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American Journal of Alzheimer's Disease and Other Dementias®
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Persons With Moderate Alzheimer's Disease Improve Activities and Mood via Instruction Technology

Giulio E. Lancioni, PhD

University of Bari, Bari, Italy, g.lancioni{at}psico.uniba.it

Nirbhay N. Singh, PhD

ONE Research Institute, Midlothian, Virginia

Mark F. O'Reilly, PhD

University of Texas at Austin, Austin, Texas

Jeff Sigafoos, PhD

Victoria University of Wellington, Wellington, New Zealand

Maria Teresa Pangrazio, MD

University of Bari, Bari, Italy

Marisa Megna, MD

University of Bari, Bari, Italy

Nadia Zonno, MA

University of Bari, Bari, Italy

Maria L. La Martire, MA

University of Bari, Bari, Italy

Katia Pinto,, MA

Alzheimer Rehabilitation Center, Bisceglie, Italy

Mauro G. Minervini, MD

Alzheimer Rehabilitation Center, Bisceglie, Italy

Background: Three studies assessed the (a) effectiveness of verbal instructions presented via technology in helping persons with moderate Alzheimer's disease perform daily activities and (b) impact of activity engagement on mood. Methods: The 3 studies targeted coffee preparation with 2 women, use of make-up with 2 women, and use of make-up and tea preparation with 3 women. Intervention effects on activity performance were assessed through nonconcurrent multiple baseline designs across participants or multiple baseline designs across activities. The impact of activity on mood was assessed by recording indices of happiness during activity trials and parallel nonactivity periods. Results: Verbal instructions presented via technology were effective in helping all participants perform the target activities. The participants also showed mood improvement (ie, increases in indices of happiness) during the activity. Conclusion: These results suggest that the approach reported may be a useful strategy for helping persons with Alzheimer's disease.

Key Words: Alzheimer's disease • daily activities • verbal instructions • instruction technology • indices of happiness

This version was published on June 1, 2009

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 24, No. 3, 246-257 (2009)
DOI: 10.1177/1533317509332627
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