Effects of a checklist on self-assessment of blood glucose level by a memory-impaired woman with diabetes mellitus.
A paper checklist taped to the glucometer let a memory-impaired woman check her blood sugar without prompts.
01Research in Context
What this study did
A 54-step paper checklist was taped beside a glucometer.
One woman with memory loss from diabetes used it each morning.
The team counted how many steps she got right before and after the list appeared.
What they found
With the list, her correct steps jumped from about half to almost every one.
She kept the gain for the whole study.
No one had to remind her once the list was there.
How this fits with other research
Rosenbloom et al. (2019) and Fiene et al. (2015) show the same idea works in kids with autism.
They swapped paper for a phone app or a vibrating watch, but the cue did the same job.
Petscher et al. (2006) used a prompt plus self-check with staff; the combo looks similar, yet the target here was the patient, not the helper.
Hume et al. (2009) review calls this “shifting stimulus control” — moving the prompt from a person to an object.
Why it matters
If a client forgets steps for a health task, try a short checklist first.
Tape it where the task happens.
Let the client check off each step.
You may skip hours of verbal prompting and keep the skill under the client’s own control.
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02At a glance
03Original abstract
This study evaluated effects of a checklist on the accuracy of self-assessment of blood glucose level by a diabetic woman with memory impairments caused by viral encephalitis. The checklist consisted of 54 steps for operating an electronic glucometer, which the subject performed in sequence and checked off when completed. Following introduction of the checklist, the percentage of steps completed correctly increased in simulated and actual blood glucose tests and yielded clinically useful information.
Journal of applied behavior analysis, 2000 · doi:10.1901/jaba.2000.33-251