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Errorless learning and spaced retrieval techniques to relearn instrumental activities of daily living in mild Alzheimer’s disease: A case report study

机译:一种无错误的学习和间隔检索技术以重新学习轻度阿尔茨海默氏病的日常生活中的工具活动:一个案例研究

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摘要

Previous studies on cognitive training in Alzheimer’s disease (AD) were principally aimed at making patients learn items not related to functional needs. However, AD patients also experience difficulties with instrumental activities of daily living (IADL). The goal of the present multiple baseline case report study was to assess the preliminary efficacy and tolerability of an individualized cognitive training program using the errorless learning (EL) and spaced-retrieval (SR) techniques to relearn forgotten IADLs in mild AD. Following an exhaustive neuropsychological assessment, two participants received two training sessions per week during four weeks. Participant A was trained to use his voice mail and Participant B, to manage the messages from his answering machine. The results showed that the program was well tolerated and improved performance on the trained tasks. These ameliorations were maintained over a 5-week period. The effects of the training did not have any impact on global cognitive functions since the results on these measures remained relatively stable. This case report demonstrated preliminary efficacy of a new cognitive training program using EL and SR techniques tailored to the needs of AD patients. This is an important finding since the loss of these capacities alters autonomy in AD patients.
机译:先前有关阿尔茨海默氏病(AD)的认知训练的研究主要旨在使患者学习与功能需求无关的项目。然而,AD患者在日常生活中的器械活动(IADL)方面也遇到困难。本多基线病例报告研究的目标是评估使用无差错学习(EL)和间隔检索(SR)技术重新学习轻度AD中被遗忘的IADL的个性化认知培训计划的初步疗效和耐受性。经过详尽的神经心理学评估,两名参与者在四个星期内每周接受两次培训。参加者A被训练使用他的语音邮件,而参加者B被训练来管理来自其答录机的消息。结果表明,该程序具有良好的容忍性,并改善了训练任务的性能。这些改善措施维持了5周。培训的效果对整体认知功能没有任何影响,因为这些措施的结果保持相对稳定。该病例报告证明了使用针对AD患者需求的EL和SR技术进行的新认知训练计划的初步功效。这是一个重要发现,因为这些能力的丧失会改变AD患者的自主性。

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