Skip to main content

Advertisement

Log in

Persons with Mild and Moderate Alzheimer’s Disease Use Simple Technology to Support Their Leisure Engagement

  • ORIGINAL PAPER
  • Published:
Advances in Neurodevelopmental Disorders Aims and scope Submit manuscript

Abstract

This study assessed a technology-aided program for supporting leisure occupation in persons with mild or moderate Alzheimer’s disease. Eleven participants were included in the study. At the start of the sessions with the program, a computer presented visually and verbally the leisure options available (i.e., music, comedy, films, and television shows). As soon as the participant selected an option (e.g., music) by activating a simple microswitch, the computer presented three or four related alternatives (e.g., singers). Selection of a singer led the computer to present three or four songs of that singer. Selection of a song led the computer to play it and then to reset for a new choice sequence provided that the session time was not ended. All participants succeeded in using the program, activating leisure events (e.g., songs and comedy sketches), and being positively engaged for most of the sessions’ time. Twenty-two staff who were interviewed about the program provided highly positive scores for it and expressed personal interest in applying it. The technology-aided program seems to be a practical resource to support independent leisure occupation in persons with mild or moderate Alzheimer’s disease.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Ambrose, C. T. (2012). Neuroangiogenesis: a vascular basis for Alzheimer’s disease and cognitive decline during aging. Journal of Alzheimer’s Disease, 32, 773–788.

    PubMed  Google Scholar 

  • Barlow, D. H., Nock, M., & Hersen, M. (2009). Single-case experimental designs: strategies for studying behavior change (3rd ed.). New York: Allyn & Bacon.

    Google Scholar 

  • Bernick, C., Cummings, J., Raman, R., Sun, X., & Aisen, P. (2012). Age and rate of cognitive decline in Alzheimer disease: implications for clinical trials. Archives of Neurology, 69, 901–905.

    Article  PubMed  Google Scholar 

  • Boller, B., Jennings, J. M., Dieudonné, B., Verny, M., & Ergis, A. M. (2012). Recollection training and transfer effects in Alzheimer’s disease: effectiveness of the repetition-lag procedure. Brain and Cognition, 78, 169–177.

    Article  PubMed  Google Scholar 

  • Callahan, K., Henson, R., & Cowan, A. K. (2008). Social validation of evidence-based practices in autism by parents, teachers, and administrators. Journal of Autism and Developmental Disorders, 38, 678–692.

    Article  PubMed  Google Scholar 

  • Ferrero-Arias, J., Goñi-Imízcoz, M., González-Bernal, J., Lara-Ortega, F., Da Silva-González, A., & Díez-Lopez, M. (2011). The efficacy of nonpharmacological treatment for dementia-related apathy. Alzheimer Disease and Associated Disorders, 25, 213–219.

    Article  PubMed  Google Scholar 

  • Ferris, S. H., & Farlow, M. (2013). Language impairment in Alzheimer’s disease and benefits of acetylcholinesterase inhibitors. Clinical Intervention in Aging, 8, 1007–1014.

    Article  Google Scholar 

  • Folstein, M., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state” a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.

    Article  PubMed  Google Scholar 

  • Godwin, K. M., Mills, W. L., Anderson, J. A., & Kunik, M. E. (2013). Technology-driven interventions for caregivers of persons with dementia: a systematic review. American Journal of Alzheimer’s Disease and Other Dementias, 28, 216–222.

    Article  PubMed  Google Scholar 

  • Kazdin, A. E. (2011). Single-case research designs: methods for clinical and applied settings (2nd ed.). New York: Oxford University Press.

    Google Scholar 

  • Kim, S.-Y., Yoo, E.-Y., Jung, M.-Y., Park, S.-H., & Park, J.-H. (2012). A systematic review of the effects of occupational therapy for persons with dementia: a meta-analysis of randomized controlled trials. NeuroRehabilitation, 31, 107–115.

    PubMed  Google Scholar 

  • König, A., Crispim Junior, C. F., Derreumaux, A., Bensadoun, G., Petit, P. D., Bremond, F., David, R., Verhey, F., Aalten, P., & Robert, P. (2015). Validation of an automatic video monitoring system for the detection of instrumental activities of daily living in dementia patients. Journal of Alzheimer’s Disease, 44, 675–685.

    PubMed  Google Scholar 

  • Konrath, E. L., Passos Cdos, S., Klein, L. C., & Henriques, A. T. (2013). Alkaloids as a source of potential anticholinesterase inhibitors for the treatment of Alzheimer’s disease. The Journal of Pharmacy and Pharmacology, 65, 1701–1725.

    Article  PubMed  Google Scholar 

  • Kurz, A., & Grimmer, T. (2014). Efficay of memantine hydrochloride once-daily in Alzheimer’s disease. Expert Opinion on Pharmacotherapy, 15, 1955–1960.

    Article  PubMed  Google Scholar 

  • Lancioni, G. E., Perilli, V., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Cassano, G., Pinto, K., Minervini, M. G., & Oliva, D. (2012). Technology-aided pictorial cues to support the performance of daily activities by persons with mild or moderate Alzheimer’s disease. Research in Developmental Disabilities, 33, 265–273.

    Article  PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., Renna, C., Pinto, K., De Vanna, F., Caffò, A. O., & Stasolla, F. (2014). Persons with moderate Alzheimer’s disease use simple technology aids to manage daily activities and leisure occupation. Research in Developmental Disabilities, 35, 2117–2128.

    Article  PubMed  Google Scholar 

  • Lancioni, G. E., Singh, N. N., O’Reilly, M. F., Sigafoos, J., D’Amico, F., Sasanelli, G., De Vanna, F., & Signorino, M. (2015). Persons with Alzheimer’s disease engage in leisure and mild physical activity with the support of technology-aided programs. Research in Developmental Disabilities, 37, 55–63.

