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.
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.
Barlow, D. H., Nock, M., & Hersen, M. (2009). Single-case experimental designs: strategies for studying behavior change (3rd ed.). New York: Allyn & Bacon.
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.
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.
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.
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.
Ferris, S. H., & Farlow, M. (2013). Language impairment in Alzheimer’s disease and benefits of acetylcholinesterase inhibitors. Clinical Intervention in Aging, 8, 1007–1014.
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.
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.
Kazdin, A. E. (2011). Single-case research designs: methods for clinical and applied settings (2nd ed.). New York: Oxford University Press.
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.
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.
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.
Kurz, A., & Grimmer, T. (2014). Efficay of memantine hydrochloride once-daily in Alzheimer’s disease. Expert Opinion on Pharmacotherapy, 15, 1955–1960.
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.
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.
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.
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.
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.
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.
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.
Makel, M. C., & Plucker, J. A. (2014). Facts are more important than novelty: replication in the education sciences. Educational Researcher, 43, 304–316.
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.
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.
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.
Pedhazur, E., & Schmelkin, L. (1991). Measurement design and analysis: an integrated approach. New York: Psychology Press.
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.
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.
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.
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.
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.
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.
Small, J. (2012). A new frontier in spaced retrieval memory training for persons with Alzheimer’s disease. Neuropsychological Rehabilitation, 22, 329–361.
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.
Takeda, M., Tanaka, T., Okochi, M., & Kazui, H. (2012). Non-pharmacological intervention for dementia patients. Psychiatry and Clinical Neurosciences, 66, 1–7.
Author information
Authors and Affiliations
Corresponding author
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
About this article
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
Published:
Issue Date:
DOI: https://doi.org/10.1007/s41252-016-0002-4