Use of a digital memory prosthetic to support autobiographical memory in down syndrome - PROJECT SUMMARY Down syndrome is the most common genetic cause of intellectual disability (Hawli et al., 2009), associated with significant developmental delays (Carr, 1988) and a disproportionate deficit in hippocampally- dependent memory (Godfrey & Lee, 2018; Pennington et al., 2003). Due to this memory impairment, individuals with Down syndrome may have a difficulty remembering specific details from past events, a pattern known as overgeneral autobiographical memory. This overgeneral memory makes it difficult for individuals with Down syndrome to share their past, can interfere with attempts to becoming more independent (Holland et al., 2016; Sheldon et al., 2011), and leads to increases in anxiety and depression (Waters 2014; King et al., 2019; Latorre et al., 2013). Although widespread advances in medical and behavioral research have dramatically increased the expected lifespan and quality of life for individuals with Down syndrome (Patterns & Costa, 2005), research examining ways to mitigate these substantial memory impairments has not capitalized on recent developments in the understanding of human memory. In the current research, the investigators test whether a new, user- friendly smartphone application—HippoCamera—can enhance specific autobiographical memory in individuals with Down syndrome. In HippoCamera, users are asked to record and replay events from their daily lives. This replay is curated by a research-based algorithm in HippoCamera that optimizes consolidation of memories over time and targets the specific memory details that are often lacking in individuals with hippocampal disfunction. The current project focuses on two potential benefits of HippoCamera in Down syndrome: 1) Increased memory specificity of daily events that are recorded and replayed by the participant using HippoCamera, and 2) Global enhancements in memory specificity for all autobiographical memories following a 12-week HippoCamera intervention. Prior research in older adults with and without cognitive decline has shown significant increases in memory specificity following a HippoCamera intervention (Martin et al., 2022). It is, therefore, likely that similar enhancements in autobiographical memory specificity will be identified in individuals with Down syndrome, highlighting the benefits of the application in this population. Exploratory analyses will further explore whether HippoCamera may also support increased positive sentiment for recorded memories (Martin et al., 2022) or more general increases in participant well-being and autonomy.
