment 2b; N = 64) led to a positive effect of self-enactment at encoding for later recall (both verbal and enacted). Expecting to enact at recall may lead to the creation of an imaginal spatial-motoric plan at encoding that boosts later recall. However, children's ability to use the additional spatial-motoric codes generated via self-enactment at encoding depends on the demands the task places on central executive resources. Demonstration at encoding appears to reduce executive demands and enable use of these additional forms of coding.

Getting value out of working memory through strategic prioritisation: Implications for storage and control.

Working memory is an active system responsible for the temporary maintenance and processing of information in the support of cognition and action. In keeping with this, a growing body of research has explored the close links between working memory and attention, and how these might be harnessed to impact performance and possibly improve working memory efficiency. This is theoretically and practically important, given that working memory is a central hub in complex cognition yet is extremely capacity- and resource-limited. We review work carried out over the last 10 years or so looking at how high "value" items in working memory can be strategically prioritised through selective attention, drawing principally from visual working memory paradigms with young adult participants, while also discussing how the core effects extend to different task domains and populations. A consistent set of core findings emerges, with improved memory for items that are allocated higher value but no change in overall task performance, and a recency advantage regardless of point allocation when items are encountered sequentially. Value-directed prioritisation is effortful, under top-down strategic control, and appears to vary with perceptual distraction and executive load. It is driven by processes operating during encoding, maintenance, and retrieval, though the extent to which these are influenced by different features of the task context remains to be mapped out. We discuss implications for working memory, attention, and strategic control, and note some possible future directions of travel for this promising line of research.

Detecting accelerated long-term forgetting remotely in a community sample of people with epilepsy: Evidence from the Crimes and Four Doors tests.

People with epilepsy often report experiencing memory problems though these are not always detectable using standard neuropsychological measures. One form of difficulty that may be relatively prevalent in epilepsy is termed accelerated long-term forgetting (ALF), typically described as relatively greater loss of memory over days or weeks following initial encoding. The current study used remote assessment to examine memory and forgetting over one week in a broad community sample of people with epilepsy and healthy control participants, using two recently developed tests, one verbal (the Crimes test) and one visual (the Four Doors test). These were administered as part of a short battery of cognitive measures, run remotely with participants over Zoom. Across this community-derived sample, people with epilepsy reported more memory complaints and demonstrated significantly faster forgetting on both the verbal and visual tests. This difference was not attributable to level of initial learning performance and was not detectable through delayed recall on a standard existing test. Our results suggests that ALF may be more common than suspected in people with epilepsy, leading to a potentially important source of memory problems that are currently undetected by standard memory tests.

Potential for England's statutory school entry assessment to identify special educational needs and reveal structural inequalities: a population-based study.

OBJECTIVE: To investigate at a population level whether England's universal assessment of 'school readiness' is associated with later identification of special educational needs (SEN). Also, whether ethnic differences exist in SEN identification (white British versus ethnic minority) and whether this varies as a function of school readiness. METHOD: Analysis included 53 229 individuals aged 5-12 years from the Connected Bradford Database (2012/2013-2019/2020). Logistic regression analyses examined: (1) whether reaching a 'good level of development' on England's 'school readiness' assessment was associated with later SEN identification; and (2) whether interactions exist between school readiness and ethnicity. RESULTS: 32 515 of 53 229 children reached a good level of development, of which 3036 (9.3%) were identified as having SEN. In contrast, 10 171 of 20 714 (49.1%) of children who did not reach a good level of development were later identified as having SEN. Children not reaching a good level of development had increased odds of being later identified as having SEN after controlling for covariates (OR: 8.50, 95% CI: 8.10 to 8.91). In children who did not reach a good level of development, white British children had higher odds of being identified as having SEN compared with ethnic minority peers (OR: 1.22, 95% CI: 1.11 to 1.34). No ethnic differences of having SEN were observed in children reaching a good level of development (OR: 1.04, 95% CI: 0.93 to 1.16). CONCLUSIONS: School readiness assessments are associated with later SEN identification. Structural inequalities may exist in SEN identification in children not entering formal education 'school ready'. Such assessments could facilitate earlier identification of SEN and reduce structural inequalities in its identification.

Why does the probe value effect emerge in working memory? Examining the biased attentional refreshing account.

People are able to prioritize more valuable information in working memory. The current study examined whether this value effect is due to the items of greater value being refreshed more than lower-value items during maintenance. To assess this possibility, we combined a probe value manipulation with a guided-refreshing procedure. Arrays of colored shapes were presented, and after a brief delay, participants reported the color of one randomly probed shape on a continuous color wheel. To manipulate probe value, one item was indicated as more valuable than the rest prior to encoding (i.e., worth more notional points), or all items were indicated as equally valuable. To guide refreshing, in some trials, two arrows were presented during maintenance, each arrow cueing the spatial location of one item. Participants were told to "think of" (i.e., refresh) the cued item. If value boosts are driven by attentional refreshing, cueing an item to be refreshed should enhance performance for items that are of low or equal value, but not items of high value, as these items would be refreshed regardless of the cue. This pattern of outcomes was observed, providing support for the hypothesis that attentional refreshing at least partially accounts for probe value effects in working memory.

