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Moments Between Words

Scenario-based e-learning experience for informal caregivers of persons with Alzheimer's

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Audience: Informal caregivers of persons with Alzheimers

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My Role: Literature Review, Instructional Design, Action Mapping, Storyboarding, Visual & Graphic Design, Development, Prototyping, Iteration

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Tools Used: Articulate Storyline 360, HeyGen, Google Docs , Canva, Capcut, Chatgpt

The Problem

Training in Communication Enhancement for Dementia (TRACED) is an evidence-based program that equips family caregivers with both Compensatory and Connecting communication strategies to support individuals with dementia (Small & Perry, 2012/2013). While many traditional interventions focus solely on simplifying language and reducing cognitive demands (Judge et al., 2010; Smith et al., 2011), TRACED goes further by emphasizing the relational aspect of communication—affirming the person’s identity, fostering emotional connection, and encouraging meaningful engagement.

Despite its strengths, TRACED primarily relies on in-person training, which limits accessibility and scalability. Remote alternatives, such as DVD-based instruction, offer broader reach through scripted demonstrations and expert commentary but fall short in providing interactive, hands-on practice. This lack of experiential learning makes it difficult for caregivers to fully internalize and apply the communication techniques in real-life situations.

The Solution

To bridge the gap in scalable, skills-based training for dementia caregivers, I proposed the development of an interactive e-learning tool grounded in the TRACED framework. This tool will help informal caregivers practice both compensatory and connecting communication strategies through accessible and engaging digital learning. By offering practical simulations and clear instruction, the tool aims to reduce communication breakdowns, ease emotional burden, and strengthen caregiver–care recipient relationships.

Key Features:

  • Microlearning: Learners participate in scaffolded, self-paced mini-lessons, with voiceover support provided for each strategy.

  • Scenario-Based Learning (SBL) embedded: Learners engage in realistic caregiving scenarios to apply communication strategies in context.

  • Immediate Feedback: Users receive real-time guidance and corrective input during interactions.

  • Clear & Intuitive Instruction: Complex concepts are simplified, with minimal jargon, to enhance usability and understanding.

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My Process
 

Analysis & Design


I designed a scenario-based learning experience demo focused on a highly relevant caregiving task—helping a person with dementia put on clothes. This scenario is built around a “one-idea” communication strategy, ensuring that the learner practices conveying clear, simple instructions.

To reinforce learning through trial and error, I developed three plausible incorrect options, each representing a common communication pitfall:

  • Introducing irrelevant information

  • Providing too many steps at once (cognitive overload)

  • Using unclear or ambiguous phrasing

Each learner choice triggers a unique reaction from the character Marilyn, providing emotional feedback that simulates real-life responses. This emotional layer helps deepen learner empathy and understanding of effective communication strategies.

I mapped out the learner journey using action mapping, ensuring that regardless of whether learners choose the correct answer initially, they are required to explore all options before completing the module. This reinforces the importance of thoughtful word choice and highlights how subtle differences in communication can lead to significantly different outcomes.

Development
For content development, I used:

  • Google Docs to draft scenarios, dialogue, and feedback scripts.

  • Action mapping diagrams to outline interaction flow and learner pathways.

For media production, I used:

  • HeyGen (AI video generator) to create the character Marilyn with diverse emotional reactions.

  • Processed the videos with CapCut, removing backgrounds to integrate seamlessly into the learning interface.

  • Designed the UI and visual assets in Canva, using a warm, calming color palette to evoke a supportive and caring environment.

  • Finally, I assembled the learning module in Articulate Storyline, integrating branching scenarios, video feedback, and learner-driven interactions.

Prototype Feedback and Revisions Summary

Peer Review – Instructional Design Team:
I sought feedback from my instructional design peers on the prototype’s visual design, pacing, and clarity. Based on their input, I made several refinements, including:

  • Smoother user interactions

  • More effective chunking of information within the module

  • Clearer and more consistent language

Subject Matter Expert (SME) Review – Alzheimer’s Association (Local Chapter):
I also consulted with a community education SME from the local Alzheimer’s Association chapter. Key feedback included:

  • “The content feels very realistic and accurately reflects day-to-day experiences of family caregivers.”

  • “The emphasis on adapting communication to meet the person with dementia where they are—rather than correcting them—was especially appreciated.”

  • “The strategies were clear, concise, and easy to follow—ideal for busy caregivers.”

  • “The program is seen as valuable, especially for caregivers who may not have time for traditional education sessions or support groups.”

  • “Self-paced access makes it a practical option for many in their network.”

Challenges and Takeaways

Challenges

 

Working independently without immediate access to an SME or peers was a significant challenge. I place a high value on feedback, as it brings diverse perspectives that are essential for improving the quality of instructional design. To overcome this, I proactively sought out external resources, including consulting with a cohort of peer instructional designers and reaching out to local professionals for expert feedback.

Takeaways

Through conducting a thorough literature review, developing this project from the ground up, and seeking professional input, I have gained greater confidence in my abilities as an instructional designer. This process has strengthened my skills in research, design, and problem-solving, reinforcing my growth in this field.

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