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ENHANCING CONVERSATION SKILLS IN PATIENTS WITH ALZHEIMER'S DISEASE USING A PROSTHETIC MEMORY AID
Open accessAbstract
The effectiveness of teaching Alzheimer's disease subjects to use a prosthetic memory aid when conversing with familiar partners was evaluated. Effects of the training of three topics by caregivers was assessed in daily probes with the experimenter and twice weekly probes with a familiar conversational partner. All 3 subjects learned to use the memory aid with both conversational partners and improved the quality of their conversational content. Subjects made significantly more statements of fact and fewer ambiguous utterances after training on each topic according to a multiple baseline design. All subjects also generated novel, untrained statements in conversations with both partners. Treatment effects were maintained at high levels throughout training and at 3‐ and 6‐week followup sessions. Naive judges rated baseline and posttreatment conversational samples as significantly improved on all eight conversational dimensions.
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“For older adults with dementia, this is challenging, as their ability to initiate or sustain meaningful activity is limited due to pathological changes associated with cognitive impairments. 4,5”
From Activity calendars for older adults with dementia: What you see is not what you get (2003) · cites this paper as [4]
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LIFE STORY BOOKS FOR THE ELDERLY MENTALLY ILL
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“The multiple-baseline across participants similarly has been used to compensate for memory loss ( Bourgeois, 1990 ), to reduce the amount of wake time after sleep onset (Hoelscher and Edinger, 1988), and to improve exercise participation (Neef et al, 1995).”
MethodUse of a Memory Notebook to Help Alzheimer Caregivers Manage Behavioral Excesses
Holmes, T. S. (2000) · Physical & Occupational Therapy In Geriatrics · doi:10.1080/j148v17n03_05 · Cited by 5
“Another study on the effectiveness of using the notebooks to facilitate communication in the subject’s home reported no changes in subject’s disruptive behaviors during notebook use conditions (Bourgeois, 1990).”
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“In psychology and more specifically in behavior analysis, words have been used as stimuli to study a variety of human phenomena such as memory (e.g. Bourgeois, 1990), learning (e.g. Bentall, Fergus Lowe & Beasty, 1985), and decision making (e.g. Fantino, 1998), among others.”
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“Briefing assistants can also improve conversational skills for patients with Alzheimer’s disease as showed clinically by Bourgeois (Bourgeois, 1990).”
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“그러나 시각적으로 제시되는 그림상징이나 사진을 사용하 여 의사소통을 도모하였을 때에는 환자가 표현하고자 하는 바를 보다 정확하게 대화 상대방에게 전달하게 되므로 의미있는 정보 교 류의 양이 증가하는 것으로 보인다(Allen-Bugrge, Burgio, Bourgeois, Sims, & Nunnikhover, 2001; Bourgeois, 1990).”
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“Likewise, visual supports in the form of a prosthetic memory aid also improved on-topic statements [29].”
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“…books are beneficial in improving communication between PWD and their caregivers resonates with consistently reported findings in research studies (Bourgeois, 1990, 1992; Bourgeois & Mason, 1996; Hoerster, Hickey, & Bourgeois, 2001) and similar conclusions made in another recent systematic…”
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Self-citationDementia and Related Cognitive Disorders
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Análise de itens lexicais do discurso oral do paciente com doença de
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Stage of Change Discrepancies among Individuals with Dementia and Caregivers
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“This study aligns with research on dementia patients, which has shown that having access to written information allows the patients to more readily and smoothly engage in conversations (e.g., Bourgeois, 1990, 1992).”
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Cognitive-Communication Disorder
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“치매 환자를 대상으로 AAC 중재 연구를 살펴보면 , 다양한 AAC 도구를 사용하여 단어 인출 및 담화 능력 향상하고 일상에서의 의사소통 능력을 향상하 는데 목적을 둔 연구 (Bourgeois, 1990; Dijkstra et al., 2004; Hier, Hagenlocker, & Shindler, 1985; Shin, Kim, & Park, 2017), 기억을 돕는 보조도구로서의 연구를 포함하여 환자의 인지 능력 향상을 위해 적용된 AAC 중재 연구 (Haight, Gibson, & Michel, 2006;…”
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“These include interventions to regain lost skills such as communication (e.g., Bourgeois, 1990) and toileting (e.g., Adkins & Mathews, 1997), or to reduce interfering behaviors such as loud, non-contextual vocalizations (e.g., Buchanan & Fisher, 2002).”
Memory Priming in Elderly Individuals Diagnosed with Dementia
Deselms, J. L. (2012) · Cornerstone (Minnesota State University, Mankato)
Douglas, N., & Hickey, E. M. (2026) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2026_persp-26-00045
Winblad (1999) · doi:10.1002/(sici)1099-1166(199902)14:2
Metadata
- Authors
- Bourgeois, M. S.
- Affiliations
- University of Pittsburgh (US)
- Corresponding author
- Bourgeois, Michelle S.
- Venue
- Journal of Applied Behavior Analysis
- Publisher
- Wiley
- Published
- 1990-03
- Volume
- 23
- Issue
- 1
- Pages
- 29-42
- ISSN
- 0021-8855 (ISSN-L)
- 1938-3703
- PMC
- PMC1286209
- OpenAlex
- W2017149161
- Cited by
- 200
- References
- 36
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 8 · 2018: 10 · 2017: 3 · 2016: 3 · 2015: 4 · 2014: 4 · 2013: 9 · 2012: 15
- FWCI
- 3.04
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Applied Behavior Analysis (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (AG 05-133, P50AG005133)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- Alzheimer's disease, conversation skills, caregiver education, memory aids, maintenance therapy, dementia
- MeSH terms
- Aged, Alzheimer Disease, Communication Devices for People with Disabilities, Consumer Behavior, Follow-Up Studies, Humans, Interpersonal Relations, Marriage, Memory, Mental Recall, Self-Help Devices, Social Environment, Speech Intelligibility, Verbal Behavior
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