To err is human, to monitor divine: environmental adaptations reduce everyday errors but do not improve monitoring

The current study aimed to address error monitoring impairments in dementia using an intervention for execution deficits. Thirty-eight participants completed the Naturalistic Action Test (NAT) under two conditions: Standard and User-Centered. The Standard NAT followed the manual procedures; in the User-Centered NAT, objects were arranged sequentially, and distractor items were separated from target objects. While participants committed fewer errors in the User-Centered condition, there was no difference in the proportion of errors detected. However, the neuropsychological processes associated with monitoring differed across conditions. The results have implications for a neuropsychological model of error monitoring in dementia.