{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:11:09Z","timestamp":1760058669491,"version":"build-2065373602"},"reference-count":56,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T00:00:00Z","timestamp":1745107200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Portuguese Foundation for Science and Technology","award":["2022.04253.PTDC"],"award-info":[{"award-number":["2022.04253.PTDC"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Sciences"],"abstract":"<jats:p>Background: Cognitive stimulation programs typically consist of task collections (\u201cbundles\u201d) designed to cover various aspects of a cognitive domain and\/or sustain user engagement. However, task order is often overlooked, despite variations in difficulty based on structure or mode of implementation. This study examined users\u2019 performance accuracy across the eight tasks that comprise the BOX semantic-based program, adapted for the Cerup\/CQ online platforms. Our ultimate goal was to map the tasks onto increasing levels of challenge within thematic clusters to provide guidance for personalized task selection. Methods: After adapting the program into Portuguese using original materials based on BOX task descriptions, we made Cerup and CQ (which share the same content but have different layouts) available as free web-based tools. Participants, primarily older adults without dementia, were invited to use these platforms for cognitive stimulation. We analyzed accuracy data as a function of activity-related characteristics (complexity scores, sentence- vs. word-level) as well as participants\u2019 spontaneous task selection. Results: Task characteristics influenced performance accuracy, indicating different levels of challenge across activities. However, spontaneous task selection did not follow any discernible pattern beyond the spatial contiguity of activity buttons, which was unrelated to participants\u2019 likelihood of success. Based on these findings, we defined optimal navigation paths for the eight tasks. Conclusions: Challenge-based, active guidance for task selection appears justified and necessary within the BOX\/Cerup\/CQ programs. Additionally, the method we developed may help other programs enhance user experience and optimize task progression.<\/jats:p>","DOI":"10.3390\/brainsci15040419","type":"journal-article","created":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T20:31:36Z","timestamp":1745181096000},"page":"419","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["More than a Bundle? Developing Adaptive Guidance for Task Selection in an Online, Semantic-Based Cognitive Stimulation Program"],"prefix":"10.3390","volume":"15","author":[{"given":"Ana Rita","family":"Batista","sequence":"first","affiliation":[{"name":"Center for Psychology, Faculty of Psychology and Educational Sciences, Psychology Department, University of Porto, Rua Alfredo Allen, s\/n, 4200-135 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2159-7032","authenticated-orcid":false,"given":"Vasiliki","family":"Folia","sequence":"additional","affiliation":[{"name":"Laboratory of Neuropsychology and Behavioral Neuroscience, School of Psychology, Aristotle University of Thessaloniki, University Campus, 546 26 Thessaloniki, Greece"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2240-1828","authenticated-orcid":false,"given":"Susana","family":"Silva","sequence":"additional","affiliation":[{"name":"Center for Psychology, Faculty of Psychology and Educational Sciences, Psychology Department, University of Porto, Rua Alfredo Allen, s\/n, 4200-135 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2025,4,20]]},"reference":[{"key":"ref_1","first-page":"1411","article-title":"A short introduction to semantics","volume":"2","author":"Bagha","year":"2011","journal-title":"J. Lang. Teach. Res."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.cogbrainres.2003.10.022","article-title":"Seeing words in context: The interaction of lexical and sentence level information during reading","volume":"19","author":"Hoeks","year":"2004","journal-title":"Cogn. Brain Res."},{"key":"ref_3","unstructured":"Kroeger, P.R. (2018). Analyzing Meaning: An Introduction to Semantics and Pragmatics, Language Science Press."