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Development and Evaluation of a Clinical Manual on Errorless Learning in People with Dementia

Published online by Cambridge University Press:  20 May 2015

Maartje M.E. de Werd ,
Daniëlle Boelen ,
Marcel G.M. Olde Rikkert  and
Roy P.C. Kessels
Maartje M.E. de Werd*
Affiliation:
Radboud University Medical Center, Department of Medical Psychology, Nijmegen, The Netherlands Radboud University Medical Center, Department of Geriatric Medicine & Radboud Alzheimer Center, Nijmegen, The Netherlands VieCuri Hospital, Department of Medical Psychology, Venlo, The Netherlands
Daniëlle Boelen
Affiliation:
Radboud University Medical Center, Department of Medical Psychology, Nijmegen, The Netherlands Rehabilitation Medical Centre Groot Klimmendaal, Arnhem, The Netherlands
Marcel G.M. Olde Rikkert
Affiliation:
Radboud University Medical Center, Department of Geriatric Medicine & Radboud Alzheimer Center, Nijmegen, The Netherlands Radboud University, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
Roy P.C. Kessels
Affiliation:
Radboud University Medical Center, Department of Medical Psychology, Nijmegen, The Netherlands Radboud University Medical Center, Department of Geriatric Medicine & Radboud Alzheimer Center, Nijmegen, The Netherlands Radboud University, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
*
Address for correspondence: M.M.E. de Werd MSc, Radboud University Nijmegen Medical Center, Department of Medical Psychology and Radboud Alzheimer Center, P.O. Box 9101 (internal post 925), 6500 HB Nijmegen, The Netherlands. E-mail: [email protected]
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Abstract

Various studies have shown the efficacy of errorless learning (EL) in teaching patients with dementia a wide variety of skills and everyday tasks, with some studies showing beneficial effects and others reporting limited or no advantage. However, EL procedures vary greatly and, to date, no clinical guidelines or manuals are available. Here, we present a nationwide survey exploring the interest in, and feasibility of, EL in dementia care in The Netherlands. Based on the survey results and available evidence in the literature, we subsequently drafted an EL manual and had this concept manual evaluated in a Delphi round using the AGREE instrument. Forty-five health professionals associated with 22 dementia care facilities in The Netherlands, including those survey respondents who had piloted an EL intervention in accordance with the concept manual and an eight-strong expert panel representing various disciplines, deemed EL to be meaningful and feasible for use in dementia care and their residential facilities. Although our manual was favourably received, future studies are required to examine how EL can best be implemented in clinical practice and to determine the optimal outcome measures and quality indicators to reliably evaluate intervention outcomes and to consider the cost-effectiveness of the approach.

Keywords

dementiaerrorless learningeveryday activitiesimplementationmanual
Type
Articles
Information
Brain Impairment , Volume 16 , Issue 1 , May 2015 , pp. 52 - 63
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2015 

