American Health and Wellness Institute

Raleigh, NC, United States

American Health and Wellness Institute

Raleigh, NC, United States

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Perilli V.,University of Bari | Lancioni G.E.,University of Bari | Hoogeveen F.,The Hague University of Applied Sciences | Caffo A.,University of Bari | And 5 more authors.
American Journal of Alzheimer's Disease and other Dementias | Year: 2013

Background/Aim: Two studies assessed the effectiveness of video prompting as a strategy to support persons with mild and moderate Alzheimer's disease in performing daily activities. Methods: In study I, video prompting was compared to an existing strategy relying on verbal instructions. In study II, video prompting was compared to another existing strategy relying on static pictorial cues. Video prompting and the other strategies were counterbalanced across tasks and participants and compared within alternating treatments designs. Results: Video prompting was effective in all participants. Similarly effective were the other 2 strategies, and only occasional differences between the strategies were reported. Two social validation assessments showed that university psychology students and graduates rated the patients' performance with video prompting more favorably than their performance with the other strategies. Conclusion: Video prompting may be considered a valuable alternative to the other strategies to support daily activities in persons with Alzheimer's disease.


Lancioni G.E.,University of Bari | Singh N.N.,American Health and Wellness Institute | O'Reilly M.F.,University of Texas at Austin | Ferlisi G.,ffaele Care Center | And 4 more authors.
Developmental Neurorehabilitation | Year: 2012

Objective: To assess a technology-aided programme for promoting leisure engagement and communication in a man with amyotrophic lateral sclerosis (ALS). Method: The programme involved a laptop computer equipped with a Clicker 5 software package, an optic microswitch and an interface device. The participant could choose between two leisure options (i.e. songs and videos), could write requests and general messages through a virtual keyboard and a microswitch and could have the written text read out to caregivers and staff. Results: The use of the programme increased the mean frequency of words written to about 15 per 20-minute session during the second intervention phase. Those words were used by the participant for formulating a mean of over two requests/messages per session. The participant also listened to songs and watched videos. Conclusion: A simple technology-aided programme may allow ALS patients to manage leisure engagement and communication.


Lancioni G.E.,University of Bari | Singh N.N.,American Health and Wellness Institute | O'Reilly M.F.,University of Texas at Austin | Green V.A.,Victoria University of Wellington | And 2 more authors.
Developmental Neurorehabilitation | Year: 2013

Objective: To assess whether two persons with multiple disabilities could learn a work activity (i.e., assembling trolley wheels) with the support of a technology system. Method: After an initial baseline, the study compared the effects of intervention sessions relying on the technology system (which called the participants to the different workstations and provided feedback and final stimulation) with the effects of intervention sessions carried out without technology. The two types of intervention sessions were conducted according to an alternating treatments design. Eventually, only intervention sessions relying on the technology system were used. Results: Both participants managed to assemble wheels independently during intervention sessions relying on the technology system while they failed during sessions without the system. Their performance was strengthened during the final part of the study, in which only sessions with the system occurred. Conclusion: Technology may be critical in helping persons with multiple disabilities manage multi-step work activities. © 2013 Informa UK Ltd. All rights reserved.


Lancioni G.E.,University of Bari | Bellini D.,Lega ro Research Center | Oliva D.,Lega ro Research Center | Singh N.N.,American Health and Wellness Institute | And 3 more authors.
Journal of Intellectual and Developmental Disability | Year: 2012

Background A camera-based microswitch technology was recently developed to monitor small facial responses of persons with multiple disabilities and allow those responses to control environmental stimulation. This study assessed such a technology with 2 new participants using slight variations of previous responses. Method The technology involved a computer with a CPU using a 2GHz clock, a USB video camera with 16-mm lens, and special software. Small colour spots were used under the lower lip of one participant and on the eyelid of the other participant to aid the camera and computer to detect their mouth and eyelid responses. The study involved an ABAB design and included a 3-week post-intervention check. Results The participants' mouth and eyelid responses increased during the intervention (B) phases and post-intervention check (i.e., when the technology allowed them to control stimulation). Conclusions Camera-based microswitch technology can help persons with multiple disabilities control stimulation with small responses. © 2012 Australasian Society for the Study of Intellectual Disability, Inc.


Singh N.N.,American Health and Wellness Institute | Lancioni G.E.,University of Bari | Singh A.D.A.,American Health and Wellness Institute | Winton A.S.W.,Massey University | And 2 more authors.
Research in Autism Spectrum Disorders | Year: 2011

Children and adolescents with Asperger syndrome occasionally exhibit aggressive behavior against peers and parents. In a multiple baseline design across subjects, three adolescents with Asperger syndrome were taught to use a mindfulness-based procedure called Meditation on the Soles of the Feet to control their physical aggression in the family home and during outings in the community. They were taught to shift the focus of their attention from the negative emotions that triggered their aggressive behavior to a neutral stimulus, the soles of their feet. Prior to training in the mindfulness-based procedure the adolescents had moderate rates of aggression. During mindfulness practice, which lasted between 17 and 24 weeks, their mean rates of aggression per week decreased from 2.7, 2.5 and 3.2 to 0.9, 1.1, and 0.9, respectively, with no instances observed during the last 3 weeks of mindfulness practice. No episodes of physical aggression occurred during a 4-year follow-up. This study suggests that adolescents with Asperger syndrome may successfully use a mindfulness-based procedure to control their aggressive behavior. © 2010 Elsevier Ltd. All rights reserved.


