Training and maintenance of a picture-based communication response in older adults with dementia


  • Maranda A. Trahan is now at Trahan Behavioral Services; Jeanne M. Donaldson is now at Texas Tech University, Department of Educational Psychology and Leadership.
  • We thank Lindsay Chen and Mehek Shirazie for their assistance in data collection.


We examined whether adults with dementia could learn to emit a picture-based communication response and if this skill would maintain over time. Three women with moderate to severe dementia were taught to exchange a picture card for a highly preferred activity. All participants quickly learned to exchange the picture card and maintained this response without practice.