Familiar communication partners’ facilitation of topic management in conversations with individuals with dementia

Hall, Karinna; Lind, Christopher; Young, Jessica; Okell, Elise; Steenbrugge, Willem van

doi:10.1111/1460-6984.12369

Cited by 17 publications

(12 citation statements)

References 35 publications

(97 reference statements)

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“…For example, communication training programs have been successfully implemented to improve turn-taking and decrease verbosity during conversational discourse in patients with traumatic brain injury (TBI, e.g., [ 88 ]). Similarly, communication partner training programmes have been shown to provide an effective means of targeting distinct aspects of communication in various neurological disorders, including stroke, TBI, and dementia [ 89 , 90 ]. Translating such approaches for use in the PPA setting will, therefore, be an important future direction for this research.…”

Section: Discussionmentioning

confidence: 99%

Cognitive and Neural Mechanisms of Social Communication Dysfunction in Primary Progressive Aphasia

et al. 2021

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Mounting evidence suggests that, in parallel with well-defined changes in language, primary progressive aphasia (PPA) syndromes display co-occurring social cognitive impairments. Here, we explored multidimensional profiles of carer-rated social communication using the La Trobe Communication Questionnaire (LCQ) in 11 semantic dementia (SD), 12 logopenic progressive aphasia (LPA) and 9 progressive non-fluent aphasia (PNFA) cases and contrasted their performance with 19 Alzheimer’s disease (AD) cases, 26 behavioural variant frontotemporal dementia (bvFTD) cases and 31 healthy older controls. Relative to the controls, the majority of patient groups displayed significant overall social communication difficulties, with common and unique profiles of impairment evident on the LCQ subscales. Correlation analyses revealed a differential impact of social communication disturbances on functional outcomes in patient and carer well-being, most pronounced for SD and bvFTD. Finally, voxel-based morphometry analyses based on a structural brain MRI pointed to the degradation of a distributed brain network in mediating social communication dysfunction in dementia. Our findings suggest that social communication difficulties are an important feature of PPA, with significant implications for patient function and carer well-being. The origins of these changes are likely to be multifactorial, reflecting the breakdown of fronto-thalamic brain circuits specialised in the integration of complex information.

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Section: Discussionmentioning

confidence: 99%

Cognitive and Neural Mechanisms of Social Communication Dysfunction in Primary Progressive Aphasia

et al. 2021

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“…She outlined a ‘pre‐expressive’ approach, which attempted to incorporate literal reflections of the client's verbal as well as nonverbal behaviour. Topic management in dementia communication was the focus of work by Hall et al, 54 and the idiosyncratic features of laughter as an interactional resource by people living with dementia have been the subject of work by Wilson et al 55 There have also been attempts to use CA as a means of developing interactionally based interventions for the screening and diagnosis of dementia. Elsey et al 56 and Jones et al, 57 for example, explored whether the profile of a patient's verbal and nonverbal interaction with a doctor in memory clinic sessions could help differentiate between functional memory disorders and memory problems related to dementia.…”

Section: Conversation Analysismentioning

confidence: 99%

Combining ethnography and conversation analysis to explore interaction in dementia care settings

Chatwin

Ludwin

Latham³

2022

Health Expectations

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Background: It is well established that the actions and behaviour of care home workers are fundamental to the well-being of the people they care for. They not only deliver basic care but through their day-to-day presence provide an underlying continuity for residents, many of whom will have dementia or other cognitive problems. This can have many positive psychological and social benefits. A variety of ethnographic approaches have been used to explore the broader social and cultural dimensions of dementia care work. Similarly, there is a growing body of work applying micro-level approaches such as conversation analysis (CA) to describe the interactional mechanics of specific care skills. Strategy:We outline what ethnography and CA are, how they work as stand-alone methodologies and how they have been used in care work and dementia care settings. A working illustration is given of how the two approaches may be integrated.Discussion: Dementia care workers occupy a uniquely tenuous sociopolitical and professional position within healthcare. If they are to progress to a more professional status there is a pressing need for standardized systems of training to be developed. As has been common practice in most other fully professionalized sectors of healthcare, this training needs to be backed up by an understanding of how effective care work is undertaken at the micro-level. For it to be practically relevant to care workers it also needs to have been informed by the wider social context in which it occurs. Conclusion:We argue that elements of ethnography and CA can be usefully combined to provide the fully contextualized micro-level descriptions of care work practice that will be needed if current moves towards the greater professionalization of care work are to continue.

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“…Communication is acknowledged as an important priority in dementia research on account of the irreversible cognitive changes that affect the interactions between persons with dementia and their communication partners (Hall et al . ). Communication difficulties and strengths arise from the cognitive domains that are preserved or impaired in different dementia subtypes, for example, dementia of the Alzheimer's type (DAT), vascular dementia, dementia with Lewy bodies or frontotemporal dementia (American Psychiatric Association (APA) ).…”

Section: Introductionmentioning

confidence: 97%

Review of AAC interventions in persons with dementia

May

Dada

Murray

2019

Intl J Lang & Comm Disor

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Background: Communication is an important priority in dementia research. Communication strategies and scaffolds, specifically through augmentative and alternative communication (AAC), offer vital compensatory support for persons with dementia in an attempt to maintain the latter's quality of life and well-being through participation with others. To date, no research review has been published that synthesizes the current research of AAC in the field of dementia. Aims: To provide an overview of current AAC strategies and techniques used for supporting communication in dementia by surveying the literature base in a systematic manner, synthesizing the findings and highlighting trends and gaps. Methods & Procedures:A multifaceted search strategy included nine electronic database searches, using specific keywords. Application of predefined selection criteria during screening procedures led to the inclusion of 39 studies. Data were extracted and studies synthesized according to communication partners; description of AAC strategies and techniques; outcome measures; and communication outcomes.Main Contribution: This review shows that the majority of the research to date has focused on supporting the interactions of persons with dementia of the Alzheimer's type (DAT) using non-electronic memory and communication aids. Future research should focus on social participation and person-centred communication to optimize functional communication with AAC. Training programmes targeting dyadic interaction and supporting persons with dementia from diverse ethnic backgrounds are avenues for further research. Conclusions: Research trends and, more importantly, the gaps highlighted in this research review present speechlanguage therapists and researchers with a set of current priorities that are necessary for the advancement of the knowledge base. What this paper addsWhat is already known on the subject Communication strategies and scaffolds, specifically through AAC, are known to offer vital compensatory support for persons with dementia. Studies of AAC in dementia are scattered across previous reviews based on the focus and scope of each enquiry. No current reviews exist that have specifically focused on supporting dementia-related communication with AAC. As such, a more systematic approach to synthesize the current knowledge base is required. What this paper adds to existing knowledgeThis research review is the first to search the literature systematically: first, to locate studies focused on AAC that are used to support communication in persons with dementia; and second, to synthesize the findings obtained. 858Auriel A. May et al. What are the potential or actual clinical implications of this work?This review makes a unique contribution to the field of dementia by presenting researchers with a set of current priorities that are necessary for the advancement of the knowledge base.

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Familiar communication partners’ facilitation of topic management in conversations with individuals with dementia

Cited by 17 publications

References 35 publications

Cognitive and Neural Mechanisms of Social Communication Dysfunction in Primary Progressive Aphasia

Cognitive and Neural Mechanisms of Social Communication Dysfunction in Primary Progressive Aphasia

Combining ethnography and conversation analysis to explore interaction in dementia care settings

Review of AAC interventions in persons with dementia

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