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Visualising conversations between care home staff and residents with dementia

  • ROSEMARY BAKER (a1), DANIEL ANGUS (a2) (a3), ERIN R. SMITH-CONWAY (a1), KATHARINE S. BAKER (a4), CINDY GALLOIS (a5), ANDREW SMITH (a6), JANET WILES (a2) and HELEN J. CHENERY (a1) (a7)...
Abstract
ABSTRACT

People with dementia living in residential care often face the dual disadvantage of increasing difficulty with communication and reduced opportunities for conversation. Social interaction is central to wellbeing of residents with dementia, so it is important that care staff have the skills to engage in conversation with them. We studied conversations in 20 care staff–resident dyads, to examine conversation structure and content, patterns of engagement within conversations, including the topics around which engagement occurred, and communication behaviours by care staff that appeared to facilitate (or impede) participation by residents. The transcripts were analysed using Discursis, a computational information visualisation tool that allows interactive visual inspection, in context, of the contributions by each speaker, the turn-taking dynamics, and the content recurring within and between speakers. We present case examples (a) where care staff did most of the talking, initiated topics and were responsible for most recurrence of content; (b) where talk was more evenly shared between partners, with some topics initiated and/or elaborated by participants with dementia; and (c) where participants with dementia talked most, with care staff supporting the conversation. We identified accommodative strategies used by care staff, such as reflecting back the other person's responses to sustain engagement. We also noted care staff behaviours that impeded communication, such as not listening attentively and not allowing sufficient time for responses. The results from this study highlight aspects of social communication within the aged care context and suggest ways in which rewarding interactions between staff and residents with dementia might be encouraged.

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Corresponding author
Address for correspondence: Daniel Angus, School of Information Technology and Electrical Engineering, The University of Queensland, Queensland 4072, Australia. E-mail: d.angus@uq.edu.au
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D. Angus , A. E. Smith and J. Wiles 2012 a. Conceptual recurrence plots: revealing patterns in human discourse. IEEE Transactions on Visualization and Computer Graphics, 18, 6, 988–97.

D. Angus , A. Smith and J. Wiles 2012 b. Human communication as coupled time series: quantifying multi-participant recurrence. IEEE Transactions on Audio, Speech, and Language Processing, 20, 6, 1795–807.

F. Boller , M. Verny , L. Hugonot-Diener and J. Saxton 2002. Clinical features and assessment of severe dementia. A review. European Journal of Neurology, 9, 2, 125–36.

M. L. Broughton , E. R. Smith , R. Baker , A. J. Angwin , N. A. Pachana , D. J. Copland , M. S. Humphreys , C. Gallois , G. J. Byrne and H. J. Chenery 2011. Evaluation of a caregiver education program to support memory and communication in dementia: a controlled pretest–posttest study with nursing home staff. International Journal of Nursing Studies, 48, 11, 1436–44.

M. L. Carpiac-Claver and L. Levy-Storms 2007. In a manner of speaking: communication between nurse aides and older adults in long-term care settings. Health Communication, 22, 1, 5967.

M. F. Folstein , S. E. Folstein and P. R. McHugh 1975. Mini-Mental State: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 3, 189–98.

K. S. Graham and J. R. Hodges 1997. Differentiating the roles of the hippocampal complex and the neocortex in long-term memory storage: evidence from the study of Semantic Dementia and Alzheimer's Disease. Neuropsychology, 11, 1, 7789.

R. G. Morris 1994. Recent developments in the neuropsychology of dementia. International Review of Psychiatry, 6, 1, 85107.

N. Muller and J. A. Guendouzi 2005. Order and disorder in conversation: encounters with dementia of the Alzheimer's type. Clinical Linguistics and Phonetics, 19, 5, 393404.

D. N. Ripich , D. Vertes , P. Whitehouse , S. Fulton and B. Ekelman 1991. Turn-taking and speech act patterns in the discourse of Senile Dementia of the Alzheimer's Type patients. Brain and Language, 40, 3, 330–43.

J. Small and J. Perry 2005. Do you remember? How caregivers question their spouses who have Alzheimer's disease and the impact on communication. Journal of Speech, Language, and Hearing Research, 48, 1, 125–36.

K. N. Williams , S. Kemper and M. L. Hummert 2003. Improving nursing home communication: an intervention to reduce elderspeak. The Gerontologist, 43, 2, 242–7.

A. Wray 2011. Formulaic language as a barrier to effective communication with people with Alzheimer's disease. The Canadian Modern Language Review, 67, 4, 429–58.

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Ageing & Society
  • ISSN: 0144-686X
  • EISSN: 1469-1779
  • URL: /core/journals/ageing-and-society
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