    Article  PubMed  Google Scholar 

  • Lazar, A., Thompson, H., & Demiris, G. (2014). A systematic review of the use of technology for reminiscence therapy. Health Education & Behavior, 41(1S), 51S–61S.

    Article  Google Scholar 

  • Lindqvist, E., Larsson, T. J., & Borell, L. (2015). Experienced usability of assistive technology for cognitive support with respect to user goals. NeuroRehabilitation, 36, 135–149.

    PubMed  Google Scholar 

  • Lindstedt, H., & Umb-Carlsson, Ö. (2013). Cognitive assistive technology and professional support in everyday life for adults with ADHD. Disability and Rehabilitation: Assistive Technology, 8, 402–408.

    Article  PubMed  Google Scholar 

  • Luiselli, J. K., Bass, J. D., & Whitcomb, S. A. (2010). Teaching applied behavior analysis knowledge competencies to direct-care service providers: outcome assessment and social validation. Behavior Modification, 34, 403–414.

    Article  PubMed  Google Scholar 

  • Makel, M. C., & Plucker, J. A. (2014). Facts are more important than novelty: replication in the education sciences. Educational Researcher, 43, 304–316.

    Article  Google Scholar 

  • Meiland, F. J. M., Hattink, B. J. J., Overmars-Marx, T., De Boer, M. E., Jedlitschka, A., Ebben, P. W. G., Stalpers-Croeze, I. N. W., Flick, S., Van der Leeuw, J., Karkowski, I. P., & Dröes, R. M. (2014). Participation of end users in the design of assistive technology for people with mild to severe cognitive problems: the European Rosetta project. International Psychogeriatrics, 26, 769–779.

    Article  PubMed  Google Scholar 

  • Melrose, R. J., Ettenhofer, M. L., Harwood, D., Achamallah, N., Campa, O., Mandelkern, M., & Sulzer, D. L. (2011). Cerebral metabolism, cognition, and functional abilities in Alzheimer disease. Journal of Geriatric Psychiatry and Neurology, 24, 127–134.

    Article  PubMed  Google Scholar 

  • O’Rourke, P., Ekins, R., Timmins, B., Timmins, F., Long, S., & Coyle, E. (2014). Crucial design issues for special access technology: a Delphi study. Disability and Rehabilitation: Assistive Technology, 9, 48–59.

    Article  PubMed  Google Scholar 

  • Pedhazur, E., & Schmelkin, L. (1991). Measurement design and analysis: an integrated approach. New York: Psychology Press.

    Google Scholar 

  • Perri, R., Monaco, M., Fadda, L., Caltagirone, C., & Carlesimo, G. A. (2014). Neuropsychological correlates of behavioral symptoms in Alzheimer’s disease, frontal variant of frontotemporal, subcortical vascular, and lewy body dementias: a comparative study. Journal of Alzheimer’s Disease, 39, 669–677.

    PubMed  Google Scholar 

  • Raglio, A., Bellelli, G., Traficante, D., Gianotti, M., Ubezio, M. C., Gentile, S., Villani, D., & Trabucchi, M. (2010). Efficacy of music therapy treatment based on cycles of sessions: a randomised control trial. Aging and Mental Health, 14, 900–904.

    Article  PubMed  Google Scholar 

  • Rive, B., Aarsland, D., Grishchenko, M., Cochran, J., Lamure, M., & Toumi, M. (2012). Cost-effectiveness of memantine in moderate and severe Alzheimer’s disease in Norway. International Journal of Geriatric Psychiatry, 27, 573–582.

    Article  PubMed  Google Scholar 

  • Roche, L., Sigafoos, J., Lancioni, G. E., O’Reilly, M. F., & Green, V. A. (2015). Microswitch technology for enabling self-determined responding in children with profound and multiple disabilities: a systematic review. Augmentative and Alternative Communication, 31, 246–258.

    Article  PubMed  Google Scholar 

  • Scherer, M. J., Craddock, G., & Mackeogh, T. (2011). The relationship of personal factors and subjective well-being to the use of assistive technology devices. Disability and Rehabilitation, 33, 811–817.

    Article  PubMed  Google Scholar 

  • Sikkes, S. A., Pijnenburg, Y. A., Knol, D. L., de Lange-de Klerk, E. S., Scheltens, P., & Uitdehaag, B. M. (2013). Assessment of instrumental activities of daily living in dementia: diagnostic value of the Amsterdam instrumental activities of daily living questionnaire. Journal of Geriatric Psychiatry and Neurology, 26, 244–250.

    Article  PubMed  Google Scholar 

  • Small, J. (2012). A new frontier in spaced retrieval memory training for persons with Alzheimer’s disease. Neuropsychological Rehabilitation, 22, 329–361.

    Article  PubMed  Google Scholar 

  • Stasolla, F., Perilli, V., Di Leone, A., Damiani, R., Albano, V., Stella, A., & Damato, C. (2015). Technological aids to support choice strategies by three girls with Rett syndrome. Research in Developmental Disabilities, 36, 36–44.

    Article  PubMed  Google Scholar 

  • Takeda, M., Tanaka, T., Okochi, M., & Kazui, H. (2012). Non-pharmacological intervention for dementia patients. Psychiatry and Clinical Neurosciences, 66, 1–7.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giulio E. Lancioni.

Ethics declarations

Conflict of Interest

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lancioni, G.E., O’Reilly, M.F., Sigafoos, J. et al. Persons with Mild and Moderate Alzheimer’s Disease Use Simple Technology to Support Their Leisure Engagement. Adv Neurodev Disord 1, 31–36 (2017). https://doi.org/10.1007/s41252-016-0002-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s41252-016-0002-4

Keywords

Navigation