Diesfeldt H F, Smits J C
Psychogeriatrische Dienst, Stichting Verpleeghuizen Nederland, Laren.
Tijdschr Gerontol Geriatr. 1991 Dec;22(6):221-7.
By systematic training, 14 psychogeriatric patients (aged 70 to 95 years and admitted to day care because of dementia) were taught the first names of 8 members of staff of the day care center. Treatment duration was one month, twice weekly. The therapist introduced the names by a step-by-step approach, beginning with two name-face combinations, and adding one new name (and photograph of that person's face) every next training session. Treatment consisted of a combination of several cognitive strategies: organisation and directed attention, rehearsal, first letter cueing and vanishing cue techniques, and paired-associate learning based on rhymes, pictures and visual imagery. Patients were assigned at random to a treatment and a control group (waiting list condition). Patients in the control group received their training after the waiting period of one month. Using this pretest-posttest-control-group design, we were able to objectively evaluate treatment effects. Treatment caused a significant enhancement of knowledge of staff members names. Gains achieved using this program persisted over at least one month, as could be demonstrated by a follow-up evaluation.
通过系统训练，14名老年精神科患者（年龄在70至95岁之间，因痴呆症入住日间护理中心）学会了日间护理中心8名工作人员的名字。治疗为期一个月，每周两次。治疗师采用循序渐进的方法介绍名字，从两个名字与面孔的组合开始，每次下一次训练课程增加一个新名字（以及那个人脸的照片）。治疗包括几种认知策略的组合：组织与定向注意、复述、首字母提示和消失提示技术，以及基于押韵、图片和视觉意象的配对联想学习。患者被随机分配到治疗组和对照组（等待名单状态）。对照组患者在等待一个月后接受训练。采用这种前测-后测-对照组设计，我们能够客观地评估治疗效果。治疗显著提高了对工作人员名字的知晓度。通过后续评估可以证明，使用该方案取得的进展至少持续了一个月。
