Communication skills in nursing home residents with dementia

Degen, Christina; Frankenberg, C.; Meyer-Kühling, Inga; Wendelstein, Britta; Knebel, Maren; Pantel, Johannes; Zenthöfer, Andreas; Rammelsberg, Peter; Andrejeva, Nadeshda; Schröder, Johannes

doi:10.1007/s00391-021-01929-0

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…However, similar results are recently reported by Degen et al. (2021), who found that communication training of professional caregivers in a nursing home lead to stable communication capacity and significantly fewer depressive symptoms in the intervention group compared to the control group where communication declined. Dementia severity increased in both groups.…”

Section: Discussionsupporting

confidence: 89%

“…One explanation is that well-described and evidence-based intervention programmes that focus on community-dwelling persons with dementia and their caregivers are lacking (Woodward, 2013). Most published approaches concentrate on either overall cognitive functioning of the person with dementia (Hopper et al, 2013) or the education and training of informal caregivers (Barnes, 2018;Haberstroh et al, 2011) and/or healthcare professionals caring for people in advanced stages of dementia (Degen et al, 2021;Machiels et al, 2017;Zientz et al, 2007). Other interventions, usually conducted by occupational therapists, aim to enhance social participation (Donkers et al, 2017;Graff et al, 2006;Wenborn et al, 2016), without specific focus on improving communication skills.…”

Section: Introductionmentioning

confidence: 99%

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Com‐mens: a home‐based logopaedic intervention program for communication problems between people with dementia and their caregivers — a single‐group mixed‐methods pilot study

Olthof-Nefkens

Derksen

Debets

et al. 2022

Intl J Lang & Comm Disor

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Background: Communication difficulties are common in people with dementia, and often present from an early stage. However, direct treatment options for people with dementia that positively influence their daily communication are scarce.Aims: To evaluate the potential impact and feasibility of a personalized logopaedic intervention. Methods & Procedures:A total of 40 community-dwelling persons with dementia and their caregivers were recruited. Five experienced speech and language therapists (SLTs) delivered the six-session Com-mens intervention at home. Com-mens aims to improve positive communication between people with dementia and their primary caregivers and comprises five elements: interactive history-taking, dynamic observational assessment, education about the consequences of dementia on communication, development and use of personalized communication tools, use motivational, and person-centred strategies by the SLT. We conducted a single-group mixed-methods pilot study with five measurements: baseline, directly after intervention, and at 3, 6 and 9 months follow-up. Semi-structured interviews and questionnaires for Experienced Communication in Dementia, quality of life, psychological well-being and caregiver burdenThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Com‐mens: a home‐based logopaedic intervention program for communication problems between people with dementia and their caregivers — a single‐group mixed‐methods pilot study

Olthof-Nefkens

Derksen

Debets

et al. 2022

Intl J Lang & Comm Disor

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Systematic policy and evidence review to consider how dementia education and training is best delivered in the social care workforce, and how policy does or can enable its implementation in England

Delray,

Banerjee,

Zabihi

et al. 2024

Preprint

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BackgroundVery many social care clients have dementia, but few social care workers receive dementia-specific training.ObjectiveTo systematically review dementia training interventions for social care, review past policies and hold stakeholder workshops considering how future policy can support quality dementia training in social care.MethodsWe searched electronic databases, November 2015 to February 2024, including studies describing dementia training and support interventions for social care workers, assessing risk of bias with the Mixed Methods Appraisal Tool. We reviewed English policies January 2015 to April 2024 to identify social and policy contexts relevant to dementia training. We consulted home care and care home stakeholders regarding how findings could inform future policy.ResultsWe included 56 studies (50 in care homes, 6 in home care). There was good quality evidence that dementia training interventions in care homes that engaged staff “champions” to integrate practice-based learning reduced agitation, neuropsychiatric symptoms and antipsychotic prescribing and improved life quality of residents with dementia. One study found this approach was cost-effective. In home care, evidence was limited; group training was valued, and improved staff sense of dementia care competence in one study. We identified 27 policies and related documents; and consulted 18 stakeholders. Stakeholders supported mandatory dementia training but considered implementation very challenging in current economic contexts.ConclusionsWe found strong evidence for dementia training in care homes, but a relative lack of research in home care. Policy options identified to implement evidence require investment, which could deliver substantial savings across health and social care.

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Communication challenges in social isolation, subjective cognitive decline, and mental health status in older adults: A scoping review (2019–2021)

Koszalinski

Olmos

2022

Perspect Psychiatric Care

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Purpose: Through an evolutionary concept analysis, social isolation (SI) was defined as lack of social belonging and engagement with others, minimal number of social contacts, and insufficient quality relationships. This definition represents broader understanding of most contributing factors to SI and supports the concepts of reduced communication and socialization experienced during the COVID-19 pandemic. The COVID-19 pandemic served to heighten this problem, including communication challenges, and brought negative outcomes of SI to light. The overall research question examined the impact of communication challenges and SI on OAs with Alzheimer's disease, related dementias, and subjective cognitive changes (2020-2021). This scoping literature review was developed to compare the psychosocial and mental health of older adults between prepandemic and pandemic lockdown of 2020-2021.Design and Methods: This review followed the procedures for scoping review reporting as stated by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews (PRISMA-ScR). In collaboration with an expert scientific information specialist assigned to the college of nursing, the literature was queried through MEDLINE(R) and Epub Ahead of Print,

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Communication skills in nursing home residents with dementia

Cited by 3 publications

References 21 publications

Com‐mens: a home‐based logopaedic intervention program for communication problems between people with dementia and their caregivers — a single‐group mixed‐methods pilot study

Com‐mens: a home‐based logopaedic intervention program for communication problems between people with dementia and their caregivers — a single‐group mixed‐methods pilot study

Systematic policy and evidence review to consider how dementia education and training is best delivered in the social care workforce, and how policy does or can enable its implementation in England

Communication challenges in social isolation, subjective cognitive decline, and mental health status in older adults: A scoping review (2019–2021)

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