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使无错误学习更具主动性:在无错误学习情境中进行自我生成优于阿尔茨海默病患者进行标准的无错误面孔-名字联想学习。

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.

机构信息

Research Institute for the Care of Older People, Hillview Lodge, Royal United Hospital, Combe Park, Bath, Somerset, UK.

出版信息

Neuropsychol Rehabil. 2010 Apr;20(2):197-211. doi: 10.1080/09602010903202432. Epub 2009 Sep 1.

DOI:10.1080/09602010903202432
PMID:19787546
Abstract

Errorless learning (EL) principles have been shown to enable people with memory impairments to acquire various types of information (Grandmaison & Simard, 2003; Wilson, 2005). However, the effects of EL, based on simple repetition only, tend to be limited with regards to their size and longevity. The present study investigated whether EL could be improved by actively engaging people with Alzheimer's disease in the learning process. Patients learned the names of famous faces over 10 training sessions, treated either with a non-learning control, a simple repetition EL procedure, or an EL condition in which responses had to be self-generated. Cued recall rates after the final training session were significantly greater for the names treated with the self-generated EL technique compared to the control and the repetition EL conditions. In addition, there was evidence that patients with less severe general cognitive impairment benefit more from active generation than more severely impaired patients. The implications of this research for individualised memory rehabilitation programmes are discussed.

摘要

无错学习(EL)原则已被证明可使记忆力受损的人能够获取各种类型的信息(Grandmaison & Simard,2003;Wilson,2005)。然而,仅基于简单重复的 EL 的效果在其大小和持久性方面往往有限。本研究探讨了是否可以通过让阿尔茨海默病患者积极参与学习过程来提高 EL。患者在 10 次训练课程中学习名人的名字,分别接受非学习对照、简单重复 EL 程序或 EL 条件的处理,在 EL 条件下,必须自行生成响应。与对照和重复 EL 条件相比,最后一次训练后对名字的提示回忆率在经过自我生成的 EL 技术处理后显著更高。此外,有证据表明,认知障碍程度较轻的患者比认知障碍程度较重的患者从主动生成中获益更多。讨论了这一研究对个性化记忆康复计划的意义。

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