Using simple technology to prompt multistep tasks in the home for people with dementia: An exploratory study comparing prompting formats.

Objectives To investigate the relative effectiveness of different prompts for people with dementia during multistep tasks in the home, to inform prompting technology design. Methods Nine pairs of participants (one with dementia and a partner or relative) participated at home. The participants with mild to moderate dementia (5M/4F, aged 73-86 years) functioned at the Planned or Exploratory levels of the Pool Activity Level instrument. A touchscreen computer displayed different prompts during two set tasks: "card-and-envelope" and "CD player." The trials were scored to establish the relative effectiveness of the prompts. Individual tasks were also explored. Results Text and audio prompts were each more effective than video or picture prompts for a card-and-envelope task, but this was not seen in a CD player task. The differences may be related to the type of actions within the tasks; the card-and-envelope actions were easier to convey verbally; the CD player actions lent themselves to visual prompts. Conclusions Designers of technology-based prompts for people with dementia should consider that the effectiveness of different prompts is likely to be task dependent. Familiar, unambiguous language can increase the success of tailored prompts. There are significant practical challenges associated with choosing and deconstructing everyday tasks at home.

Perceptual qualia and local network behavior in the cerebral cortex.

This paper explores the implications of a recently published theory that relates the experience of qualia to the attractor activity in networks of pyramidal cells in the cerebral cortex. The paper builds on this theory, and aims to link activity in different networks to the nature of the qualia experienced. Some basic links between network activity and qualia experiences are initially presented, showing the importance of learning, and the paper then proceeds to relate these mechanisms to the qualia experienced during sensory perception. The paper argues that attractor behavior in networks of layer 2/3 pyramidal neurons could underpin the vivid sensory qualia of perception, and attractor behavior in networks of layer 5A pyramidal neurons could have a role in the more understanding kind of perceptual qualia. Communication between these networks is explored to suggest their involvement in putting incoming sensory information into the context of all prior experience, and the understanding that could result.