Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings

Eggenberger, E.; Heimerl, Katharina; Bennett, Mike

doi:10.1017/s1041610212001664

Cited by 259 publications

(293 citation statements)

References 42 publications

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“…Qualitative research indicates that acquisition of knowledge and skills can help facilitate resilience and maintaining a relationship with those cared for (Donnellan, Bennett, & Soulsby, 2015). These factors can be supported by communication and interaction based training interventions, which can enhance perceived coping and control (Eggenberger et al, 2013). However, the availability of evidence-based support and training for carers-especially family carers-is still limited (Dawson, Bowes, Kelly, Velzke, & Ward, 2015;Eggenberger et al, 2013).…”

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confidence: 99%

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Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

Morris

Horne

Mcevoy³

et al. 2017

Aging & Mental Health

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mentioning

confidence: 99%

“…These factors can be supported by communication and interaction based training interventions, which can enhance perceived coping and control (Eggenberger et al, 2013). However, the availability of evidence-based support and training for carers-especially family carers-is still limited (Dawson, Bowes, Kelly, Velzke, & Ward, 2015;Eggenberger et al, 2013).…”

mentioning

confidence: 99%

Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

Morris

Horne

Mcevoy³

et al. 2017

Aging & Mental Health

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“…A review of 12 trials of interventions to enhance communication in dementia care in various care settings 43 concluded that communication skills training in dementia care can improve quality of life and well-being of people with dementia and increase the quality of interactions between staff and people with dementia. The reviewers suggested that organisational features, such as incentives and 'booster' sessions for participants, might improve the sustainability of positive effects from communication interventions.…”

Section: Interventions To Improve Relational Carementioning

confidence: 99%

Can Health-care Assistant Training improve the relational care of older people? (CHAT) A development and feasibility study of a complex intervention

Arthur

Aldus

Sarre

et al. 2017

Health Serv Deliv Res

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Background:\ud

Older people account for an increasing proportion of those receiving NHS acute care. The quality of health care delivered to older people has come under increased scrutiny. Health-care assistants (HCAs) provide much of the direct care of older people in hospital. Patients’ experience of care tends to be based on the relational aspects of that care including dignity, empathy and emotional support.

\ud \ud Objective(s):\ud

We aimed to understand the relational care training needs of HCAs caring for older people, design a relational care training intervention for HCAs and assess the feasibility of a cluster randomised controlled trial to test the new intervention against HCA training as usual (TAU).

\ud \ud Design:\ud

(1) A telephone survey of all NHS hospital trusts in England to assess current HCA training provision, (2) focus groups of older people and carers, (3) semistructured interviews with HCAs and other care staff to establish training needs and inform intervention development and (4) a feasibility cluster randomised controlled trial.

\ud \ud Setting:\ud

(1) All acute NHS hospital trusts in England, and (2–4) three acute NHS hospital trusts in England and the populations they serve.

\ud \ud Participants:\ud

(1) Representatives of 113 out of the total of 161 (70.2%) NHS trusts in England took part in the telephone survey, (2) 29 older people or carer participants in three focus groups, (3) 30 HCA and 24 ‘other staff’ interviewees and (4) 12 wards (four per trust), 112 HCAs, 92 patients during the prerandomisation period and 67 patients during the postrandomisation period.

\ud \ud Interventions:\ud

For the feasibility trial, a training intervention (Older People’s Shoes™) for HCAs developed as part of the study was compared with HCA TAU.

\ud \ud Main outcome measures:\ud

Patient-level outcomes were the experience of emotional care and quality of life during patients’ hospital stay, as measured by the Patient Evaluation of Emotional Care during Hospitalisation and the EuroQol-5 Dimensions questionnaires. HCA outcomes were empathy, as measured by the Toronto Empathy Questionnaire, and attitudes towards older people, as measured by the Age Group Evaluation and Description Inventory. Ward-level outcomes were the quality of HCA–patient interaction, as measured by the Quality of Interaction Scale.

\ud Results:\ud

(1) One-third of trust telephone survey participants reported HCA training content that we considered to be ‘relational care’. Training for HCAs is variable across trusts and is focused on new recruits. The biggest challenge for HCA training is getting HCAs released from ward duties. (2) Older people and carers are aware of the pressures that ward staff are under but good relationships with care staff determine whether or not their experience of hospital is positive. (3) HCAs have training needs related to ‘difficult conversations’ with patients and relatives; they have particular preferences...

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“…To understand these needs, an effective communication -verbal and nonverbal -is necessary 14,22 . Moreover, it is particularly important for staff working with patients with dementia to train and be educated in communication approaches 23 . Several clinical trials have been designed to improve not only the training but also the quality of life of caregivers, what leads to a better attention to the patients with dementia.…”

Section: How Difficult It Is To Evaluate Discomfort Symptoms In Patiementioning

confidence: 99%

Comunicação e cuidados paliativos em demência: revisão de 5 anos

Peixoto¹,

Koyama²,

Forte³

et al. 2015

Rev. Med. (São Paulo)

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Peixoto LPR, Koyama LKS, Forte DN, Souza HP. Communication and palliative care in dementia: a 5-year review / Comunicação e Cuidados paliativos em demência. Rev Med (São Paulo). 2015 jul-set.;94(3):147-53.ABSTRACT: Dementia is a increasingly prevalent disease in the world's population. We reviewed the last 5-years articles in communication and palliative care in patients with dementia, their families and their caregivers. Our objective was to summarize the main strategies of communication in this specific population, in order to understand their desires and needs.Keywords: Dementia, end-of-life care, palliative care, communication. RESUMO:Demência é uma condição de prevalência crescente na população mundial, de grande correlação com o envelhecimento. Nós revisamos artigos sobre comunicação e cuidados paliativos em pacientes com demência, seus familiares e cuidadores publicados nos últimos 5 anos. Objetivamos sintetizar as principais estratégias de comunicação nessa população específica, de modo a entender melhor seus desejos e necessidades.Palavras-chave: Demência, cuidados de fim de vida, cuidados paliativos, comunicação.

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Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings

Cited by 259 publications

References 42 publications

Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

Communication training interventions for family and professional carers of people living with dementia: a systematic review of effectiveness, acceptability and conceptual basis

Can Health-care Assistant Training improve the relational care of older people? (CHAT) A development and feasibility study of a complex intervention

Comunicação e cuidados paliativos em demência: revisão de 5 anos

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