Christine DePlacido

Can older people remember medication reminders presented using synthetic speech

Reminders are often part of interventions to help older people adhere to complicated medication regimes. Computer-generated (synthetic) speech is ideal for tailoring reminders to different medication regimes. Since synthetic speech may be less intelligible than human speech, in particular under difficult listening conditions, we assessed how well older people can recall synthetic speech reminders for medications. 44 participants aged 50-80 with no cognitive impairment recalled reminders for one or four medications after a short distraction. We varied background noise, speech quality, and message design. Reminders were presented using a human voice and two synthetic voices. Data were analyzed using generalized linear mixed models. Reminder recall was satisfactory if reminders were restricted to one familiar medication, regardless of the voice used. Repeating medication names supported recall of lists of medications. We conclude that spoken reminders should build on familiar information and be integrated with other adherence support measures.

Contemplation & Mindfulness in Higher Education

This chapter presents initial observations of a pilot that introduces mindfulness meditation into teaching and university life. Short meditations were offered at the start of Year 1 and 2 lectures, besides weekly drop-in sessions. The purpose was to enhance the student experience through the affective domain, identified by Thomas 2012 as a key factor in improving retention. Contemplative practices (CPs) consist of enhancing awareness of the ‘here’ and ‘now’, characterised by the foregrounding of ‘being’ and ‘living’, rather than ‘doing’ or ‘knowing’. Thus, it could be argued that CPs have the potential to enhance the affective dimensions of the student experience and thus, indirectly, impact positively on retention. Students and staff perceived benefits that applied to learning and teaching specifically, but also to broader dimensions of their personal life. Overall there was enthusiasm from both students and staff for the innovation and a request to continue and expand current provision.