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May AA, Dada S, Murray J. Identifying Components of a Person-Centered Augmentative and Alternative Communication Intervention for People With Dementia: Opinions of an International Expert Panel. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2024:1-16. [PMID: 38901000 DOI: 10.1044/2024_ajslp-23-00317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/22/2024]
Abstract
PURPOSE Despite general agreement on the importance of person-centered care in speech-language pathology, guidelines for developing person-centered interventions for those with dementia are limited. This study aimed to obtain expert opinion on the components of a person-centered augmentative and alternative communication (AAC) intervention for persons with dementia. METHOD A modified electronic Delphi technique was employed in a single round. A purposively sampled panel of experts was invited to provide their opinion on three open-ended questions related to (a) the elements of person-centered care, (b) communication supports, and (c) the interaction outcomes of a person-centered intervention. Thirty-one experts from nine countries participated on the panel. The majority were speech-language pathologists primarily involved in research. Qualitative written data were coded and analyzed using content analysis. RESULTS Nine components were identified across the three open-ended questions: (a) the unique characteristics of the person with dementia, (b) working with a person with dementia, (c) preserving personhood, (d) a different view on person-centered care, (e) a range of communication supports, (f) supportive conversational partners, (g) designing communication supports, (h) interaction outcome measure, and (i) meaningful interaction outcomes. CONCLUSION This study identified nine components that are useful in guiding speech-language pathologists in crafting future person-centered AAC interventions for people with dementia.
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Affiliation(s)
- Adele A May
- Centre for Augmentative & Alternative Communication, University of Pretoria, South Africa
| | - Shakila Dada
- Centre for Augmentative & Alternative Communication, University of Pretoria, South Africa
| | - Janice Murray
- Centre for Augmentative & Alternative Communication, University of Pretoria, South Africa
- Faculty of Health and Education, Manchester Metropolitan University, United Kingdom
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Montenegro PG, Fedosse E, Urrutia GU. Content validity for an autobiographical interview for older adults. Codas 2023; 35:e20220151. [PMID: 37820098 DOI: 10.1590/2317-1782/20232022151es] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2022] [Accepted: 01/14/2023] [Indexed: 10/13/2023] Open
Abstract
PURPOSE To validate a proposal for an autobiographical interview oriented to the typical older adult. METHODS Questions for a semi-structured autobiographical memory interview were designed and a protocol for its application was developed. Fourteen Speech and Language Pathologists judges and 14 older adults were used. Additionally, 2 interviews were conducted. Subsequently, content validity was obtained by means of Lawshe's classic procedure. Also, using a complementary evaluation for comprehensibility and length of the interview, as well as a data triangulation procedure with the judges and participants of the pilot experience. RESULTS Of the 22 items evaluated, only 4 were above the critical reference value (0.49). CONCLUSION The need to incorporate this measure of analysis in the context of respect, identity and agency of older adults is discussed as part of a change in thinking under the gaze of person-centered care and a communicative competence model. As well as the need to incorporate different cultural paradigms and the use of digital technologies.
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Affiliation(s)
- Pedro García Montenegro
- Departamento de Ciencias de la Fonoaudiología, Facultad de Ciencias de la Salud, Universidad de Talca - UTALCA - Talca (VII Región del Maule), Chile
| | - Elenir Fedosse
- Programa de Pós-graduação em Distúrbios da Comunicação Humana, Universidade Federal de Santa Maria - UFSM - Santa Maria (RS), Brasil
| | - Gabriel Urrutia Urrutia
- Departamento de Ciencias de la Fonoaudiología, Facultad de Ciencias de la Salud, Universidad de Talca - UTALCA - Talca (VII Región del Maule), Chile
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Brown EL, Ruggiano N, Allala SC, Clarke PJ, Davis D, Roberts L, Framil CV, Muñoz MTH, Hough MS, Bourgeois MS. Developing a Memory and Communication App for Persons Living With Dementia: An 8-Step Process. JMIR Aging 2023; 6:e44007. [PMID: 36920462 PMCID: PMC10131779 DOI: 10.2196/44007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Revised: 01/28/2023] [Accepted: 02/25/2023] [Indexed: 02/27/2023] Open
Abstract
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) RR2-10.3928/19404921-20210825-02.
