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

Published online by Cambridge University Press:  25 January 2013

Adriana M. Seelye ,
Maureen Schmitter-Edgecombe ,
Diane J. Cook  and
Aaron Crandall
Adriana M. Seelye*
Affiliation:
Washington State University, Department of Psychology, Pullman, Washington
Maureen Schmitter-Edgecombe
Affiliation:
Washington State University, Department of Psychology, Pullman, Washington
Diane J. Cook
Affiliation:
Washington State University, School of Electrical Engineering and Computer Science, Pullman, Washington
Aaron Crandall
Affiliation:
Washington State University, School of Electrical Engineering and Computer Science, Pullman, Washington
*
Correspondence and reprint requests to: Adriana M. Seelye, Department of Psychology, Washington State University, P.O. Box 644820, Pullman, Washington 99164-4820. E-mail: [email protected]
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Abstract

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, 1–11)

Keywords

Ecological assessmentInstrumental activities of daily livingAgingDementiaSmart environment technologiesRehabilitation
Type
Research Articles
Information
Journal of the International Neuropsychological Society , Volume 19 , Issue 4 , April 2013 , pp. 442 - 452
Copyright
Copyright © The International Neuropsychological Society 2013

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