Language-Based Strategies That Support Person-Centered Communication in Formal Home Care Interactions with Persons Living with Dementia

Overview

Journal J Appl Gerontol

Specialties Geriatrics
Infectious Diseases

Date 2022 Dec 5

PMID 36464843

Authors

Reanne G Mundadan

Marie Y Savundranayagam

J B Orange

Laura Murray

Affiliations

Soon will be listed here.

Abstract

Language-based strategies are recommended to improve coherence, clarity, reciprocity, and continuity of interactions with persons living with dementia. Person-centered care is the gold standard for caring for persons with dementia. Person-centered communication (PCC) strategies include facilitation, recognition, validation, and negotiation. Little is known about which language-based strategies support PCC in home care. Accordingly, this study investigated the overlap between language-based strategies and PCC in home care interactions. Analysis of conversation of 30 audio-recorded interactions between personal support workers (PSWs) and persons living with dementia was conducted. The overlap between PCC and language-based strategies was analyzed. Of 11,347 communication units, 2578 overlapped with PCC. For facilitation, 21% were yes/no questions. For recognition, 25% were yes/no questions and 22% were affirmations. For validation, 81% were affirmations and positive feedback. Finally, 60% were yes/no questions for negotiation. The findings highlight the person-centeredness of language-based strategies. PSWs should use diverse language-based strategies that are person-centered.

Citing Articles

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Mealtime interactions between nursing home staff and residents with dementia: a behavioral analysis of Language characteristics.

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