ADAPTED CONVERSATION ANALYSIS TO EVALUATE DYADIC DEMENTIA-RELATED ADVANCED CARE PLANNING DISCUSSIONS
2024

Evaluating Conversations in Dementia Care Planning

Sample size: 7 publication Evidence: moderate

Author Information

Author(s): Bybee Sara, Utz Rebecca, Clayton Jordana, Aruscavage Nancy, Supiano Katherine, Iacob Eli, Dassel Kara

Primary Institution: University of Utah College of Nursing

Hypothesis

The Life-Planning in Early Alzheimer’s and Other Dementias (LEAD) Guide can promote advance care planning concordance among persons living with dementia and their care partners.

Conclusion

The study found that while the LEAD Guide facilitated some aspects of advance care planning discussions, certain elements of conversation may not be fully captured by the analysis.

Supporting Evidence

  • The study involved analyzing recorded conversations to assess advance care planning.
  • Moderate agreement was found among coders regarding the elements of conversation.
  • Certain elements of conversation were absent in a significant number of recordings.

Takeaway

This study looked at how people with dementia and their caregivers talk about planning for the future, and found that some important parts of their conversations might be missed.

Methodology

The study used audio/video recordings of discussions between dyads and analyzed them using Conversation Analysis.

Limitations

The study's findings may not fully capture advance care planning concordance due to inherent elements of the LEAD Guide discussion and unobservable aspects of conversations.

Participant Demographics

Participants included persons living with dementia and their care partners.

Digital Object Identifier (DOI)

10.1093/geroni/igae098.3567

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