Costs of a Staff Communication Intervention to Reduce Dementia Behaviors in Nursing Home Care

Williams, Kristine; Ayyagari, Padmaja; Perkhounkova, Yelena; Bott, Marjorie J.; Herman, Ruth E.; Bossen, Ann

doi:10.14283/jnhrs.2017.4

Cited by 6 publications

(3 citation statements)

References 14 publications

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“…Data on costs per healthcare worker were retrospectively collected using established micro‐costing methods (Lee et al, 2003 ; Williams et al, 2017 ). Using a midpoint pay range for nursing staff and care assistants of Band 5 working in the community, we calculated staffing costs per hour using data from the Personal Social Services Research Unit (PSSRU, 2020 ).…”

Section: Methodsmentioning

confidence: 99%

Evaluating a brief intervention for mealtime difficulty on older adults with dementia

et al. 2022

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Aims and objective: To test a spaced retrieval intervention using spaced retrieval to alleviate mealtime difficulties in older people with dementia.Design: A single-case study design.Setting: Nursing Homes in North Central England, United Kingdom.Participants: Older people with Alzheimer's disease.Methods: A single-case study using an ABA design was used. Data were collected using the Edinburgh Feeding Evaluation in Dementia scale, Mini Nutritional Assessment, and Body Mass Index before intervention, postintervention and following 3 months of postintervention. Realist evaluation was used to identify for which participants the intervention was effective, and an economic evaluation was also carried out.Finding: Of 15 participants who entered the study, eight completed all phases of the study. A mean 104.4 h were needed to deliver the intervention. The number of sessions required ranged from 90-222. The length of time each participant retained information (for all sessions) ranged from 13-28 min. Participants had most difficulty with: "putting food into mouth and chewing it"; "realizing it was mealtime"; and "eating a whole meal continuously." A reduction in the difficulty with mealtimes occurred between phase A1-A2 for most participants. Six participants maintained this in phase A3. Similar patterns were evident for nutritional scores. For most participants, the effect size of the intervention was moderate or large.Conclusions: Spaced retrieval is useful in reducing mealtime difficulties in older participants with dementia. While the results of this study are promising, further large and multicentre trials are needed to explore the effectiveness of the intervention in diverse populations.

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Section: Methodsmentioning

confidence: 99%

Evaluating a brief intervention for mealtime difficulty on older adults with dementia

et al. 2022

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“…Two of the studies reported that caregivers' participation in communication training could support improvement in the communication skills of people they care for, although this was from medium-quality studies with small sample sizes (Troche et al, 2019;Williams et al, 2018). The Verbal and Non-verbal Interaction Scale for Care Receivers (VNVIS-CR) (Williams, Ayyagari, et al, 2017) has the strongest clinical implication as an outcome measure used to measure this construct as it was the only validated measure used that demonstrated significant outcomes in the reviewed literature. However, it should be noted that significant change was only detected using this measure when cognition was controlled for using the MMSE (Folstein et al, 1975) as the communication skills of people with dementia are less likely to improve as their dementia grows more severe.…”

Section: Significant Outcomes For People With Dementiamentioning

confidence: 99%

Communication training programmes for informal caregivers of people living with dementia: A systematic review

Perkins

Felstead

Stott

et al. 2021

Journal of Clinical Nursing

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“…Researchers have discovered that elderspeak increases resistance to care in hospital and chiropractic settings (Herman & Williams, 2009). Increased resistance could lead to increased time for providers to care for patients, resulting in job frustration, increased provider stress, job burnout, staff turnover, and an increase in the cost of delivering care (Reith, 2018; K. N. Williams, Ayyagari, et al, 2017).…”

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confidence: 99%

Provider–Patient Interaction: Exploring Elderspeak in Simulated Preclinical Chiropractic Student Encounters

Cockrell

2020

Gerontology and Geriatric Medicine

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Objective: The purpose of this study was to identify whether or not elderspeak was evident in simulated provider–patient encounters in a chiropractic education program. This study was designed to answer the following three research questions (RQs): RQ 1: Is elderspeak present in simulated patient encounters in a chiropractic education program? RQ 2: If elderspeak is present, which categorization of elderspeak is most frequently used during simulated patient encounters? RQ 3: If elderspeak is present, is gender an influencing variable? Method: The presence of elderspeak in simulated chiropractic encounters was studied using a cross-sectional mixed methods observational research design. Results: A total of 331 occurrences of elderspeak were identified in 60 digitized recordings. The most common form of elderspeak was collective pronoun usage. Conclusion: Results indicated that the chiropractic industry is susceptible to elderspeak. Understanding elderspeak is important to prevent future ageist behaviors from affecting older adult patients and to improve their health outcomes.

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Costs of a Staff Communication Intervention to Reduce Dementia Behaviors in Nursing Home Care

Cited by 6 publications

References 14 publications

Evaluating a brief intervention for mealtime difficulty on older adults with dementia

Evaluating a brief intervention for mealtime difficulty on older adults with dementia

Communication training programmes for informal caregivers of people living with dementia: A systematic review

Provider–Patient Interaction: Exploring Elderspeak in Simulated Preclinical Chiropractic Student Encounters

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