Remembering instructions

60 tasks with a functional bias to work on:

• Auditory comprehension (sounds/words/paragraphs/rhyming/auditory instructions)
• Speech (word repetition, picture naming, reading aloud)
• Semantics (written & spoken)
• Spelling (picture naming, copying, anagrams, auditory naming)
• Reading (picture-word matching, reading comprehension, written lexical decision making)
• Attention
• Visual processing
• Time telling
• Map reading
• Cognitive function
• Problem solving
• Planning
• Reading & understanding numbers

There are 2 versions of the therapy app - a user version & a clinician version

In the clinician version, the clinician can remotely edit exercise sets and access results

Supplier: Constant

Web based suite of exercises designed for cognitive rehabilitation.  Each activity has 2-5 levels of difficulty.

Language activities:

Auditory comprehension (true/fase) tasks, including some very high level activities

Written sequencing tasks where the user is required to put steps for an activity in order (3-16 steps, depending on the level)

Picture-adjective; picture-noun and picture-verb matching activities, including some very high level tasks

Functional, object-location matching tasks

Language based executive functioning activities:

Written decision-making tasks 

Written reasoning of consquences tasks

There are also social cognition tasks including inferring facial expressions & inferring emotional reactions 

Error handling: none

Prompts/cues: none

Record results: yes, and they can be accessed remotely

Free trial: yes, a 10 day trial is available

Comments: Latency is measured for most exercises.  Although a large number of rehab areas are listed, some contain no activities (e.g. expression, naming, fluency, writing). Although reading activities are listed, it is simply matching digits to written numbers. Alot of the exercises rely on very good reading comprehension (e.g. decision making, time estimation, reasoning of consequences, task sequencing). On some activities, the user is unable to amend their response before submitting it (e.g. on task sequencing exercises). 

Suppliers: https://www.neuronup.com/en

Supplier: Tactus

3 high street scenarios are offered (sweet shop, pizza restaurant & a jewellery shop) where the user must order what they are told to via the auditory instruction

Up to 5 levels with increasing number of items & modifiers and also temporal directions. Includes an option to include background noise & adjust the volume of the environmental noise

Designed for children and very American voice . The reward activities can be turned off. However it may be useful for users wishing to work on listening tasks with added levels of distraction

Error handling: none

Prompts/cues: none

Record results: results can be accessed within the app by activity or by date

Writing exercises:

• Copying letters & words
• Written picture naming
• Complete the phrase (spell a word to complete a saying)
• Sentence scramble (re-arranging words to form a short sentence)

Speaking exercises:

• Articulation & oro-motor exercises
• Functional spoken word & phrase repetition
• Flashcard naming (spoken picture naming of nouns, verbs & adjectives)
• Naming using semantic feature analysis strategies

Reading exercises:

• Letter, word and phrase matching
• Written word/sentence to picture matching
• Written word sentence completion
• Article reading based around current news topics

Listening exercises:

• Spoken word to picture matching
• Spoken phrase to picture matching
• Spoken question to picture matching
• Following auditory directions

There is also a large bank of memory, semantic categorisation & maths exercises 

There is also a large bank of ADL exercises (e.g. reading menus, reading product labels, telling the time and reading calendar entries).

The memory and ADL exercises also work on various language areas e.g. auditory memory, functional reading, semantics, auditory comprehension and inferences.

Error handling: Yes

Prompts/cues: Yes

Record results: Yes, very detailed, specifying which cues were required, which answer was chosen, how long the task took to complete and dates tasks were attempted

Comments/N.B

• There is only one version for UK, US, Aus

• 3-4 levels of difficulty, depending on exercises

• Very large bank of over 13,500 items

• Reliant on the user self monitoring and knowing whether they named the item correctly or not.

There is no facility for recording speech attempts and the app itself does not determine level of accuracy. This app would therefore not be appropriate for independent use by someone with poor self monitoring

• FREE TRIAL available

60 tasks with a functional bias to work on:

• Auditory comprehension (sounds/words/paragraphs/rhyming/auditory instructions)
• Speech (word repetition, picture naming, reading aloud)
• Semantics (written & spoken)
• Spelling (picture naming, copying, anagrams, auditory naming)
• Reading (picture-word matching, reading comprehension, written lexical decision making)
• Attention
• Visual processing
• Time telling
• Map reading
• Cognitive function
• Problem solving
• Planning
• Reading & understanding numbers

There are 2 versions of the therapy app - a client version & a clinician version.  The clinician version is free. The client version requires a yearly subscription.

