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A systematic review of communication strategies for people with dementia in residential and nursing homes

Published online by Cambridge University Press:  29 July 2009

Emmelyne Vasse ,
Myrra Vernooij-Dassen ,
Anouk Spijker ,
Marcel Olde Rikkert  and
Raymond Koopmans
Emmelyne Vasse*
Affiliation:
Scientific Institute for Quality of Healthcare (IQ healthcare) and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Myrra Vernooij-Dassen
Affiliation:
Scientific Institute for Quality of Healthcare (IQ healthcare) and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, Nijmegen, Kalorama Foundation, The Netherlands
Anouk Spijker
Affiliation:
Scientific Institute for Quality of Healthcare (IQ healthcare) and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Marcel Olde Rikkert
Affiliation:
Department of Geriatrics and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
Raymond Koopmans
Affiliation:
Department of Primary and Community Care, Center for Family Medicine, Geriatric Care and Public Health and Nijmegen Alzheimer Centre, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
*
Correspondence should be addressed to: Emmelyne Vasse, MSc, Scientific Institute for Quality of Healthcare, Radboud University Nijmegen Medical Centre, P.O. Box 9101, 114 IQ healthcare, 6500 HB Nijmegen, The Netherlands. Phone: +31 243 666 265; Fax: +31 243 540 166. Email: [email protected].
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Abstract

Background: The impairment of verbal skills of people with dementia challenges communication. The aim of this review was to study the effects of nonpharmacological interventions in residential and nursing homes on (1) communication between residents with dementia and care staff, and (2) the neuropsychiatric symptoms of residents with dementia.

Method: Pubmed, PsychInfo, Web of Science, the Cochrane Library, and reference lists from relevant publications were systematically searched to find articles about controlled interventions with communication strategies. The data collected were pooled and subjected to a meta-analysis.

Results: Nineteen intervention studies were selected for this review. They included structured and communicative “sessions at set times” for residents (e.g. life review) and communication techniques in activities of “daily care” applied by care staff (e.g. sensitivity to nonverbal communication). A meta-analysis of five set-time interventions (communication) and another meta-analysis of four set-time interventions (neuropsychiatric outcomes) found no significant overall effects. Individual set-time intervention studies report positive effects on communication when interventions are single-task sessions, like life review or one-on-one conversation. Interventions around daily care activities had positive effects on communication outcomes. Effects of both types of interventions on neuropsychiatric symptoms were divergent.

Conclusion: This review indicates that care staff can improve their communication with residents with dementia when strategies are embedded in daily care activities or interventions are single-task sessions at set times. These results offer the possibility of improving the quality of care, but not of directly reducing neuropsychiatric symptoms. More research is needed to study the effect of communication interventions on neuropsychiatric symptoms.

Keywords

psychosocial interventionnonpharmacological interventionresidential facilities
Type
Review Article
Information
International Psychogeriatrics , Volume 22 , Issue 2 , March 2010 , pp. 189 - 200
Copyright
Copyright © International Psychogeriatric Association 2009

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