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.cortex.2017.04.016","article-title":"Semantic word category processing in semantic dementia and posterior cortical atrophy","volume":"93","author":"Shebani","year":"2017","journal-title":"Cortex"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.1016\/j.neubiorev.2021.10.015","article-title":"Speech and language impairments in behavioral variant frontotemporal dementia: A systematic review","volume":"131","author":"Geraudie","year":"2021","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1080\/02687038.2018.1491192","article-title":"A review of lexical retrieval intervention in primary progressive aphasia and Alzheimer\u2019s disease: Mechanisms of change, generalisation, and cognition","volume":"32","author":"Beales","year":"2018","journal-title":"Aphasiology"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Bairami, S., Folia, V., Liampas, I., Ntanasi, E., Patrikelis, P., Siokas, V., Yannakoulia, M., Sakka, P., Hadjigeorgiou, G., and Scarmeas, N. (2023). Exploring Verbal Fluency Strategies among Individuals with Normal Cognition, Amnestic and Non-Amnestic Mild Cognitive Impairment, and Alzheimer\u2019s Disease. Medicina, 59.","DOI":"10.3390\/medicina59101860"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1093\/arclin\/acac080","article-title":"Language Differences Among Individuals with Normal Cognition, Amnestic and Non-Amnestic MCI, and Alzheimer\u2019s Disease","volume":"38","author":"Liampas","year":"2023","journal-title":"Arch. Clin. Neuropsychol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1823","DOI":"10.1016\/j.cortex.2012.09.014","article-title":"Bringing words back to mind\u2013Improving word production in semantic dementia","volume":"49","author":"Savage","year":"2013","journal-title":"Cortex"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"306","DOI":"10.1590\/S1980-57642010DN40400009","article-title":"Rehabilitation in semantic dementia: Study of the effectiveness of lexical reacquisition in three patients","volume":"4","author":"Senaha","year":"2010","journal-title":"Dement. Neuropsychol."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"LaPointe, L.L., and Stierwalt, J.A.G. (2018). Aphasia and Related Neurogenic Language Disorders, Thieme. [5th ed.].","DOI":"10.1055\/b-005-148885"},{"key":"ref_12","first-page":"1","article-title":"Communication related quality of life in patients with different types of aphasia following a stroke: Preliminary insights","volume":"1","year":"2018","journal-title":"Int. Arch. Commun. Disord."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1093\/geronj\/40.1.71","article-title":"Aging and retrieval of words in semantic memory","volume":"40","author":"Bowles","year":"1985","journal-title":"J. Gerontol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1016\/j.neuropsychologia.2011.11.014","article-title":"Electrophysiological and behavioral correlates of stable automatic semantic retrieval in aging","volume":"50","author":"Grieder","year":"2012","journal-title":"Neuropsychologia"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.bandl.2015.07.003","article-title":"Neural changes associated with semantic processing in healthy aging despite intact behavioral performance","volume":"149","author":"Lacombe","year":"2015","journal-title":"Brain Lang."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1007\/s11357-015-9857-y","article-title":"Functional MRI evidence for the decline of word retrieval and generation during normal aging","volume":"38","author":"Baciu","year":"2016","journal-title":"Age"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1016\/S0166-4115(08)60791-8","article-title":"10 Aging and Word Retrieval: Selective Age Deficits in Language","volume":"72","author":"Burke","year":"1990","journal-title":"Adv. Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1080\/13825585.2017.1374328","article-title":"Why do older adults have difficulty with semantic fluency?","volume":"25","author":"Gordon","year":"2018","journal-title":"Aging Neuropsychol. Cogn."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1080\/01690960444000278","article-title":"Age-related effects on speech production: A review","volume":"21","author":"Mortensen","year":"2006","journal-title":"Lang. Cogn. Process."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1017\/S0142716400005865","article-title":"Auditory comprehension and aging: Decline in syntactic processing","volume":"12","author":"Obler","year":"1991","journal-title":"Appl. Psycholinguist."