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Affiliation(s)
- Ellen L Brown
- Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, United States
| | - Nicole Ruggiano
- School of Social Work, The University of Alabama, Tuscaloosa, AL, United States
| | - Sai Chaithra Allala
- Knight Foundation School of Computing and Information Sciences, Florida International University, Miami, FL, United States
| | - Peter J Clarke
- Knight Foundation School of Computing and Information Sciences, Florida International University, Miami, FL, United States
| | - Debra Davis
- Knight Foundation School of Computing and Information Sciences, Florida International University, Miami, FL, United States
| | - Lisa Roberts
- Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, United States
| | - C Victoria Framil
- Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, United States
| | | | - Monica Strauss Hough
- Nicole Wertheim College of Nursing and Health Sciences, Florida International University, Miami, FL, United States
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Mooney AR, Bravo M, Roberts A, Salley E, Blaze E, Esparza M, Fried-Oken M, Khayum B, Rao L, Rademaker A, Rogalski E. Use and Perceived Effectiveness of Communication Modes Reported by Persons With Primary Progressive Aphasia. AMERICAN JOURNAL OF SPEECH-LANGUAGE PATHOLOGY 2023; 32:298-305. [PMID: 36472941 PMCID: PMC10023145 DOI: 10.1044/2022_ajslp-21-00386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Revised: 03/22/2022] [Accepted: 08/11/2022] [Indexed: 06/17/2023]
Abstract
PURPOSE Primary progressive aphasia (PPA) is a clinical neurodegenerative dementia syndrome characterized by early, selective, and progressive language impairment. PPA onset is gradual, providing time to potentially identify additional or alternative expressive communication modes; however, reports of communication mode use and effectiveness by persons with PPA have not been described. This study characterized the use, frequency, and perceived effectiveness of communication modes reported by individuals with PPA. METHOD Forty-one participants with mild-to-moderate PPA completed a structured interview detailing the type, frequency, and perceived effectiveness of 12 potential communication modes, categorized by technology required (no-tech, low-tech, and high-tech). The ratio of modes used was compared across technology categories with a repeated-measures generalized linear model assuming a binomial distribution with an overall Wald chi-square statistic, followed by pairwise post hoc t-test comparisons. RESULTS Of the 12 communication modes assessed, participants reported using a median of eight (range: 5-10). All participants affirmed using speech, facial expressions, and talking on the phone. Frequency and perceived effectiveness ratings for these three modes were endorsed at the "some/most of the time" level for more than 80% of the participants. No-tech mode use was significantly higher than reported high-tech and low-tech modes (p = .004 and p < .0001, respectively). Even so, while some high-tech modes (apps) and some low-tech modes (nonelectronic augmentative and alternative communication) had fewer users, effectiveness ratings were moderate to high for all but one user. CONCLUSIONS Persons with mild-to-moderate language impairment due to PPA report using a range of communication modes with moderate-to-high frequency and perceived effectiveness. These outcomes provide practical information when considering mode refinement or expansion during intervention to maximize communication participation. Barriers to modality use may include low awareness or access, which could be queried by future studies and supported by speech and language interventions. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.21614262.
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Affiliation(s)
| | - Megan Bravo
- Oregon Health & Science University, Portland
| | - Angela Roberts
- School of Communication Sciences and Disorders and Department of Computer Science, Western University, London, Ontario, Canada
| | - Elizabeth Salley
- Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Erin Blaze
- Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Marissa Esparza
- Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, IL
| | | | - Becky Khayum
- Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Leela Rao
- Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Alfred Rademaker
- Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, IL
- Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL
| | - Emily Rogalski
- Mesulam Center for Cognitive Neurology and Alzheimer's Disease, Northwestern University Feinberg School of Medicine, Chicago, IL
- Department of Psychiatry & Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL
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Haroon M, Dissanayaka NN, Angwin AJ, Comans T. How Effective are Pictures in Eliciting Information from People Living with Dementia? A Systematic Review. Clin Gerontol 2022:1-14. [PMID: 35672952 DOI: 10.1080/07317115.2022.2085643] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
OBJECTIVES Decline in language and cognitive functioning often deprives people living with moderate-to-severe dementia of self-reporting their quality of life (QoL) on the written and verbal formats of questionnaires. This systematic review aimed to evaluate the effectiveness of pictorial tools as an alternative method for enabling people living with dementia to self-report their QoL. METHODS PubMed, PsycINFO, CINAHL, and EMBASE were searched. Primary research studies reporting on information elicitation from people living with dementia through pictures were deemed eligible. Six studies satisfied the inclusion criteria. Methodological quality of the studies was evaluated through Downs and Black checklist. Data was extracted according to population, intervention, comparator, and outcomes (PICO) and results were summarized and supplemented by narrative synthesis. RESULTS Compared to usual communication methods, pictorial tools were found to have a superior effect on comprehension of conversations and decision-making abilities, minimal effect on preference consistency, and an undeterminable effect on discourse features. CONCLUSIONS There is consistent evidence that pictures enhance comprehension and might facilitate decision-making abilities. CLINICAL IMPLICATIONS QoL information can be elicited more effectively through pictorial tools. Future studies warrant development of pictorial versions of standardized QoL tools which will assist the inclusion of people living with severe dementia.
