Assessment & Research

Analyzing conditions for recognizing pictures of family members in a patient with Alzheimer's disease

Brogård‐Antonsen et al. (2019) · Behavioral Interventions 2019
★ The Verdict

Matching-to-sample with family photos can give an adult with Alzheimer’s the lasting ability to recognize loved ones.

✓ Read this if BCBAs working with adults with dementia in day centers or memory clinics.
✗ Skip if Clinicians serving only young children or clients with TBI.

01Research in Context

01

What this study did

One adult with Alzheimer’s disease worked on a computer.

The task: match a sample photo of a family member to the correct photo in a row of three.

Training used matching-to-sample. After learning A-B and B-C pairs, the team tested if the man could now pick out family faces he had never been directly taught.

Checks ran again one year later to see if the new links stayed strong.

02

What they found

The man quickly formed the new picture relations.

Without extra teaching, he could now select photos of his loved ones in untrained combinations.

One year on, the skill was still there, showing long-term maintenance.

03

How this fits with other research

Camara et al. (2017) tried a similar identity-matching program in a larger group with dementia. They also saw gains in matching, but the benefit was smaller and did not spread to every test. The tighter stimulus set and longer follow-up in Brogård‐Antonsen et al. (2019) may explain the stronger, lasting effect.

Kelly (2020) laid out a theory that stimulus equivalence training could boost overall cognition in older adults. The present study gives a live example: one client not only learned photo relations but kept them for twelve months, showing the promise Kelly sketched on paper.

Tenneij et al. (2009) and LeFrancois et al. (1993) showed that small procedural tweaks—like delaying the sample—help adults with cognitive limits master matching tasks. Brogård‐Antonsen kept the standard MTS format, proving that even the basic version can work when content is personally meaningful.

04

Why it matters

If you support adults with dementia, you now have a low-cost tool. Use matching-to-sample with family photos to build emergent recognition. Run short daily sessions on a tablet, then probe untaught combinations. Schedule monthly checks; the 2019 case shows the skill can stick for a year, giving families more moments of connection without extra medication.

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Load five family photos into an MTS app, teach two conditional relations, and test emergent matches in the same session.

02At a glance

Intervention
stimulus equivalence training
Design
single case other
Sample size
1
Population
dementia
Finding
positive

03Original abstract

AbstractIn the present study, an 89‐year‐old woman with the neurocognitive disorder Alzheimer's disease participated. The purpose was to study recognition of the participant's relatives' faces with the use of sorting tests and matching‐to‐sample (MTS) trainings and tests for emergent relations. The stimuli used were pictures of her relatives, their written names, and their family relationship. The study also focused on how responding to pictures of relatives changed over time. Therefore, the participant was presented with experimental conditions over three time periods. Time Period 1 included only sorting tests. In Time Period 2, which began 9 months after Time Period 1, the participant was presented with both sorting tests and conditional discrimination training and testing. In Time Period 3, which began 1 year after Time Period 2, both sorting tests and conditional discrimination training and testing were again presented. The results from Time Periods 2 and 3 showed that the percentage of stimuli sorted correctly was maintained over time. Additionally, the results from the MTS training and tests were maintained at the second follow‐up periods.

Behavioral Interventions, 2019 · doi:10.1002/bin.1655