The Four Quadrant Model of Facilitated Learning: A clinically based action research project

Greber, Craig; Ziviani, Jenny; Rodger, Sylvia

doi:10.1111/j.1440-1630.2006.00558.x

Cited by 18 publications

(20 citation statements)

References 5 publications

(8 reference statements)

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“…Of specifi c interest was the fi nding that, similar to healthy older adults, MCI participants responded well to the indirect, or fi rst level of prompt, which simply helped to orient the participant back to the task (e.g., "The oatmeal will burn if the stove is left on"). These data are consistent with research in other populations (Greber, Ziviani, & Rodger, 2007 ;Hume & Odom, 2007 ) and suggest that less directive verbal cues may be effective with a less cognitively impaired MCI population. The level of detail provided by the prompt (e.g., direct prompt: "Turn the stove off now"), will likely need to vary to match an individual's cognitive status.…”

Section: Prompting Technologies For Health Promotion and Assistancesupporting

confidence: 89%

Positive Neuropsychology

2013

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Section: Prompting Technologies For Health Promotion and Assistancesupporting

confidence: 89%

Positive Neuropsychology

2013

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“…Similarly, in a recent PDD study [79] to improve independent functioning, researchers evaluated a work system individualized to the specific needs (e.g., structure or predictability) of each autistic child, highlighting the importance of developing cues that match individual needs and level of impairment. Overall, in PDD studies, individuals with less severe impairments have been found to respond to less directive cues, while individuals with more severe impairments respond better to more directive cues [78]. Consistent with this observation, in a recent study, participants with moderate AD were able to respond to machine based prompting with limited human assistance, while individuals with severe AD were largely unable to respond to the prompting without complete human assistance [80].…”

Section: Level Of Informationmentioning

confidence: 66%

“…Specifically, aspects of prompt content, such as modality and level of information, could vary based on individual characteristics, such as level of cognitive or functional impairment. For example, in PDD studies, individuals with less severe impairments have been found to respond to less directive cues, while individuals with more severe impairments respond better to more directive cues [78]. Flexibility in prompt content being delivered is important and will likely be essential when working with individuals with progressive cognitive disorders.…”

Section: Discussionmentioning

confidence: 99%

“…According to CRT, graded prompt hierarchies are a cognitively effortful approach, and thus more effective for individuals with less severe cognitive impairment. Greber et al [78] developed a hierarchical model of facilitated learning for children with disabilities. Levels of cues used were either direct or indirect (e.g., "Do this, do it this way" vs. "Uh oh, I think there is a problem") and either adult or child initiated.…”

Section: Level Of Informationmentioning

confidence: 99%

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Application of Cognitive Rehabilitation Theory to the Development of Smart Prompting Technologies

Seelye

Schmitter‐Edgecombe

Das

et al. 2012

IEEE Rev. Biomed. Eng.

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Abstract-Older adults with cognitive impairments often have difficulty performing instrumental activities of daily living (IADLs). Prompting technologies have gained popularity over the last decade and have the potential to assist these individuals with IADLs in order to live independently. Although prompting techniques are routinely used by caregivers and health care providers to aid individuals with cognitive impairment in maintaining their independence with everyday activities, there is no clear consensus or gold standard regarding prompt content, method of instruction, timing of delivery, or interface of prompt delivery in the gerontology or technology literatures. In this paper, we demonstrate how cognitive rehabilitation principles can inform and advance the development of more effective assistive prompting technologies that could be employed in smart environments. We first describe cognitive rehabilitation theory (CRT) and show how it provides a useful theoretical foundation for guiding the development of assistive technologies for IADL completion. We then use the CRT framework to critically review existing smart prompting technologies to answer questions that will be integral to advancing development of effective smart prompting technologies. Finally, we raise questions for future exploration as well as challenges and suggestions for future directions in this area of research.Index Terms-aging, cognitive impairment, assistive technology, instrumental activities of daily living

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“…Based on prior research indicating that individuals with less severe cognitive impairments have been found to respond successfully to less directive prompts (Greber et al, 2007), it was expected that individuals with single-domain MCI would respond successfully to less directive prompts when errors were made and not require higher levels of prompting assistance.…”

Section: Introductionmentioning

confidence: 99%

Naturalistic Assessment of Everyday Activities and Prompting Technologies in Mild Cognitive Impairment

Seelye

Schmitter‐Edgecombe

Cook

et al. 2013

J Int Neuropsychol Soc

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Older adults with mild cognitive impairment (MCI) often have difficulty performing complex instrumental activities of daily living (IADLs), which are critical to independent living. In this study, amnestic multi-domain MCI (N = 29), amnestic single-domain MCI (N = 18), and healthy older participants (N = 47) completed eight scripted IADLs (e.g., cook oatmeal on the stove) in a smart apartment testbed. We developed and experimented with a graded hierarchy of technology-based prompts to investigate both the amount of prompting and type of prompts required to assist individuals with MCI in completing the activities. When task errors occurred, progressive levels of assistance were provided, starting with the lowest level needed to adjust performance. Results showed that the multi-domain MCI group made more errors and required more prompts than the single-domain MCI and healthy older adult groups. Similar to the other two groups, the multi-domain MCI group responded well to the indirect prompts and did not need a higher level of prompting to get back on track successfully with the tasks. Need for prompting assistance was best predicted by verbal memory abilities in multi-domain amnestic MCI. Participants across groups indicated that they perceived the prompting technology to be very helpful.

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The Four Quadrant Model of Facilitated Learning: A clinically based action research project

Cited by 18 publications

References 5 publications

Positive Neuropsychology

Positive Neuropsychology

Application of Cognitive Rehabilitation Theory to the Development of Smart Prompting Technologies

Naturalistic Assessment of Everyday Activities and Prompting Technologies in Mild Cognitive Impairment

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