Born in Bradford's Better Start (BiBBS) interventional birth cohort study: Interim cohort profile.

Background: The Born in Bradford's Better Start (BiBBS) interventional birth cohort study was designed as an innovative cohort platform for efficient evaluation of early life interventions delivered through the Better Start Bradford programme. There are a growing number of interventional cohorts being implemented internationally. This paper provides an interim analysis of BiBBS in order to share learning about the feasibility and value of this method. Methods: Recruitment began in January 2016 and will complete in December 2023 with a target sample of 5,000 pregnancies. An interim analysis was completed for all pregnancies recruited between January 2016 and November 2019 with an expected due date between 1 st April 2016 and 8 th March 2020. Descriptive statistics were completed on the data. Results: Of 4,823 eligible pregnancies, 2,626 (54%) pregnancies were recruited, resulting in 2,392 mothers and 2,501 children. The sample are representative of the pregnant population (61% Pakistani heritage; 12% White British; 8% other South Asian and 6% Central and Eastern European ethnicity). The majority of participants (84%) live in the lowest decile of the Index of Multiple Deprivation, and many live in vulnerable circumstances. A high proportion (85%) of BiBBS families have engaged in one or more of the Better Start Bradford interventions. Levels of participation varied by the characteristics of the interventions, such as the requirement for active participation and the length of commitment to a programme. Conclusions: We have demonstrated the feasibility of recruiting an interventional cohort that includes seldom heard families from ethnic minority and deprived backgrounds. The high level of uptake of interventions is encouraging for the goal of evaluating the process and outcomes of multiple early life interventions using the innovative interventional cohort approach. BiBBS covers a period before, during and after the coronavirus disease 2019 (COVID-19) pandemic which adds scientific value to the cohort.

Strategic prioritisation enhances young and older adults' visual feature binding in working memory.

Visual working memory for features and bindings is susceptible to age-related decline. Two experiments were used to examine whether older adults are able to strategically prioritise more valuable information in working memory and whether this could reduce age-related impairments. Younger (18-33 years) and older (60-90 years) adults were presented with coloured shapes and, following a brief delay, asked to recall the feature that had accompanied the probe item. In Experiment 1, participants were either asked to prioritise a more valuable object in the array (serial position 1, 2, or 3) or to treat them all equally. Older adults exhibited worse overall memory performance but were as able as younger adults to prioritise objects. In both groups, this ability was particularly apparent at the middle serial position. Experiment 2 then explored whether younger and older adults' prioritisation is affected by presentation time. Replicating Experiment 1, older adults were able to prioritise the more valuable object in working memory, showing equivalent benefits and costs as younger adults. However, processing speed, as indexed by presentation time, was shown not to limit strategic prioritisation in either age group. Taken together, these findings demonstrate that, although older adults have poorer visual working memory overall, the ability to strategically direct attention to more valuable items in working memory is preserved across ageing.

Detecting accelerated long-term forgetting: A problem and some solutions.

While many memory disorders occur with normal rates of forgetting, an accelerated rate of long-term forgetting (ALF) may occur, sometimes in the absence of a learning deficit. Detecting ALF presents a problem as it is desirable that the learned material is re-tested after each of several delays. This may result in earlier retrievals confounding later tests, with evidence suggesting that both positive and negative interaction can occur between successive tests. An earlier study (Baddeley et al., 2019) tested cued recall of a series of four crimes or four visual scenes by probing a different sample of features from all four crimes/scenes at each delay. Even though no question was asked twice, the interpolated tests markedly reduced the rate of forgetting. We suggest that this decelerated forgetting effect may result from the retrieval of probed features activating other associated features within that episode, hence facilitating their recall on subsequent tests. If so, the effect should be removed when only single and separate episodes, or individual items, are tested at each delay. We test this by probing a separate episode at each delay (Experiment 1), or by replacing integrated episodes with recognition memory for isolated words (Experiments 2 and 3) or visual scenes (Experiments 4 and 5). As predicted, we find no reduction in the rate of forgetting, in contrast to our earlier studies. The theoretical and clinical implications of our results are discussed. We conclude that the previously developed Crimes and Four Doors Tests (Baddeley et al., 2019) and the present single item recognition tests are complementary and are both likely to be necessary to ensure the reliable detection of ALF.

Can valuable information be prioritized in verbal working memory?