Singh N.N.,American Health and Wellness Institute | Lancioni G.E.,University of Bari | Manikam R.,American Health and Wellness Institute | Winton A.S.W.,Massey University | And 3 more authors.
Research in Autism Spectrum Disorders | Year: 2011

Some individuals with autism engage in physical aggression to an extent that interferes with not only their quality of life, but also that of their parents and siblings. Behavioral and psychopharmacological treatments have been the mainstay of treatments for aggression in children and adolescents with autism. We evaluated the effectiveness of a mindfulness-based procedure, Meditation on the Soles of the Feet, in helping three adolescents to manage their physical aggression. This procedure required the adolescents to rapidly shift the focus of their attention from the aggression-triggering event to a neutral place on their body, the soles of their feet. Incidents of aggression across the three adolescents ranged from a mean of 14-20 per week during baseline, 4-6 per week during mindfulness training, including zero rates during the last 4 weeks of intervention. Aggression occurred a rate of about 1 per year during a 3-year follow-up. Our results suggest adolescents with autism can learn, and effectively use, a mindfulness-based procedure to self-manage their physical aggression over several years. © 2011 Elsevier Ltd. All rights reserved.


Lancioni G.E.,University of Bari | Perilli V.,University of Bari | Singh N.N.,American Health and Wellness Institute | O'Reilly M.F.,University of Texas at Austin | Cassano G.,Other Home Day Center
Developmental Neurorehabilitation | Year: 2011

Objective: To assess the effects of a picture colouring activity on the wandering (and constructive engagement) of a man with severe Alzheimer's disease. Method: The colouring activity was compared with a music listening condition and a baseline/control condition. A choice phase involving the colouring activity and the music condition was also implemented. Results: Wandering was constant during the baseline condition, but it was reduced to low or virtually 0% levels during the music condition and picture colouring activity. Moreover, the patient regularly selected the colouring activity (which also promoted constructive engagement) during the choice phase. Conclusion: Simple leisure activities, such as picture colouring, might help patients with Alzheimer's disease reduce wandering. © 2011 Informa UK Ltd All rights reserved.


Lancioni G.E.,University of Bari | O'Reilly M.F.,University of Texas at Austin | Singh N.N.,American Health and Wellness Institute | Green V.A.,Victoria University of Wellington | And 4 more authors.
Developmental Neurorehabilitation | Year: 2013

Objective: Assessing the effectiveness of technology-aided programs to help three children with multiple disabilities exercise adaptive head or leg-foot and hands responses independently. Method: The response selected for the two children included in Study I was head rotation (i.e. movements of at least 25 degrees to the left that could start from a full right position as well as from other positions). The responses selected for the child included in Study II involved forward movement of the left leg-foot and forward movement of his hand(s) to touch objects. Tilt or optic microswitches were used to monitor the responses and a computer system regulated the stimuli contingent on them. Results: The responses targeted in the two studies showed large frequency increases during the intervention phases of the studies (i.e. when followed by stimulation). Conclusion: Technology-aided programs can be a useful resource to help children with multiple disabilities exercise relevant responses independently. © 2013 Informa UK Ltd.


Lancioni G.E.,University of Bari | O'Reilly M.F.,University of Texas at Austin | Singh N.N.,American Health and Wellness Institute | Oliva D.,Lega ro Research Center
Developmental Neurorehabilitation | Year: 2011

Objective: To assess whether two women with blindness and additional disabilities could make independent phone calls through a computer-aided telephone system. Method: For each participant, the study involved an ABAB design, in which the A represented baseline phases and the B represented intervention phases with the special telephone system (involving among others a net-book computer with specific software, a global system for mobile communication modem and a microswitch). Results: Both participants learned to use the system and made phone calls independently to a variety of partners such as family members, friends and staff personnel. Conclusion: The system assessed in this study might represent a useful means for enabling persons with blindness and additional disabilities to manage phone calls on their own. © 2011 Informa UK Ltd All rights reserved.


Lancioni G.E.,University of Bari | O'Reilly M.F.,University of Texas at Austin | Singh N.N.,American Health and Wellness Institute | Green V.A.,Victoria University of Wellington | And 4 more authors.
Developmental Neurorehabilitation | Year: 2012

Objective: To expand recently-developed text messaging systems with new technology-based solutions so as to allow persons with multiple disabilities to write messages. Method: Two case studies were conducted. In Study I, the new technology-based solution involved vocal scanning of the alphabet letters to allow letter selection/writing and was assessed with a woman with blindness and extensive motor disability. In Study II, the new technology-based solution involved a touch-screen superimposed on letter symbols arranged alphabetically and was assessed with a man with acquired brain injury, motor disability and lack of speech. Each study involved an ABAB design. Results: Participants learned to write their messages, to send them out and to listen to incoming messages during intervention sessions of nearly 30 and 20 minutes, respectively. Conclusion: Text messaging systems can be developed that allow participants with multiple disabilities to write messages. © 2012 Informa UK Ltd. All rights reserved.

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