School of Psychology, University of Exeter, Exeter, UK.
J Clin Exp Neuropsychol. 2010 Nov;32(9):973-85. doi: 10.1080/13803391003662686. Epub 2010 May 4.
A growing trend in memory rehabilitation is to combine learning principles to enhance treatment effects. While this makes intuitive sense, little is known about the added value of incorporating each method. A further complication is that some interventions, although primarily based on one learning principle, actually incorporate several, which again adds to the difficulty in differentiating the individual contribution of techniques. In this paper we report results of two experiments comparing the effectiveness of combining principles of errorless learning (EL) with vanishing cues (VC) relative to each in isolation. Healthy controls (N = 60), learning under standard and dual-task conditions, and patients with probable Alzheimer's disease (N = 22) took part in Experiments 1 and 2, respectively. In each experiment, participants were asked to learn greeble- or face-name associations, and memory was tested after interference or brief delay. For healthy controls, EL alone and EL + VC produced the best results, but there was no difference between these conditions. For the Alzheimer's patients, all treatment conditions (EL, VC, EL + VC) were significantly better than trial and error, and, in this case, we found that the combined method was significantly better than VC in isolation. Importantly, in both experiments there was little support for use of combined over individual learning principles.
记忆康复中一个日益增长的趋势是结合学习原则来增强治疗效果。虽然这从直观上是有意义的,但对于结合每种方法的附加价值却知之甚少。一个进一步的复杂情况是,一些干预措施,尽管主要基于一个学习原则,但实际上结合了几个原则,这再次增加了区分技术的个别贡献的难度。在本文中,我们报告了两项实验的结果,比较了无错误学习(EL)与消失线索(VC)相结合的原则相对于各自孤立的效果。健康对照组(N=60),在标准和双重任务条件下学习,以及可能患有阿尔茨海默病的患者(N=22)分别参加了实验 1 和 2。在每个实验中,参与者被要求学习 Greeble 或人脸名称的关联,并且在干扰或短暂延迟后测试记忆。对于健康对照组,EL 单独和 EL + VC 产生了最好的结果,但这两种条件之间没有差异。对于阿尔茨海默病患者,所有治疗条件(EL、VC、EL + VC)都明显优于试错法,在这种情况下,我们发现联合方法明显优于单独的 VC。重要的是,在这两个实验中,几乎没有支持使用联合学习原则而不是单独使用的证据。