SEQUENTIAL ANALYSIS OF DEMENTIA FAMILY DYADIC COMMUNICATION: CARE RECIPIENT CHALLENGING/NEUTRAL COMMUNICATION
2024

Communication Challenges in Dementia Caregiving

Sample size: 75 publication Evidence: moderate

Author Information

Author(s): Kim Sohyun, Chen Will, Sun-Mitchell Shan

Primary Institution: The University of Texas Arlington

Hypothesis

The study examines the impact of care-recipient challenging and neutral communication on family caregiver communication.

Conclusion

Caregivers are less likely to respond to challenging and neutral communication from care recipients, indicating a need for better caregiver education.

Supporting Evidence

  • Caregiver facilitative verbal, disabling nonverbal, and neutral communication were less likely to occur after care-recipient challenging verbal communication.
  • Caregiver facilitative and disabling communication were less likely to occur until 35 seconds after care-recipient neutral communication.
  • Care-recipient challenging verbal and neutral communication were significantly associated with a decreased likelihood of subsequent caregiver communication.

Takeaway

When people with dementia communicate in a challenging way, their caregivers often don't respond well, which means caregivers need more training to handle these situations.

Methodology

The study used a secondary analysis of in-home care video observations with timed-window analysis.

Statistical Information

P-Value

p < 0.001 – p = 0.001-0.037

Confidence Interval

95%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1093/geroni/igae098.1765

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