Spaced Retrieval

Understanding Spaced Retrieval in the Context of Dementia – 

Spaced Retrieval (SR) is a cognitive intervention technique used to help individuals with dementia retain and recall information over progressively longer intervals.

Spaced retrieval is a valuable technique in dementia care that leverages the spacing effect to help individuals retain and recall information over progressively longer intervals. It offers numerous benefits, including improved memory retention, enhanced independence, reduced anxiety, and a non-pharmacological approach to treatment. As a personalized and adaptable intervention, spaced retrieval stands out as an effective strategy for managing the cognitive challenges associated with dementia.

How Spaced Retrieval Works

Identify a Goal or Target Information:

The first step in spaced retrieval is to identify the specific piece of information or skill that the individual needs to remember or learn. This could be anything from a simple fact, such as a family member’s name, to a procedural task, like taking medication at the right time.

 

Listen to Dr. Cameron Camp explain how this technique helped a person with Alzheimer’s learn locations!

 

Initial Learning and Immediate Recall:

The individual is asked to recall the information immediately after learning it. For example, if the goal is to remember a caregiver’s name, the person with dementia would be told the name and then asked to repeat it right away.

Increasing Intervals:

After the individual successfully recalls the information, gradually increase the interval before the next recall attempt. This might start with a few seconds, then a few minutes, then progressively longer periods such as 15 minutes, 30 minutes, an hour, and so on. The interval is shortened if the individual fails to recall the information at any interval.

Repetition and Reinforcement:

The process of spaced repetition continues until the individual can reliably recall the information over longer intervals, eventually reaching hours or even days.

Benefits of the Technique for Dementia

Improved Memory Retention:

Spaced retrieval can significantly improve the ability of individuals with dementia to retain and recall important information. This technique capitalizes on the preserved implicit memory capabilities of individuals with dementia. It allows them to learn and remember despite the progressive nature of their condition​​.

Enhanced Independence:

By using spaced retrieval, individuals with dementia can retain critical information that enables them to perform daily tasks more independently. This could include remembering the location of personal items, following daily routines, or using assistive devices correctly.

Reduced Anxiety and Frustration:

Consistent success in recalling information through spaced retrieval can reduce anxiety and frustration for individuals with dementia. Knowing that they can remember key pieces of information helps boost their confidence and overall well-being.

Personalized and Adaptive:

You can easily adapt and personalize spaced retrieval to meet the needs of each individual. Tailor the intervals and type of information to match the person’s cognitive abilities and specific challenges, making it a flexible tool in dementia care.

Non-Pharmacological Intervention:

Spaced retrieval is a non-pharmacological intervention. That means it does not rely on medications and avoids the potential side effects associated with pharmaceutical treatments. It offers a safe and effective alternative or complement to other therapies.

Evidence and Research

Research has demonstrated the effectiveness of spaced retrieval in improving memory in individuals with dementia. Studies have shown that this technique can lead to significant improvements in the recall of specific information and tasks, thereby enhancing the quality of life for dementia patients and easing the burden on caregivers​​.

Sources:

Alzheimer’s Association, Dementia Care Central, National Institute on Aging, American Psychological Association