Let me be your guide: physical guidance improves spatial learning for older adults with simulated low vision.

Monitoring one's safety during low vision navigation demands limited attentional resources which may impair spatial learning of the environment. In studies of younger adults, we have shown that these mobility monitoring demands can be alleviated, and spatial learning subsequently improved, via the presence of a physical guide during navigation. The present study extends work with younger adults to an older adult sample with simulated low vision. We test the effect of physical guidance on improving spatial learning as well as general age-related changes in navigation ability. Participants walked with and without a physical guide on novel real-world paths in an indoor environment and pointed to remembered target locations. They completed concurrent measures of cognitive load on the trials. Results demonstrate an improvement in learning under low vision conditions with a guide compared to walking without a guide. However, our measure of cognitive load did not vary between guidance conditions. We also conducted a cross-age comparison and found support for age-related declines in spatial learning generally and greater effects of physical guidance with increasing age.