Can We Help Care Providers Communicate More Effectively With Persons Having Dementia Living in Long-Term Care Homes?

Author:

McGilton Katherine S.12,Rochon Elizabeth13,Sidani Souraya4,Shaw Alexander15,Ben-David Boaz M.13678,Saragosa Marianne8,Boscart Veronique M.9,Wilson Rozanne101112,Galimidi-Epstein Karmit K.13,Pichora-Fuller M. Kathleen114

Affiliation:

1. Toronto Rehabilitation Institute – University Health Network, Toronto, Ontario, Canada

2. Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada

3. Faculty of Medicine, Department of Speech-Language Pathology, University of Toronto, Toronto, Ontario, Canada

4. School of Nursing, Ryerson University, Toronto, Ontario, Canada

5. School of English and Liberal Studies, Seneca College Newnham Campus, Toronto, Ontario, Canada

6. Communication, Aging and Neuropsychology Lab (CANlab), Baruch Ivcher School of Psychology, Interdisciplinary Center (IDC) Herzliya, Herzliya, Israel

7. Rehabilitation Sciences Institute (RSI), University of Toronto, Toronto, Ontario, Canada

8. St Michael’s Hospital, Toronto, Ontario, Canada

9. School of Health & Life Sciences and Community Services, Conestoga College Institute of Technology and Advanced Learning, Kitchener, Ontario, Canada

10. School of Nursing, Trinity Western University, Langley, British Columbia, Canada

11. Centre for Health Evaluation & Outcome Sciences (CHÉOS), University of British Columbia, Vancouver, British Columbia, Canada

12. Patient-Centred Performance Measurement & Improvement, Providence Health Care, Vancouver, British Columbia, Canada

13. College of Audiologists and Speech-Language Pathologists of Ontario, Toronto, Ontario, Canada

14. Department of Psychology, University of Toronto, Mississauga, Ontario, Canada

Abstract

Background: Effective communication between residents with dementia and care providers in long-term care homes (LTCHs) is essential to resident-centered care. Purpose: To determine the effects of a communication intervention on residents’ quality of life (QOL) and care, as well as care providers’ perceived knowledge, mood, and burden. Method: The intervention included (1) individualized communication plans, (2) a dementia care workshop, and (3) a care provider support system. Pre- and postintervention scores were compared to evaluate the effects of the intervention. A total of 12 residents and 20 care providers in an LTCH participated in the feasibility study. Results: The rate of care providers’ adherence to the communication plans was 91%. Postintervention, residents experienced a significant increase in overall QOL. Care providers had significant improvement in mood and perceived reduced burden. Conclusion: The results suggest that the communication intervention demonstrates preliminary evidence of positive effects on residents’ QOL and care providers’ mood and burden.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Neuroscience

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