Conversation Coaching in Dementia: A Feasibility Study

Abstract

Abstract Purpose Conversation abilities of people with dementia (PwD) are impacted by cognitive communication deficits. Communication interventions can improve quality of life by increasing positive interactions and well-being. This study evaluates the feasibility of a conversation coaching intervention (CCI) for PwD and their communication partners (CPs). Methods A mixed method design was used. Thirty-four people were recruited over 12 months, 17 PwD and 17 CPs. CCI involved 1:1 and group sessions facilitated by 2 experienced speech and language therapists weekly, over 6 weeks. Participants were assessed initially and 3 months following intervention using; Profiling Communication Ability in Dementia (P-CAD), Goal Attainment Scaling and Capability Index for Older people (ICECAP-O). Results Twenty-eight participants completed CCI. P-CAD scores for PwD were maintained at three months for 71% (n=10) showing no decline in function and 29% (n=4) showed improvement. All PwD and their CPs reported that CCI helped them achieve their individual communication goals. Ten (71%) PwD rated their well-being as higher on the ICE-CAP-O following intervention with 29% (n=4) rating no change in well-being from initial assessment. Over three quarters of CPs, (79%: n=11), reported an increased sense of well-being following intervention and 29% (n=4) had no change in well-being. Conclusions Preliminary outcomes including participant feedback indicates that CCI is feasible with PwD. The communication function and well-being of PwD was either maintained or improved. CCI is collaborative and enhances retained communication abilities of people living with dementia.