Com-mens: A Home-Based Logopaedic Intervention Program for Communication Problems between People with Dementia and Their Caregivers -- A Single-Group Mixed-Methods Pilot Study

Autor/inn/en	Olthof-Nefkens, Maria W. L. J.; Derksen, Els W. C.; Debets, Frieda; de Swart, Bert J. M.; Nijhuis-van der Sanden, Maria W. G.; Kalf, Johanna G.
Titel	Com-mens: A Home-Based Logopaedic Intervention Program for Communication Problems between People with Dementia and Their Caregivers -- A Single-Group Mixed-Methods Pilot Study
Quelle	In: International Journal of Language & Communication Disorders, 58 (2023) 3, S.704-722 (19 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1368-2822
DOI	10.1111/1460-6984.12811
Schlagwörter	Dementia; Caregivers; Interpersonal Communication; Communication Disorders; Speech Language Pathology; Intervention; Program Effectiveness; Quality of Life; Communication Skills; Mental Health; Well Being; Stress Variables; Coping; Program Implementation + Suchen Sie Ihr Suchwort? Demenz; Caregiver; Carer; Betreuungsperson; Pfleger; Interpersonale Kommunikation; Kommunikationsstörung; Lebensqualität; Kommunikationsstil; Psychohygiene; Well-being; Wellness; Wohlbefinden; Bewältigung
Abstract	Background: Communication difficulties are common in people with dementia, and often present from an early stage. However, direct treatment options for people with dementia that positively influence their daily communication are scarce. Aims: To evaluate the potential impact and feasibility of a personalized logopaedic intervention. Methods & Procedures: A total of 40 community-dwelling persons with dementia and their caregivers were recruited. Five experienced speech and language therapists (SLTs) delivered the six-session Com-mens intervention at home. Com-mens aims to improve positive communication between people with dementia and their primary caregivers and comprises five elements: interactive history-taking, dynamic observational assessment, education about the consequences of dementia on communication, development and use of personalized communication tools, use motivational, and person-centred strategies by the SLT. We conducted a single-group mixed-methods pilot study with five measurements: baseline, directly after intervention, and at 3, 6 and 9 months follow-up. Semi-structured interviews and questionnaires for Experienced Communication in Dementia, quality of life, psychological well-being and caregiver burden were conducted. Process evaluation was performed by interviewing participants, drop-outs, SLTs and other stakeholders. Outcomes & Results: A total of 32 dyads completed the intervention. Repeated measures analyses revealed no significant changes over time. In the interviews, participants reported a positive impact on their feelings, increased communication skills and better coping with the diagnosis. Participants would recommend the intervention to others. Facilitators were timely delivery, personalized content and adequate reimbursement. Barriers were unfamiliarity with Com-mens among referrers, an overburdened caregiver or disrupted family relationships. Conclusions & Implications: This newly developed logopaedic intervention is feasible and has a perceived positive impact on both people with dementia and their caregivers, which is confirmed by a stable pattern over a period of 1 year. Future comparative studies are needed to test the effectiveness of personalized interventions in this patient population. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01