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Abstract
Purpose: This article provides a brief overview of the intervention strategies aimed at reducing spatial orientation disorders in elderly people with dementia.
Methods: Eight experimental studies using spatial cues, assistive technology programs, reality orientation training, errorless learning technique, and backward chaining programs are described. They can be classified into two main approaches: restorative and compensatory, depending on whether they rely or not on residual learning ability, respectively.
Results: A review of the efficacy of these intervention strategies is proposed. Results suggest that both compensatory and restorative approaches may be valuable in enhancing correct way-finding behavior, with various degrees of effectiveness. Some issues concerning (a) variability in participants’ characteristics and experimental designs and (b) practicality of intervention strategies do not permit to draw a definite conclusion.
Conclusions: Future research should be aimed at a direct comparison between these two strategies, and should incorporate an extensive neuropsychological assessment of spatial domain.