Though there is substantial evidence that individuals can prioritize more valuable information in visual working memory (WM), little research has examined this in the verbal domain. Four experiments were conducted to investigate this and the conditions under which effects emerge. In each experiment, participants listened to digit sequences and then attempted to recall them in the correct order. At the start of each block, participants were either told that all items were of equal value, or that an item at a particular serial position was worth more points. Recall was enhanced for these higher value items (Experiment 1a), a finding that was replicated while rejecting an alternative account based on distinctiveness (Experiment 1b). Thus, valuable information can be prioritized in verbal WM. Two further experiments investigated whether these boosts remained when participants completed a simple concurrent task disrupting verbal rehearsal (Experiment 2), or a complex concurrent task disrupting verbal rehearsal and executive resources (Experiment 3). Under simple concurrent task conditions, prioritization boosts were observed, but with increased costs to the less valuable items. Prioritization effects were also observed under complex concurrent task conditions, although this was accompanied by chance-level performance at most of the less valuable positions. A substantial recency advantage was also observed for the final item in each sequence, across all conditions. Taken together, this indicates that individuals can prioritize valuable information in verbal WM even when rehearsal and executive resources are disrupted, though they do so by neglecting or abandoning other items in the sequence. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Following Instructions in Working Memory: Do Older Adults Show the Enactment Advantage?

OBJECTIVES: In young adults, the ability to verbally recall instructions in working memory is enhanced if the sequences are physically enacted by the participant (self-enactment) or the experimenter (demonstration) during encoding. Here we examine the effects of self-enactment and demonstration at encoding on working memory performance in older and younger adults. METHOD: Fifty young (18-23 years) and 40 older (60-89 years) adults listened to sequences of novel action-object pairs before verbally recalling them in the correct order. There were three different encoding conditions: spoken only, spoken + demonstration, and spoken + self-enactment. We included two different levels of difficulty to investigate whether task complexity moderated the effect of encoding condition and whether this differed between age groups. RESULTS: Relative to the spoken only condition, demonstration significantly improved young and older adults' serial recall performance, but self-enactment only enhanced performance in the young adults, and this boost was smaller than the one gained through demonstration. DISCUSSION: Our findings suggest that additional spatial-motoric information is beneficial for older adults when the actions are demonstrated to them, but not when the individual must enact the instructions themselves.

Can children prioritize more valuable information in working memory? An exploration into the effects of motivation and memory load.

Recent research found no evidence that children aged 7-10 years are able to direct their attention to more valuable information in working memory. The current experiments examined whether children demonstrate this ability when the reward system used to motivate participants is engaging and age-appropriate. This was explored across different memory loads (3- vs. 4-item arrays) and modes of presentation (sequential vs. simultaneous). Younger (7-8 years) and older children (9-10 years) were shown 3 or 4 colored shapes and asked to recall the color of one probed item following a brief delay. Items were either presented sequentially (Experiment 1) or simultaneously (Experiment 2). Children completed a differential probe value condition, in which the first shape (Experiment 1) or the top-left shape (Experiment 2) was worth more points than the other items, and an equal probe value condition, in which all shapes were equally valuable. Children were told they could use the points collected to play a specially designed game at the end of the session, and that they would be given a prize if they collected enough points. When items were presented sequentially, significant probe value effects emerged, with children showing higher accuracy for the first item when this serial position was more valuable. This effect was consistent across age group and memory load. When items were encountered simultaneously, both groups showed probe value effects in the higher (4-item) memory load condition. This indicates that children can prioritize more valuable information in working memory when sufficiently motivated to do so. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Remember some or remember all? Ageing and strategy effects in visual working memory.

Recent research has indicated that visual working memory capacity for unidimensional items might be boosted by focusing on all presented items, as opposed to a subset of them. However, it is not clear whether the same outcomes would be observed if more complex items were used which require feature binding, a potentially more demanding task. The current experiments, therefore, examined the effects of encoding strategy using multidimensional items in tasks that required feature binding. Effects were explored across a range of different age groups (Experiment 1) and task conditions (Experiment 2). In both experiments, participants performed significantly better when focusing on a subset of items, regardless of age or methodological variations, suggesting this is the optimal strategy to use when several multidimensional items are presented and binding is required. Implications for task interpretation and visual working memory function are discussed.

Are there multiple ways to direct attention in working memory?

In visual working memory tasks, memory for an item is enhanced if participants are told that the item is relatively more valuable than others presented within the same trial. Experiment 1 explored whether these probe value boosts (termed prioritization effects in previous literature) are affected by probe frequency (i.e., how often the more valuable item is tested). Participants were presented with four colored shapes sequentially and asked to recall the color of one probed item following a delay. They were informed that the first item was more valuable (differential probe value) or as valuable as the other items (equal probe value), and that this item would be tested more frequently (differential probe frequency) or as frequently (equal probe frequency) as the other items. Probe value and probe frequency boosts were observed at the first position, though both were accompanied by costs to other items. Probe value and probe frequency boosts were additive, suggesting the manipulations yield independent effects. Further supporting this, experiment 2 revealed that probe frequency boosts are not reliant on executive resources, directly contrasting with previous findings regarding probe value. Taken together, these outcomes suggest there may be several ways in which attention can be directed in working memory.