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

被引:66
作者
Seelye, Adriana M. [1 ]
Schmitter-Edgecombe, Maureen [1 ]
Cook, Diane J. [2 ]
Crandall, Aaron [2 ]
机构
[1] Washington State Univ, Dept Psychol, Pullman, WA 99164 USA
[2] Washington State Univ, Sch Elect Engn & Comp Sci, Pullman, WA 99164 USA
基金
美国国家科学基金会;
关键词
Ecological assessment; Instrumental activities of daily living; Aging; Dementia; Smart environment technologies; Rehabilitation; OLDER-ADULTS; DEFICITS; PERFORMANCE; DECLINE; MCI;
D O I
10.1017/S135561771200149X
中图分类号
R74 [神经病学与精神病学];
学科分类号
100204 [神经病学];
摘要
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. (JINS, 2013, 19, 442-452)
引用
收藏
页码:442 / 452
页数:11
相关论文
共 46 条
[1]
The diagnosis of mild cognitive impairment due to Alzheimer's disease: Recommendations from the National Institute on Aging-Alzheimer's Association workgroups on diagnostic guidelines for Alzheimer's disease [J].
Albert, Marilyn S. ;
DeKosky, Steven T. ;
Dickson, Dennis ;
Dubois, Bruno ;
Feldman, Howard H. ;
Fox, Nick C. ;
Gamst, Anthony ;
Holtzman, David M. ;
Jagust, William J. ;
Petersen, Ronald C. ;
Snyder, Peter J. ;
Carrillo, Maria C. ;
Thies, Bill ;
Phelps, Creighton H. .
ALZHEIMERS & DEMENTIA, 2011, 7 (03) :270-279
[2]
Mild Cognitive Impairment and Objective Instrumental Everyday Functioning: The Everyday Cognition Battery Memory Test [J].
Allaire, Jason C. ;
Gamaldo, Alyssa ;
Ayotte, Brian J. ;
Sims, Regina ;
Whitfield, Keith .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2009, 57 (01) :120-125
[3]
[Anonymous], 2001, DELIS KAPLAN EXECUTI
[4]
[Anonymous], 2007, Fact Sheet
[5]
[Anonymous], POPULATION ESTIMATES
[6]
[Anonymous], 2007, OECD HLTH WORKING PA
[7]
[Anonymous], 2000, DIAGN STAT MAN MENT, DOI DOI 10.1176/APPI.BOOKS.9780890425787
[8]
[Anonymous], 9 INT C SMART HOM HL
[9]
The Fate of the 0.5s: Predictors of 2-Year Outcome in Mild Cognitive Impairment [J].
Aretouli, Eleni ;
Okonkwo, Ozioma C. ;
Samek, Jaclyn ;
Brandt, Jason .
JOURNAL OF THE INTERNATIONAL NEUROPSYCHOLOGICAL SOCIETY, 2011, 17 (02) :277-288
[10]
Everyday functioning in mild cognitive impairment and its relationship with executive cognition [J].
Aretouli, Eleni ;
Brandt, Jason .
INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 2010, 25 (03) :224-233