Therapeutic interventions have not yet been shown to demonstrate restorative effects for declining long-term memory (LTM) that affects many healthy older adults. We developed a virtual reality (VR) spatial wayfinding game (Labyrinth-VR) as a cognitive intervention with the hypothesis that it could improve detailed, high-fidelity LTM capability. Spatial navigation tasks have been used as a means to achieve environmental enrichment via exposure to and learning about novel and complex information. Engagement has been shown to enhance learning and has been linked to the vitality of the LTM system in the brain. In the current study, 48 older adults (mean age 68.7 ± 6.4 years) with average cognitive abilities for their age were randomly assigned to 12 h of computer game play over four weeks in either the Labyrinth-VR or placebo control game arms. Promptly before and after each participant's treatment regimen, high-fidelity LTM outcome measures were tested to assess mnemonic discrimination and other memory measures. The results showed a post-treatment gain in high-fidelity LTM capability for the Labyrinth-VR arm, relative to placebo, which reached the levels attained by younger adults in another experiment. This novel finding demonstrates generalization of benefits from the VR wayfinding game to important, and untrained, LTM capabilities. These cognitive results are discussed in the light of relevant research for hippocampal-dependent memory functions.

Attention can be oriented externally to the environment or internally to the mind, and can be derailed by interference from irrelevant information originating from either external or internal sources. However, few studies have explored the nature and underlying mechanisms of the interaction between different attentional orientations and different sources of interference. We investigated how externally- and internally-directed attention was impacted by external distraction, how this modulated internal distraction, and whether these interactions were affected by healthy aging. Healthy younger and older adults performed both an externally-oriented visual detection task and an internally-oriented mental rotation task, performed with and without auditory sound delivered through headphones. We found that the addition of auditory sound induced a significant decrease in task performance in both younger and older adults on the visual discrimination task, and this was accompanied by a shift in the type of distractions reported (from internal to external). On the internally-oriented task, auditory sound only affected performance in older adults. These results suggest that the impact of external distractions differentially impacts performance on tasks with internal, as opposed to external, attentional orientations. Further, internal distractibility is affected by the presence of external sound and increased suppression of internal distraction.