EVALUATING MEMORY WALLETS IN CONVERSATIONS WITH PERSONS WITH DEMENTIA

EVALUATING MEMORY WALLETS IN CONVERSATIONS WITH PERSONS WITH DEMENTIA
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DOI:
10.1044/jshr.3506.1344
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发表时间:
1992-12-01
期刊:
JOURNAL OF SPEECH AND HEARING RESEARCH
影响因子:
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通讯作者:
BOURGEOIS, MS
BOURGEOIS, MS
中科院分区:
其他
文献类型:
--
作者:
BOURGEOIS, MS

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对9名痴呆症患者在与熟悉伴侣的提示对话中使用记忆钱包自我提示事实信息的情况进行了评估。记忆钱包包含30张图片和句子,这些图片和句子是关于每个参与者都难以记住的熟悉的人、地点和事件。护理者的训练量是干预方案的一个组成部分,在九种复制引入钱包时观察到的条件影响的尝试中有所不同。所有受试者都学会了使用记忆钱包,通过做出更准确的事实陈述来改善他们的对话。即使没有向3名受试者提供照顾者培训,仍显示出条件效应,只有1名受试者需要简短地指向他的钱包。3名受试者在干预后30个月内表现出长期的状态效应。这些结果支持记忆钱包干预包对痴呆症患者的临床应用,并提供了初步证据,表明通常只需要准备记忆钱包和提供简短的方向,就可以促进它们在改善与熟悉的对话伙伴的对话中的使用。
The use of memory wallets to self-prompt factual information during prompted conversations with familiar partners was evaluated for 9 subjects with dementia. Memory wallets contained 30 pictures and sentences about familiar persons, places, and events that each participant had difficulty remembering. The amount of training by caregivers was the one component of the intervention package that varied among the nine attempts to replicate condition effects observed on introduction of the wallets. All subjects learned to use the memory wallets to improve their conversations by making more accurate factual statements. Even when caregiver training was not provided to 3 subjects, condition effects were still demonstrated, with only 1 subject requiring a brief orientation to his wallet. Long-term maintenance of condition effects was demonstrated for 3 subjects up to 30 months' postintervention. These results support the clinical utility of a memory wallet intervention package for persons with dementia and provide preliminary evidence that often little more than preparing memory wallets and providing a brief orientation are required to facilitate their use in improving conversations with familiar conversational partners.