Trial and error versus errorless learning of functional skills in patients with acute stroke.

Objective: To compare the effectiveness of errorless learning versus trial and error learning for teaching activities of daily living to patients with acute stroke with or without explicit memory impairments. Design: Randomized crossover. Setting: Rehabilitation hospital. Participants: Thirty-three...

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Publicado en:NeuroRehabilitation Vol. 22; no. 2; pp. 123 - 133
Autores principales: Mount J, Pierce SR, Parker J, Diegidio R, Woessner R, Spiegel L
Formato: clinical trial research Journal Article
Publicado: Sage Publications Inc. 2007
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        10.3233/nre-2007-22208
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        atl: Trial and error versus errorless learning of functional skills in patients with acute stroke.
      aug:
        au:
          Mount J
          Pierce SR
          Parker J
          Diegidio R
          Woessner R
          Spiegel L
      sug:
        subj:
          Activities of Daily Living
          Cues
          Learning
          Stroke Rehabilitation
          Adult
          Aged
          Aged, 80 and Over
          Clinical Trials
          Crossover Design
          Female
          Male
          Memory Disorders Etiology
          Memory
          Middle Age
          Rehabilitation Methods
          Stroke Complications
          Stroke Psychosocial Factors
          Treatment Outcomes
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Aged, 80 & over
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: To compare the effectiveness of errorless learning versus trial and error learning for teaching activities of daily living to patients with acute stroke with or without explicit memory impairments. Design: Randomized crossover. Setting: Rehabilitation hospital. Participants: Thirty-three adult subjects following an acute stroke. Intervention: Subjects were taught to prepare a wheelchair for a transfer and to put on a sock with a sock-donner. Tasks were taught using errorless learning or trial and error learning. Explicit memory was assessed using the Neurobehavioral Cognitive Status Exam. Main Outcome Measures: Days until subject was able to demonstrate retention of the task, and success or failure at carry-over to a similar task. Results: No significant differences were found in days to retention for either functional task when taught using errorless learning or trial and error learning in subjects with or without explicit memory impairments. Carry-over was significantly better when trial and error learning was used for learning sock donning. Conclusions: When choosing the best learning method for patients undergoing rehabilitation for stroke, the nature of the task should be considered. Additional research is needed to identify the best approach for teaching activities of daily living and facilitating carry-over of learning in individuals with acute stroke.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        Journal Article
      ougenre: Article
    language: English
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