Supplier: Constant

Type of exercises:

• Following written instructions to place shapes. 1-3 step instructions.
• Also sequencing exercises with shapes and written memory to a degree

Developed with SLT: Yes

Theory based: No

Record own speaking attempts: N/A

Correction of own speaking attempts: N/A

Customisation/personalisation: No

Error handling: None

Prompts/cues given: No

Tutorials: No

Free trial: Yes

Support: Free lifetime technical support via phone, email or online livechat

Comments:

• More for work on prepositions and sequencing than direction following
• Can change colours to aid visual difficulties
• Can remove written direction to work on written memory skills too

N.B:
   Need very good sentence level reading
 

Type of exercises:

• Category discrimination & reasoning (semantics)
• Category naming & completion (semantics)
• Cause & effect (what would happen if…)
• Conditional statements (if X then Y…)
• Deductive reasoning (semantics)
• Form & function (semantics)
• Inferential naming (semantics)
• Logical thinking
• Problem solving (pragmatics)
• Reasons why (pragmatics)
• Situation Reasoning (pragmatics)
• Things in common (semantics)

Access: Mouse for all exercises except inferential naming which also requires keyboard

Developed with SLT: Yes

Theory based: No, based on clinician experience

Record own speaking attempts: N/A

Correction of own speaking attempts: N/A

Easy to use? No. The user must click on an answer, then click again to input their answer and then click again to move onto the next question.

The internet subscription exercises are very slow to accept the answer making multiple activations possible and therefore potentially confusing.

Customisation/personalisation: No

Error handling: None

Prompts/cues given: None

Tutorials: Yes

Free trial: Yes but not the complete program

Support: Via Livechat. The suppliers can also log onto the user’s computer. Support takes place 9am-5pm New York time

Comments:

• The online subscription allows access to all the modules available so as the user progresses they don’t need to purchase new modules. It feels like an app when downloaded on an ipad
• The CD version has more functions than the internet subscription version
• A download version exists for $19.95 per program but works only on Windows, not mac
• The pragmatics exercises are aimed at ‘what if’ scenarios
• Remote access to results is possible as long as the SLT has the user’s login & password.

N.B:
    US terminology
    Voice is American and computer generated
    Need single word/simple sentence level reading or good auditory comprehension to complete the tasks
    US terminology & vocabulary
    No visual rewards for correct answers
 

Type of exercises:

• Following verbal instructions to place shapes. 1-3 step instructions.
• Also sequencing exercises with shapes and auditory memory to a degree

Developed with SLT: Yes

Theory based: No

Record own speaking attempts: N/A

Correction of own speaking attempts: N/A

Customisation/personalisation: No

Error handling: Yes. Tells user they have made a mistake, states the shape they have chosen and then the shape they need to choose to complete the task

Prompts/cues given: Yes. Verbal directions in addition to written directions.

Tutorials: No

Free trial: Yes

Support: Free lifetime technical support via phone, email or online livechat

Comments:

• More for work on prepositions and sequencing than direction following
• Can change colours to aid visual difficulties
• In the sequencing tasks, the person is also working on their auditory memory

N.B:
    Need very good sentence level reading
    American accent
 

Type of exercises:

• Following written and auditory instructions (up to 7 steps) with letters, numbers, pictures
• Sequencing
• Remembering patterns
• Multi tasking
• Pairs games
• Visual motor memory tasks

Access: Mouse & keyboard. Requires click and drag function

Developed with SLT: Yes

Theory based: No, based on clinician experience

Record own speaking attempts: N/A

Correction of own speaking attempts: N/A

Easy to use?: No. The user must click on an answer, then click again to input their answer and then click again to move onto the next question.

The internet subscription exercises are very slow to accept the answer making multiple activations possible and therefore confusing.

Customisation/personalisation: No

Error handling: None

Prompts/cues given: None

Tutorials: Yes, online

Free trial: Yes but not the complete program

Support: Via Livechat or the suppliers can take over the user’s PC. All support takes place 9am-5pm New York time

Comments:

• The online subscription allows access to all the modules available so as the user progresses they don’t need to purchase new modules. It feels like an app when downloaded on an ipad
• The CD version has more functions than the internet version
• A download version exists for $19.95 per program but works only on Windows, not mac
• Following/remembering instructions are not functional, everyday tasks – pure therapy tasks
• High level memory, attention and sequencing tasks
• Remote access to results is possible as long as the SLT has the user’s login & password.

N.B:
    Voice is American and computer generated
    No visual rewards for correct answers