title: A theory-driven training programme in the use of emerging commercial technology: Application to an adolescent with severe memory impairment.
abstract: We describe a theory-driven memory intervention programme for training individuals with moderate to severe memory impairment in the use of emerging commercial technology. Here we demonstrate the application of the programme to training MK, an 18-year-old woman with severe memory impairment following treatment for a suprasellar germinoma, to autonomously use a smartphone to support her day-to-day memory. A within-subject A(1)B(1)A(2)B(2) single-case experimental design was used to evaluate the impact of smartphone use on MK's real-life functioning. Following intervention MK showed increased confidence in dealing with memory-demanding situations and generalised smartphone use across all aspects of her life as quantified by several and varied ecologically valid measures including a phone call schedule, behaviour memory observations and questionnaires. Moreover the intervention also benefited her family as indicated by a sustained reduction in caregiver strain and an increase in reported quality of life. These findings suggest that individuals with severe memory impairment, particularly young adults with potentially life-long dependence on their families, are able to capitalise on emerging commercial technology to function more autonomously. The findings also suggest that the gap between individuals with severe memory impairment and potent emerging technology can be closed by provision of a theory-driven structured training programme.
authors.affiliation: Cognitive and Behavioural Health Program, Baycrest, Toronto, Ontario, Canada. esvoboda@baycrest.org
authors.forename: Eva
authors.initials: E
authors.lastname: Svoboda
authors.forename: Brian
authors.initials: B
authors.lastname: Richards
authors.forename: Angelina
authors.initials: A
authors.lastname: Polsinelli
authors.forename: Sharon
authors.initials: S
authors.lastname: Guger
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000293:Adolescent; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008569:Memory Disorders / Q000523:psychology* / Q000534:rehabilitation*; D009483:Neuropsychological Tests; D011795:Surveys and Questionnaires; D013689:Telephone; D016896:Treatment Outcome