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1083","DOI":"10.1080\/02687039708249429","article-title":"Evaluating lexical semantic therapy: BOXes, arrows and how to mend them","volume":"11","author":"Nickels","year":"1997","journal-title":"Aphasiology"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1080\/02687039708249427","article-title":"Lexical semantic therapy: BOX","volume":"11","author":"Bajema","year":"1997","journal-title":"Aphasiology"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1590\/S1980-57642014DN83000011","article-title":"Rehabilitation of lexical and semantic communicative impairments: An overview of available approaches","volume":"8","author":"Casarin","year":"2014","journal-title":"Dement. Neuropsychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1155\/2013\/824302","article-title":"Treatment for apraxia of speech in nonfluent variant primary progressive aphasia","volume":"26","author":"Henry","year":"2013","journal-title":"Behav. Neurol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1177\/1545968312440146","article-title":"Effects of lexical\u2013semantic treatment on memory in early Alzheimer disease: An observer-blinded randomized controlled trial","volume":"26","author":"Jelcic","year":"2012","journal-title":"Neurorehabilit. Neural Repair"},{"key":"ref_26","first-page":"1605","article-title":"Feasibility and efficacy of cognitive telerehabilitation in early Alzheimer\u2019s disease: A pilot study","volume":"9","author":"Jelcic","year":"2014","journal-title":"Clin. Interv. Aging"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1080\/17470210902866664","article-title":"Children\u2019s use of language context in lexical ambiguity resolution","volume":"63","author":"Khanna","year":"2010","journal-title":"Q. J. Exp. Psychol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/icd.1829","article-title":"The co-occurring development of executive function skills and receptive vocabulary in preschool-aged children: A look at the direction of the developmental pathways","volume":"23","author":"Weiland","year":"2014","journal-title":"Infant Child Dev."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/S0022-5371(80)90312-6","article-title":"Individual Differences in Working Memory and Reading","volume":"19","author":"Daneman","year":"1980","journal-title":"J. Verbal Learn. Verbal Behav."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1037\/a0024350","article-title":"Saying what\u2019s on your mind: Working memory effects on sentence production","volume":"37","author":"Slevc","year":"2011","journal-title":"J. Exp. Psychol. Learn. Mem. Cogn."},{"key":"ref_31","first-page":"005","article-title":"Approaches to cognitive stimulation in the prevention of dementia","volume":"5","author":"Niederstrasser","year":"2016","journal-title":"J. Gerontol. Geriatr. Res."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"378934","DOI":"10.4061\/2011\/378934","article-title":"Cognitive stimulation programs in healthy elderly: A review","volume":"2011","author":"Tardif","year":"2011","journal-title":"Int. J. Alzheimer\u2019s Dis."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1080\/13607863.2012.667783","article-title":"Memory training interventions for older adults: A meta-analysis","volume":"16","author":"Gross","year":"2012","journal-title":"Aging Ment. Health"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1037\/pag0000083","article-title":"Category learning strategies in younger and older adults: Rule abstraction and memorization","volume":"31","author":"Wahlheim","year":"2016","journal-title":"Psychol. Aging"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1177\/0956797614567339","article-title":"When does cognitive functioning peak? The asynchronous rise and fall of different cognitive abilities across the life span","volume":"26","author":"Hartshorne","year":"2015","journal-title":"Psychol. Sci."},{"key":"ref_36","unstructured":"Park, D.C., and Schwarz, N. (2000). The basic mechanisms accounting for age-related decline in cognitive function. Cognitive Aging: A Primer, Psychology Press."},{"key":"ref_37","unstructured":"Visch-Brink, E.G., and Bajema, I.M. (2001). BOX: Een Semantisch Therapieprogramma, Swets and Zeitlinger."},{"key":"ref_38","unstructured":"Visch-Brink, E.G., Stronks, D., and Denes, G. (2005). De Semantische Associatie Test, Swets and Zeitlinger."},{"key":"ref_39","unstructured":"Ellis, A.W., and Young, A.W. (1996). Human Cognitive Neuropsychology: A Textbook with Readings, Psychology Press. [1st ed.]."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1044\/2015_AJSLP-14-0018","article-title":"Constraint-induced Aphasia Therapy versus Intensive Semantic Treatment in Fluent Aphasia","volume":"24","author":"Willsens","year":"2015","journal-title":"Am. J. Speech Lang. Pathol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"071","DOI":"10.1055\/s-2008-1061626","article-title":"Evaluating the effectiveness of semantic-based treatment for naming deficits in aphasia: What works?","volume":"Volume 29","author":"Kiran","year":"2008","journal-title":"Seminars in Speech and Language"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"141","DOI":"10.1161\/01.STR.0000105460.52928.A6","article-title":"Effects of semantic treatment on verbal communication and linguistic processing in aphasia after stroke: A randomized controlled trial","volume":"35","author":"Doesborgh","year":"2004","journal-title":"Stroke"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"364","DOI":"10.2340\/16501977-0675","article-title":"Feasibility of using an in-home video conferencing system in geriatric rehabilitation","volume":"43","author":"Peel","year":"2011","journal-title":"J. Rehabil. Med."