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Affiliation(s)
- Muhammad Haroon
- Centre for Health Services Research, Faculty of Medicine, the University of Queensland, Brisbane, Australia
| | - Nadeeka N Dissanayaka
- UQ Centre for Clinical Research, Faculty of Medicine, the University of Queensland, Brisbane, Australia.,School of Psychology, the University of Queensland, Brisbane, Australia.,Department of Neurology, Royal Brisbane & Women's Hospital, Brisbane, Australia
| | - Anthony J Angwin
- School of Health and Rehabilitation Sciences, the University of Queensland, Brisbane, Australia
| | - Tracy Comans
- Centre for Health Services Research, Faculty of Medicine, the University of Queensland, Brisbane, Australia
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Collins R, Hunt A, Quinn C, Martyr A, Pentecost C, Clare L. Methods and approaches for enhancing communication with people with moderate-to-severe dementia that can facilitate their inclusion in research and service evaluation: Findings from the IDEAL programme. DEMENTIA 2022; 21:1135-1153. [PMID: 35156412 PMCID: PMC9109550 DOI: 10.1177/14713012211069449] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objectives Dementia can affect language processing and production, making communication more
difficult. This creates challenges for including the person’s perspective in research
and service evaluation. This study aims to identify methods, tools and approaches that
could facilitate meaningful communication with people with moderate-to-severe dementia
and support the inclusion of their perspectives. Methods This qualitative study was conducted as part of the IDEAL programme and involved
in-depth, semi-structured interviews with 17 dementia research and/or care professionals
with expertise in communication. Transcripts were analysed using framework analysis. Findings Three main themes each with sub-themes were identified: (1) Awareness, knowledge and
experience; (2) Communication approach and (3) Personalization. A person-centred
orientation based on getting to know the participant and developing a bi-directional
exchange formed the fundamental context for effective communication. Building on this
foundation, an approach using pictures, photographs or objects that are meaningful to
the person and appropriate for that person’s preferences and ability could help to
facilitate conversations. The findings were integrated into a diagram illustrating how
the topics covered by the themes interrelate to facilitate communication. Conclusions Useful skills and approaches were identified to help researchers engage and work with
people with moderate-to-severe dementia and ensure their perspective is included. These
covered getting to know the participant, using a variety of tangible tools and
interactional techniques and considering the environment and context of the
conversation.
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Affiliation(s)
- Rachel Collins
- College of Medicine and Health, 3286University of Exeter, Exeter, UK
| | - Anna Hunt
- College of Medicine and Health, 3286University of Exeter, Exeter, UK
| | - Catherine Quinn
- The Centre for Applied Dementia Studies, 1905University of Bradford, Bradford, UK; Wolfson Centre for Applied Health Research, Bradford, UK
| | - Anthony Martyr
- College of Medicine and Health, 3286University of Exeter, Exeter, UK
| | - Claire Pentecost
- College of Medicine and Health, 3286University of Exeter, Exeter, UK
| | - Linda Clare
- College of Medicine and Health, 3286University of Exeter, Exeter, UK; 3286NIHR Applied Research Collaboration South-West Peninsula, Exeter, UK
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Dada S, van der Walt C, May AA, Murray J. Intelligent assistive technology devices for persons with dementia: A scoping review. Assist Technol 2022:1-14. [PMID: 34644248 DOI: 10.1080/10400435.2021.1992540] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
Assistive technology (AT) with context-aware computing and artificial intelligence capabilities can be applied to address cognitive and communication impairments experienced by persons with dementia (PwD). This paper aims to provide an overview of current literature regarding some characteristics of intelligent assistive technology devices (IATDs) for cognitive and communicative impairments of PwD. It also aims to identify the areas of impairment addressed by these IATDs.A multi-faceted systematic search strategy yielded records. Predefined criteria were applied for inclusion and data extraction. Thereafter data was thematically analysed and synthesised. This review demonstrates that almost all of the research involving IATDs has focused on cognitive impairments of PwD and has not yet evolved past the conceptual or prototype stages of development. Summaries of commercially available IATDs for PwD and relevant prototypes are provided at the end of this review.This research concluded that IATDs for PwD targeting cognition and communication problems primarily focus on social robots, and that they address cognitive impairments of attention, affect, and social-pragmatic communicative impairments. Future research endeavours concerning AT for PwD should explore collaboration between computer engineering and health practitioners to address the identified gaps. This may contribute to the available information for evidence-based decision making for PwD.
