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The present study developed and systematically evaluated two inventions (Musical Memory Lane and VideoMemory Lane) which present nostalgic music and videos to 15 plus day care clients with Alzheimer's disease (AD) in an easy-to-access, push button, picture format. Systematic observations indicated that the Memory Lanes had a favorable impact on engagement, stimulated positive affect and activity-related talking, while also reducing fidgeting. There was no impact on sleeping and general interaction. During free time, people chose a Memory Lane activity significantly more often than other activities and remained engaged with it for a longer time. The Memory Lanes show great potential for providing meaningful and easily accessible activities to people with dementia. Additional studies are needed in other care settings and to determine if the Memory Lanes can decrease agitation and enhance memory function.

ABSTRACT.Increasing numbers of people with developmental disabilities are living into old age and are now residing in community-based housing, largely due to the deinstitutionalization movement. The overlay of age-related impairments onto pre-existing, lifelong disabilities puts this population at a magnified risk for premature behavioral limitations and loss of independence. This article describes a demonstration project designed to enable people with developmental disabilities to age in place. Interviews and observational assessments with 45 older adults with developmental disabilities were conducted in their community-based homes to identify potential barriers to aging in place. An Individualized Environmental Intervention Plan was developed for each study participant, recommending ways to solve problems and eliminate potential barriers. Individualized Environmental Intervention Plans were implemented to the extent possible through home modifications and assistive technology. Pre-and post-modification task performance and self-report revealed the positive impact that home modifications and assistive technology can have. The study demonstrates the need for ongoing evaluation and assessment sensitive to the needs of people with developmental disabilities and the unique characteristics of supported living settings.

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