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1708","DOI":"10.1017\/S1041610212000981","article-title":"Telepsychogeriatrics: A new horizon in the care of mental health problems in the elderly","volume":"24","author":"Mateos","year":"2012","journal-title":"Int. Psychogeriatr."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1080\/23279095.2019.1692842","article-title":"Beneficial effect of computer-based multidomain cognitive training in patients with mild cognitive impairment","volume":"28","author":"Nousia","year":"2021","journal-title":"App. Neuropsychol.-Adult"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1145\/3476777","article-title":"Adaptive Cognitive Training with Reinforcement Learning","volume":"12","author":"Zini","year":"2022","journal-title":"ACM Trans. Interact. Intell. Syst. (TiiS)"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1038\/s43587-022-00237-5","article-title":"Leveraging technology to personalize cognitive enhancement methods in aging","volume":"2","author":"Ziegler","year":"2022","journal-title":"Nat. Aging"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"889","DOI":"10.3233\/JAD-170404","article-title":"Tailored and adaptive computerized cognitive training in older adults at risk for dementia: A randomized controlled trial","volume":"60","author":"Webb","year":"2017","journal-title":"J. Alzheimer\u2019s Dis."},{"key":"ref_49","doi-asserted-by":"crossref","unstructured":"Irazoki, E., Contreras-Somoza, L.M., Toribio-Guzm\u00e1n, J.M., Jenaro-R\u00edo, C., van der Roest, H., and Franco-Mart\u00edn, M.A. (2020). Technologies for Cognitive Training and Cognitive Rehabilitation for People With Mild Cognitive Impairment and Dementia. A Systematic Review. Front. Psychol., 11.","DOI":"10.3389\/fpsyg.2020.00648"},{"key":"ref_50","doi-asserted-by":"crossref","unstructured":"Cruz, V.T., Pais, J., Bento, V., Shenoy, R., Harvey, S., Krishnan, G., and Nickels, L. (2024). Sorting the \u201cmixed bag\u201d of semantic tasks in aphasia therapy: A scoping review. Aphasiology, 1\u201338.","DOI":"10.1080\/02687038.2024.2401421"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1100","DOI":"10.1080\/02687039708249433","article-title":"Comments on \u2018Lexical semantic therapy: BOX\u2019: A consideration of the development and implementation of the treatment","volume":"11","author":"Shelton","year":"1997","journal-title":"Aphasiology"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Cummings, L. (2015). Theory of mind in utterance interpretation: The case from clinical pragmatics. Front. Psychol., 6.","DOI":"10.3389\/fpsyg.2015.01286"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"314","DOI":"10.3758\/s13428-011-0168-7","article-title":"OpenSesame: An open-source, graphical experiment builder for the social sciences","volume":"44","author":"Schreij","year":"2012","journal-title":"Behav. Res. Methods"},{"key":"ref_54","doi-asserted-by":"crossref","unstructured":"Lange, K., K\u00fchn, S., and Filevich, E. (2015). \u201cJust Another Tool for Online Studies\u201d (JATOS): An easy solution for setup and management of web servers supporting online studies. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0134073"},{"key":"ref_55","unstructured":"Bates, D., Kliegl, R., Vasishth, S., and Baayen, H. (2015). Parsimonious mixed models. arXiv."},{"key":"ref_56","unstructured":"Zhao, T., Liu, H., Roeder, K., Lafferty, J., and Wasserman, L. (2021, July 02). High-Dimensional Undirected Graph Estimation. Version R Package Version. Available online: https:\/\/citeseerx.ist.psu.edu\/document?repid=rep1&type=pdf&doi=b3f8d21f68d2bbe0ff30466a29531e866bb0cefa."}],"container-title":["Brain Sciences"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-3425\/15\/4\/419\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T17:18:13Z","timestamp":1760030293000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-3425\/15\/4\/419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,20]]},"references-count":56,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,4]]}},"alternative-id":["brainsci15040419"],"URL":"https:\/\/doi.org\/10.3390\/brainsci15040419","relation":{},"ISSN":["2076-3425"],"issn-type":[{"type":"electronic","value":"2076-3425"}],"subject":[],"published":{"date-parts":[[2025,4,20]]}}}