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Development and Evaluation of a Clinical Manual on Errorless Learning in People with Dementia

Published online by Cambridge University Press:  20 May 2015

Maartje M.E. de Werd ,
Daniëlle Boelen ,
Marcel G.M. Olde Rikkert  and
Roy P.C. Kessels
Maartje M.E. de Werd*
Affiliation:
Radboud University Medical Center, Department of Medical Psychology, Nijmegen, The Netherlands Radboud University Medical Center, Department of Geriatric Medicine & Radboud Alzheimer Center, Nijmegen, The Netherlands VieCuri Hospital, Department of Medical Psychology, Venlo, The Netherlands
Daniëlle Boelen
Affiliation:
Radboud University Medical Center, Department of Medical Psychology, Nijmegen, The Netherlands Rehabilitation Medical Centre Groot Klimmendaal, Arnhem, The Netherlands
Marcel G.M. Olde Rikkert
Affiliation:
Radboud University Medical Center, Department of Geriatric Medicine & Radboud Alzheimer Center, Nijmegen, The Netherlands Radboud University, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
Roy P.C. Kessels
Affiliation:
Radboud University Medical Center, Department of Medical Psychology, Nijmegen, The Netherlands Radboud University Medical Center, Department of Geriatric Medicine & Radboud Alzheimer Center, Nijmegen, The Netherlands Radboud University, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands
*
Address for correspondence: M.M.E. de Werd MSc, Radboud University Nijmegen Medical Center, Department of Medical Psychology and Radboud Alzheimer Center, P.O. Box 9101 (internal post 925), 6500 HB Nijmegen, The Netherlands. E-mail: [email protected]
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Abstract

Various studies have shown the efficacy of errorless learning (EL) in teaching patients with dementia a wide variety of skills and everyday tasks, with some studies showing beneficial effects and others reporting limited or no advantage. However, EL procedures vary greatly and, to date, no clinical guidelines or manuals are available. Here, we present a nationwide survey exploring the interest in, and feasibility of, EL in dementia care in The Netherlands. Based on the survey results and available evidence in the literature, we subsequently drafted an EL manual and had this concept manual evaluated in a Delphi round using the AGREE instrument. Forty-five health professionals associated with 22 dementia care facilities in The Netherlands, including those survey respondents who had piloted an EL intervention in accordance with the concept manual and an eight-strong expert panel representing various disciplines, deemed EL to be meaningful and feasible for use in dementia care and their residential facilities. Although our manual was favourably received, future studies are required to examine how EL can best be implemented in clinical practice and to determine the optimal outcome measures and quality indicators to reliably evaluate intervention outcomes and to consider the cost-effectiveness of the approach.

Keywords

dementiaerrorless learningeveryday activitiesimplementationmanual
Type
Articles
Information
Brain Impairment , Volume 16 , Issue 1 , May 2015 , pp. 52 - 63
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2015 

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Appendix B

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Appendix C

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