ENHANCING CONVERSATION SKILLS IN PATIENTS WITH ALZHEIMER'S DISEASE USING A PROSTHETIC MEMORY AID

Michelle S. Bourgeois

Journal of Applied Behavior Analysis · 1990 · 197 citations · 30 references

DOIFull text

Open access

TL;DR

The study evaluated the effectiveness of teaching Alzheimer’s disease patients to use a prosthetic memory aid during conversations with familiar partners. Participants received training on three topics from caregivers, and their use of the aid was assessed through daily probes with an experimenter and biweekly probes with a familiar conversational partner. All three subjects learned to use the aid, producing more factual and novel statements, fewer ambiguous utterances, and achieving significant improvements across eight conversational dimensions that were maintained through 6‑week follow‑up.

Abstract

The effectiveness of teaching Alzheimer's disease subjects to use a prosthetic memory aid when conversing with familiar partners was evaluated. Effects of the training of three topics by caregivers was assessed in daily probes with the experimenter and twice weekly probes with a familiar conversational partner. All 3 subjects learned to use the memory aid with both conversational partners and improved the quality of their conversational content. Subjects made significantly more statements of fact and fewer ambiguous utterances after training on each topic according to a multiple baseline design. All subjects also generated novel, untrained statements in conversations with both partners. Treatment effects were maintained at high levels throughout training and at 3‐ and 6‐week followup sessions. Naive judges rated baseline and posttreatment conversational samples as significantly improved on all eight conversational dimensions.

References

30