Language-based communication strategies that support person-centered communication with persons with dementia

International Psychogeriatrics
Marie Y Savundranayagam, Kelsey Moore-Nielsen

Abstract

There are many recommended language-based strategies for effective communication with persons with dementia. What is unknown is whether effective language-based strategies are also person centered. Accordingly, the objective of this study was to examine whether language-based strategies for effective communication with persons with dementia overlapped with the following indicators of person-centered communication: recognition, negotiation, facilitation, and validation. Conversations (N = 46) between staff-resident dyads were audio-recorded during routine care tasks over 12 weeks. Staff utterances were coded twice, using language-based and person-centered categories. There were 21 language-based categories and 4 person-centered categories. There were 5,800 utterances transcribed: 2,409 without indicators, 1,699 coded as language or person centered, and 1,692 overlapping utterances. For recognition, 26% of utterances were greetings, 21% were affirmations, 13% were questions (yes/no and open-ended), and 15% involved rephrasing. Questions (yes/no, choice, and open-ended) comprised 74% of utterances that were coded as negotiation. A similar pattern was observed for utterances coded as facilitation where 51% of utterances coded as fa...Continue Reading

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Citations

Dec 27, 2015·Journal of the American Medical Directors Association·Matthias HobenCarole A Estabrooks
Jan 25, 2017·American Journal of Alzheimer's Disease and Other Dementias·Marie Y Savundranayagam, Christopher Lee
Jan 9, 2016·American Journal of Alzheimer's Disease and Other Dementias·Marie Y SavundranayagamEmma Scotchmer
Jan 18, 2018·International Journal of Language & Communication Disorders·Karinna HallWillem van Steenbrugge
Jan 30, 2019·Logopedics, Phoniatrics, Vocology·Elisabeth Muth AndersenGitte Rasmussen
Oct 26, 2018·American Journal of Alzheimer's Disease and Other Dementias·Debby L GerritsenDeliane van Vliet
Nov 20, 2019·Clinical Gerontologist·Marie Y SavundranayagamKaren Johnson
Feb 20, 2020·International Journal of Nursing Practice·Deanne J O'RourkeChristina Lengyel
Jan 12, 2019·Nursing Research and Practice·Charlotta SaldertSteven Bloch
Jan 29, 2019·Journal of Gerontological Nursing·Liza L BehrensKimberly Van Haitsma
Sep 4, 2021·Innovation in Aging·Clarissa A Shaw, Jean K Gordon
Aug 9, 2018·Folia Phoniatrica Et Logopaedica : Official Organ of the International Association of Logopedics and Phoniatrics (IALP)·Maria W L J Olthof-NefkensJohanna G Kalf

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