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References

Baddeley, A., & Wilson, B.A. (1994). When implicit learning fails: amnesia and the problem of error elimination. Neuropsychologia, 32, 53–68.Google Scholar
Clare, L., Bayer, A., Burns, A., Corbett, A., Jones, R., Knapp, M., . . . Whitaker, R. (2013). Goal-oriented cognitive rehabilitation in early-stage dementia: Study protocol for a multi-centre single-blind randomised controlled trial (GREAT). Trials, 14, 152. doi: 10.1186/1745-6215-14-152 Google Scholar
Clare, L., & Jones, R.S. (2008). Errorless learning in the rehabilitation of memory impairment: A critical review. Neuropsychology Review, 18, 1–23.Google Scholar
Clare, L., Linden, D.E., Woods, R.T., Whitaker, R., Evans, S.J., Parkinson, C.H., . . . Rugg, M.D. (2010). Goal-oriented cognitive rehabilitation for people with early-stage Alzheimer disease: Single-blind randomized controlled trial of clinical efficacy. American Journal of Geriatric Psychiatry, 18, 928–939.CrossRefGoogle ScholarPubMed
Corbin, J.M., & Strauss, A. (1990). Grounded theory research: Procedures, canons and evaluative criteria. Qualitative Sociology, 13, 3–21.Google Scholar
de Werd, M.M.E., Boelen, D., & Kessels, R.P.C. (2013a). Foutloos Leren bij dementie: Een praktische handleiding. The Hague, The Netherlands: Boom Lemma.Google Scholar
de Werd, M.M.E., Boelen, D., & Kessels, R.P.C. (2014). Errorless learning in dementia: A practical manual. Sydney, Australia: ASSBI Resources.Google Scholar
de Werd, M.M.E., Boelen, D., Olde Rikkert, M.G., & Kessels, R.P.C. (2013b). Errorless learning of everyday tasks in people with dementia. Clinical Interventions in Aging, 8, 1177–1190.Google Scholar
Grandmaison, E., & Simard, M. (2003). A critical review of memory stimulation programs in Alzheimer's disease. Journal of Neuropsychiatry and Clinical Neurosciences, 15, 130–144.Google Scholar
Jonsson, L., & Wimo, A. (2009). The cost of dementia in Europe: A review of the evidence, and methodological considerations. PharmacoEconomics, 27, 391–403.Google Scholar
Joosten-Weyn Banningh, L., Vernooij-Dassen, M., Olde Rikkert, M.O., & Teunisse, J.P. (2008). Mild cognitive impairment: Coping with an uncertain label. International Journal of Geriatric Psychiatry, 23, 148–154.Google Scholar
Kraijo, H., de Leeuw, R., & Schrijvers, G. (2014). How spouses evaluate nursing home placement of their demented partner: A study about the end of perseverance time. Scandinavian Journal of Caring Science, advanced online publication . doi: 10.1111/scs.12137 Google Scholar
Laffan, A.J., Metzler-Baddeley, C., Walker, I., & Jones, R.W. (2010). Making errorless learning more active: self-generation in an error free learning context is superior to standard errorless learning of face–name associations in people with Alzheimer's disease. Neuropsychological Rehabilitation, 20, 197–211.Google Scholar
Lubinsky, T., Rich, J.B., & Anderson, N.D. (2009). Errorless learning and elaborative self-generation in healthy older adults and individuals with amnestic mild cognitive impairment: mnemonic benefits and mechanisms. Journal of the International Neuropsychological Society, 15, 704–716.Google Scholar
Metzler-Baddeley, C., & Snowden, J.S. (2005). Brief report: errorless versus errorful learning as a memory rehabilitation approach in Alzheimer's disease. Journal of Clinical and Experimental Neuropsychology, 27, 1070–1079.Google Scholar
Middleton, E.L., & Schwartz, M.F. (2012). Errorless learning in cognitive rehabilitation: a critical review. Neuropsychological Rehabilitation, 22,138–168.Google Scholar
Poitras, S., Avouac, J., Rossignol, M., Avouac, B., Cedraschi, C., Nordin, M., . . . Hilliquin, P. (2007). A critical appraisal of guidelines for the management of knee osteoarthritis using Appraisal of Guidelines Research and Evaluation criteria. Arthritis Research & Therapy, 9, R126.Google Scholar
Prince, M., Prina, M., & Guerchet, M. (2013). World Alzheimer report 2013: An analysis of long-term care for dementia. Alzheimer's Disease International. Retrieved from http://www.alz.co.uk/research/WorldAlzheimerReport2013.pdf Google Scholar
Qiu, C., De Ronchi, D., & Fratiglioni, L. (2007). The epidemiology of the dementias: An update. Current Opinion in Psychiatry, 20, 380–385.Google Scholar
Seltzer, B., Zolnouni, P., Nunez, M., Goldman, R., Kumar, D., & Ieni, J. (2004). Efficacy of donepezil in early-stage Alzheimer disease: a randomized placebo-controlled trial. Archives of Neurology, 61, 1852–1856.Google Scholar
Smit, D., Willemse, B., de Lange, J., & Pot, A.M. (2013). Wellbeing-enhancing occupation and organizational and environmental contributors in long-term dementia care facilities: an explorative study. International Psychogeriatrics, 26, 69–80.Google Scholar
Tailby, R., & Haslam, C. (2003). An investigation of errorless learning in memory-impaired patients: improving the technique and clarifying theory. Neuropsychologia, 41, 1230–1240.Google Scholar
The AGREE Collaboration. (2001). Appraisal of guidelines for Research & Evaluation (AGREE) Instrument. Retrieved from www.agreecollaboration.org.Google Scholar
Voigt-Radloff, S., Leonhart, R., Olde Rikkert, M.G., Kessels, R.P.C., & Hüll, M. (2011). Study protocol of the multi-site randomised controlled REDALI-DEM trial: The effects of structured relearning methods on daily living task performance of persons with dementia. BMC Geriatrics, 11, 44. doi: 10.1186/1471-2318-11-44 Google Scholar
Wimo, A., Winblad, B., & Jonsson, L. (2010). The worldwide societal costs of dementia: Estimates for 2009. Alzheimer's & Dementia, 6 (2), 98–103. doi: 10.1016/j.jalz.2010.01.010 Google Scholar
Zec, R.F., & Burkett, N.R. (2008). Non-pharmacological and pharmacological treatment of the cognitive and behavioral symptoms of Alzheimer disease. NeuroRehabilitation, 23, 425–438.CrossRefGoogle ScholarPubMed
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Appendix A

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Appendix B

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Appendix C

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