Errorless Learning and Spaced Retrieval Training for Clients with Alzheimer's Dementia

Crowe, Jessica; Gabriel, Linda

doi:10.3109/02703181.2013.796037

Cited by 10 publications

(14 citation statements)

References 24 publications

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“…It was observed that more repetitions were beneficial for participants with cognitive impairment, especially at the early stage; for example, the first week was intensive (4 sessions) and the strategies were applied by participants without the use of cues (eg, take steady steps) at the end of the week; however, after the weekend and the frequency dropped to 2 sessions in week 2, verbal cues had to be provided to some participants. To consolidate the safe transfer and mobility strategies into procedural memory, 23 it might be helpful to change the intervention to 4 weeks, with the first 2 weeks including more frequent sessions, for example 4, 4, 2, 1 or 5, 3, 2, 1 in each week. One participant (Participant 4) suggested that intervention sessions be shorter but more frequent initially, and the frequency to be decreased and duration of each session increased when participants' confidence and endurance improve.…”

Section: Graded Frequencymentioning

confidence: 99%

“…The instruction "take big steady steps" was emphasized at each step. Following the demonstration, participants were provided with verbal cues/instructions prior to each step to prevent errors from happening (referred to as errorless learning), 23 for example, "steady yourself, count 1, 2, 3 before taking steps" after standing up, "take big steady steps" when walking, "keep stepping steadily" when turning and approaching the chair, and "hold onto the armrests" before sitting. The intervals between mobilization training sessions were gradually increased on a graded schedule (referred to as spaced retrieval 23 ).…”

Section: Intervention Session Proceduresmentioning

confidence: 99%

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Development of a Safe Mobilisation Program to Improve Functional Mobility and Reduce Fall Risk in Older Adults With Cognitive Impairment and Gait Disorders

Zhang

Low

Gwynn

et al. 2023

Topics in Geriatric Rehabilitation

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This article describes the development process of the Safe Mobilisation Program to improve functional mobility and reduce fall risk in cognitively impaired older adults with gait disorders. We drew on a systematic review, informed by a theoretical paper and data collected during a feasibility study. Data collected were field notes of observation and participant feedback. Reflexive thematic analysis was undertaken. Home-based, one-on-one, low-intensity interventions are suitable designs. Key features of the tailored intervention to enhance participation include collaborative goal setting, individualized activities, rapport building, and carer training. Strategies targeting gait and cognitive deficits are integral to achieving optimal outcomes.

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Section: Graded Frequencymentioning

confidence: 99%

Section: Intervention Session Proceduresmentioning

confidence: 99%

Development of a Safe Mobilisation Program to Improve Functional Mobility and Reduce Fall Risk in Older Adults With Cognitive Impairment and Gait Disorders

Zhang

Low

Gwynn

et al. 2023

Topics in Geriatric Rehabilitation

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show abstract

“…Training strategies such as errorless learning and spaced retrieval can be used to help older adults with cognitive impairment learn new skills by tapping into procedural memory reserves and using unconscious processing of material [18]. Errorless learning is a teaching technique where cues, and instructions are provided before mistakes are made during the learning process.…”

Section: Introductionmentioning

confidence: 99%

A Safe Mobilisation Program to Improve Functional Mobility and Reduce Fall Risks in Cognitively Impaired Older Adults with Higher Level Gait Disorders: A Pilot Study

Zhang

Low

Gwynn

et al. 2021

Dement Geriatr Cogn Disord

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Background: The association between gait and cognition, and their combined impact on postural stability may underlie the increased fall risk in older adults with dementia. However, there are few interventions to improve functional mobility and reduce fall risks in people with cognitive impairment. Objectives: This study aims to investigate the feasibility and acceptability of a Safe Mobilisation Program for cognitively impaired older adults with higher level gait disorders. It also explores the potential effectiveness of the program on mobility and fall risks. Methods: Fifteen community-dwelling older adults participated in a 3-week pre-post intervention study. They were trained to take steady steps in transfers and mobilization using errorless learning and spaced retrieval teaching techniques. Results: The intervention program was feasible, all the participants completed the program and were able to mobilize safely. The program was acceptable and participants reported an increase in safety awareness, improvement in confidence while transferring and mobilising, and better quality of life. There was a trend of improvement in Falls Efficacy Scale-international (FES-I), 360° turn and Tinetti Performance Oriented Mobility Assessment (POMA), which may indicate improvement in balance and mobility. Conclusion: The Safe Mobilisation Program was feasible and acceptable in older adults with cognitive impairment and gait disorders and warrants further evaluation.

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“…In addition, SRT has a spacing effect that is retrieved more effectively when trials are distributed over time. SRT appears to be attracting attention within the field of dementia treatment because of these advantages 12 , 13 ) .…”

Section: Introductionmentioning

confidence: 99%

Effects of spaced retrieval training with errorless learning in the rehabilitation of patients with dementia

2015

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[Purpose] Among the non-pharmacological interventions for dementia, spaced retrieval training (SRT) is a good method for rehabilitating cognition. The purpose of this study was to examine effects of SRT with errorless learning (EL) in the rehabilitation of patients with dementia. [Subjects and Methods] Twenty-nine participants with vascular dementia (VD) and Alzheimer’s disease (AD) participated in the present study. The Korean version of the Consortium to Establish a Registry for Alzheimer’s disease (CERAD-K) and Modified Barthel Index (MBI) were performed to assess the changes in the neuropsychological performance and the independent activities of daily living after SRT with EL. All tests were administered both before and after SRT with EL. Each SRT with EL intervention was performed for 30 minutes per day for 5 weeks. SPSS for Windows version 18.0 was used for statistical analysis. [Results] All items of the CERAD-K score of the VD group except for constructional praxis increased significantly after the SRT with EL intervention, but no significant differences from the AD group were found. The Korean version of the geriatric depression scale (GDS-K) of the VD group increased significantly after the SRT with EL intervention. The mean MBI scores of each group showed no significant difference after the intervention. [Conclusion] SRT with EL is an effective intervention for memory training of patients with dementia. Future research using sufficient sample sizes will be needed to obtain strong evidence for comparing not only the before and after intervention data but also between the groups.

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Errorless Learning and Spaced Retrieval Training for Clients with Alzheimer's Dementia

Cited by 10 publications

References 24 publications

Development of a Safe Mobilisation Program to Improve Functional Mobility and Reduce Fall Risk in Older Adults With Cognitive Impairment and Gait Disorders

Development of a Safe Mobilisation Program to Improve Functional Mobility and Reduce Fall Risk in Older Adults With Cognitive Impairment and Gait Disorders

A Safe Mobilisation Program to Improve Functional Mobility and Reduce Fall Risks in Cognitively Impaired Older Adults with Higher Level Gait Disorders: A Pilot Study

Effects of spaced retrieval training with errorless learning in the rehabilitation of patients with dementia

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