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Movement with Meaning: A Multisensory Program for Individuals in Early-Stage Alzheimer's Disease

Those of us in the field of dementia care are reexamining our philosophical beliefs and exploring practical, hands-on approaches in our relationships with individuals living with Alzheimer's disease. We are creating innovative programs and developing a new framework for preserving the emotional health, autonomy, and dignity of those who need us to walk hand in hand with them, witnessing the process of their experiences with empathy and respect.

Research has found that people are most likely to successfully apply appropriate learning and remembering strategies when they have also been taught general information about how the mind works.

The more you understand about how memory works, the more likely you are to benefit from instruction in particular memory skills.

When you have a good general understanding of how memory works, different learning strategies make much more sense.

Here’s an interesting study that’s just been reported: 72 seven- and eight-month-old infants watched video animations of familiar fun items being revealed from behind a set of colorful boxes (see the 3-minute YouTube video).

In A Prehistory of Ordinary People

Distributed practice more effective than massed practice

It has long been known that spacing practice (reviewing learning or practicing a skill at spaced intervals) is far more effective than massed practice (in one heavy session). An interesting example of this comes from a study that aimed to find the best way of teaching postmen to type (this was at the request of the British Post Office). The researchers put postmen on one of four schedules:

Remembering a skill is entirely different from remembering other kinds of knowledge. It’s the difference between knowing how and knowing that.

The story method (sometimes called the sentence mnemonic) is the most easily learned list-mnemonic strategy, although it is not as widely known as the other simple methods we’ve talked about so far.

As its name suggests, the story method involves linking words to be learned in a story. While this is most obviously useful for learning actual lists, it can also be used for remembering the main points of a passage. In such a case, you need to reduce each point to a single word, which hopefully has the power to recall the whole point.

Brain autopsies have revealed that a significant number of people die with Alzheimer’s disease evident in their brain, although in life their cognition wasn’t obviously impaired. From this, the idea of a “cognitive reserve” has arisen — the idea that brains with a higher level of neuroplasticity can continue to work apparently normally in the presence of (sometimes quite extensive) brain damage.

In the last part I talked about retrieval structures and their role in understanding what you’re reading. As promised, this month I’m going to focus on understanding scientific text in particular, and how it differs from narrative text.

To choose a strategy, you must assess the situation. In this case, this may mean an evaluation of a written text. Let's look at how you might evaluate text.

We can classify text at one of three different levels, according to its structure and density₁: