Aspects of communication in Alzheimer's disease: clinical features and treatment options

Woodward, Michael

doi:10.1017/s1041610213000318

Cited by 55 publications

(41 citation statements)

References 56 publications

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“…As a matter of fact, decline in language has been shown to correlate with noncognitive items, such as personal care, hobbies, occupations, and behavior. 53 Overall, despite the significant results in improving different aspects of PWA, our study is not without limitations. Although the improvement in cognitive and behavioral areas was preserved in the tMST group at 22 weeks, the length of follow-up was relatively short.…”

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confidence: 74%

“…52 We consider this result clinically significant, because it can allow a reduction of the use of antipsychotic drugs, whose harmful effects on PWA is now well known. As for the clinical value of results in the cognitive domain, we believe that obtaining even a moderate improvement of language and memory is a meaningful result: memory impairment is the principal symptom of PWA and is a source of depression for them and of burden for caregivers (eg, due to repetitive questioning) 53 ; impairment of language, on the other hand, favors social isolation and has particular negative sequelae for the interaction with family members, increasing their burden of care. In the progression from moderate to severe stages in AD, worsening language abilities, or aphasia, has been suggested to have more clinical relevance than other domains.…”

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confidence: 99%

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Multistimulation Group Therapy in Alzheimer’s Disease Promotes Changes in Brain Functioning

Baglio

Griffanti

Saibene

et al. 2014

Neurorehabil Neural Repair

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Background. The growing social emergency represented by Alzheimer's disease (AD) and the lack of medical treatments able to modify the disease course have kindled the interest in nonpharmacological therapies. Objective. We introduced a novel nonpharmacological approach for people with AD (PWA) named Multidimensional Stimulation group Therapy (MST) to improve PWA condition in different disease domains: cognition, behavior, and motor functioning. Methods. Enrolling 60 PWA in a mild to moderate stage of the disease, we evaluated the efficacy of MST with a randomizedcontrolled study. Neuropsychological and neurobehavioral measures and functional magnetic resonance imaging (fMRI) data were considered as outcome measures. Results. The following significant intervention-related changes were observed: reduction in Neuropsychiatric Inventory scale score, improvement in language and memory subscales of Alzheimer's Disease Assessment Scale-Cognitive subscale, and increased fMRI activations in temporal brain areas, right insular cortex, and thalamus. Conclusions. Cognitive-behavioral and fMRI results support the notion that MST has significant effects in improving PWA cognitive-behavioral status by restoring neural functioning.

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confidence: 74%

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confidence: 99%

Multistimulation Group Therapy in Alzheimer’s Disease Promotes Changes in Brain Functioning

Baglio

Griffanti

Saibene

et al. 2014

Neurorehabil Neural Repair

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“…Language and communication disturbances suffered by AD patients include [276] word recall and word-finding difficulties Pitch, standard deviation of pitch, max and min pitch, intensity, standard deviation of intensity, max and min intensity, period mean, period standard deviation, and root mean square amplitude, shimmer, local jitter, noise-to-harmonics ratio, harmonics-to-noise ratio and autocorrelation, fraction of locally unvoiced frames, degree of voice breaks HFD Max, min, variance, SD [277][278][279][280], repetitions during speech [277][278][279]281], loss of both reading and writing skills [280], problems to follow a conversation due to deterioration in concentration and comprehension skills [279,280] and decline in non-verbal communication skills [282]. These problems are present from the very early stages of the disease, and progress and worsen at the same time that the cognitive decline [276,283].…”

Section: Speechmentioning

confidence: 99%

“…These problems are present from the very early stages of the disease, and progress and worsen at the same time that the cognitive decline [276,283]. Due to the ease with which voice recordings can be obtained, in the recent years, speech features have been used in works related to automatic MCI and AD diagnosis systems [27,40,[284][285][286][287][288].…”

Section: Speechmentioning

confidence: 99%

On the early diagnosis of Alzheimer's Disease from multimodal signals: A survey

Alberdi

Aztiria

Basarab

2016

Artificial Intelligence in Medicine

164

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“…Although studies described interventions with the aim of improving students' attitude, knowledge and level of comfort, it is perhaps surprising that none specifically addressed the need to improve (Woodward, 2013), indicating that advanced communication skills are required to communicate well and provide care effectively. Therefore this is an area needing development and evaluation in pre-registration education to ensure the future healthcare workforce is equipped with the necessary skills.…”

Section: Accepted M Manuscript Evalmentioning

confidence: 99%

Evaluation of dementia education programs for pre-registration healthcare students—A review of the literature

Alushi¹,

Hammond²,

Wood³

2015

Nurse Education Today

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Please cite this article as: Alushi, Ledia, Hammond, John.A., Wood, Julia H., Evaluation of dementia education programs for pre-registration healthcare students -A review of the literature, Nurse Education Today (2015Today ( ), doi: 10.1016Today ( /j.nedt.2015 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. A C C E P T E D M A N U S C R I P T A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT EVALUATION OF DEMENTIA EDUCATION PROGRAMS FOR PRE-REGISTRATION HEALTHCARE STUDENTS -A REVIEW OF THE LITERATURE ACCEPTED MANUSCRIPT EVALUATION OF DEMENTIA EDUCATION PROGRAMS FOR PRE-REGISTRATION HEALTHCARE STUDENTS -A REVIEW OF THE LITERATURE 3 Highlights• Nine studies of pre-registration education programmes on dementia were identified.• Knowledge, confidence and attitudes to people with dementia were the target of interventions.• Practice based experience proceeded by theory was most effective.• There is a need for more rigorous studies to establish best practice in dementia education. ABSTRACT ObjectivesIn an aging society, the number of people living with dementia is rapidly increasing. Health care students receive little input on dementia during their pre-registration education, hence there is a requirement to improve education to work with this client group. The review aimed to focus on education on working with people with dementia for pre-registration healthcare students. DesignA comprehensive review of the literature. Data SourcesOnline databases Medline, PsychInfo, CINAHL, Science Direct and PubMed were used. Review MethodsThe studies were selected according to the following criteria: main focus on education and training on working with people with dementia in pre-registration healthcare programs. Reports that described a training program but did not include evaluation were excluded. For inclusion, studies had to be published in English between January 2007 and March 2014. Identified papers were screened and reviewed by the three authors. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPT EVALUATION OF DEMENTIA EDUCATION PROGRAMS FOR PRE-REGISTRATION HEALTHCARE STUDENTS -A REVIEW OF THE LITERATURE ResultsNine studies met the inclusion criteria. Most studies were based in North America, predominantly in nursing and medical education. Educational interventions chiefly aimed to improve students' knowledge, comfort level and attitudes towards people with dementia. It was shown that theoretical input alone did not give students the necessary skills to work with people with dementia.Educational interventions were most effective when a practice ba...

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Aspects of communication in Alzheimer's disease: clinical features and treatment options

Cited by 55 publications

References 56 publications

Multistimulation Group Therapy in Alzheimer’s Disease Promotes Changes in Brain Functioning

Multistimulation Group Therapy in Alzheimer’s Disease Promotes Changes in Brain Functioning

On the early diagnosis of Alzheimer's Disease from multimodal signals: A survey

Evaluation of dementia education programs for pre-registration healthcare students—A review of the literature

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