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Affiliation(s)
- Shakila Dada
- Centre for Augmentative and Alternative Communication, University of Pretoria
| | | | - Adele A May
- Centre for Augmentative and Alternative Communication, University of Pretoria
| | - Janice Murray
- Centre for Augmentative and Alternative Communication, University of Pretoria
- Manchester Metropolitan University
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Shin S, Park H, Hill K. Identifying the Core Vocabulary for Adults With Complex Communication Needs From the British National Corpus by Analyzing Grouped Frequency Distributions. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2021; 64:4329-4343. [PMID: 34705517 DOI: 10.1044/2021_jslhr-21-00211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
Purpose This study is aimed to identify the high-frequency vocabulary (HFV), otherwise termed "core vocabulary" for adults with complex communication needs. Method Three major characteristics of the HFV-a relatively small number of different words (NDW), a relatively high word frequency, and a high word commonality across speakers-were examined so as not to lose any candidate words for the HFV. Specifically, instead of applying the traditionally used cutoff word frequency of 0.5‰, a grouped frequency distribution was used to examine the appropriate frequency ranges to determine the HFV candidates. To improve the representativeness of the HFV across ages, social backgrounds, conversation situations, and topics, 330,000 spoken words of 66 adults (29 men and 37 women; M age = 45.47 years, SD = 16.07) were extracted from the British National Corpus database for analysis. Results A distinct pattern of NDW was observed from the frequency of 0.1‰ in the grouped frequency distribution. In total, 671 words were found to be candidates for the HFV, accounting for 90.94% of the total sample words. After the word commonality analysis indicated at least 80% commonality across speakers, 203 words were selected for the final HFV; accountability was calculated at 80.62%. Conclusions With the innovative word analysis approach, this study provided an HFV list that can be used for a wide range of conversation topics. This method provides a scientific and principled approach to identifying and organizing vocabulary for augmentative and alternative communication (AAC) intervention that does not exist in many AAC resources that promote "core vocabulary" with identifying the source for vocabulary selection.
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Affiliation(s)
- Sangeun Shin
- Department of Speech-Language Pathology, Chungnam National University, Daejeon, South Korea
| | - HyunJu Park
- Division of Speech-Language Pathology, Gachon University, Seongnam, South Korea
| | - Katya Hill
- Department of Communication Science and Disorders, University of Pittsburgh, PA
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Brown EL, Ruggiano N, Roberts L, Clarke PJ, Davis DL, Agronin M, Geldmacher DS, Hough MS, Muñoz MTH, Framil CV, Yang X. Integration of Health Information Technology and Promotion of Personhood in Family-Centered Dementia Care: Intervention Trial. Res Gerontol Nurs 2021; 14:225-234. [PMID: 34542347 DOI: 10.3928/19404921-20210825-02] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Alzheimer's disease and related dementias (ADRD) often result in communication deficits that can lead to negative health outcomes as well as complications for caregiving and clinical care. Although augmentative and alternative communication (AAC) devices have demonstrated efficacy in assisting persons living with dementia (PLWD) in communicating, few devices offer customization for the person's care preferences (e.g., clothing, food, activities) or are designed for integration into clinical care and caregiving. To address this issue, our research team is developing a novel electronic AAC prototype with a touchscreen to promote communication and personhood for PLWD. The current article describes the development of this technology and uses the Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Statement to describe the clinical trial that is planned to test its efficacy. TARGETS PLWD and their care partners. INTERVENTION DESCRIPTION Use of AAC Plus to promote communication and personhood for PLWD. MECHANISMS OF ACTION AAC Plus will provide PLWD and care partners a way to communicate PLWD's daily preferences and provide clinical data for health care providers. OUTCOMES Determine whether enhanced communication of daily preferences of PLWD will improve quality of life of PLWD and their care partners. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT04571502 (Date of registration October 1, 2020). [Research in Gerontological Nursing, 14(5), 225-234.].
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Khatoonabadi AR, Joanette Y, Nitsche MA, Ansaldo AI. Considerations about cognitive communication deficits following COVID-19. Psychiatry Clin Neurosci 2020; 74:662-663. [PMID: 32981072 PMCID: PMC7537055 DOI: 10.1111/pcn.13159] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/08/2020] [Revised: 09/05/2020] [Accepted: 09/23/2020] [Indexed: 12/20/2022]
Affiliation(s)
- Ahmad Reza Khatoonabadi
- Speech Therapy Department, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran.,Geriatric Medicine Department, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Yves Joanette
- Research Center, University Institute of Geriatrics of Montreal, Quebec, Canada.,Faculty of Medicine, University of Montreal, Quebec, Canada
| | - Michael Andreas Nitsche
- Department Psychology and Neurosciences, Leibniz Research Centre for Working Environment and Human Factors, Dortmund, Germany.,Department of Neurology, University Medical Hospital Bergmannsheil, Bochum, Germany
| | - Ana Ines Ansaldo
- Centre De Recherche De l'Institut Universitaire De Gériatrie De Montréal, Montreal, Canada.,Ecole D'orthophonie Et D'audiologie, Faculté De Médecine, Université De Montréal, Montreal, Canada
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Wilson R, Small J. Care Staff Perspectives on Using Mobile Technology to Support Communication in Long-Term Care: Mixed Methods Study. JMIR Nurs 2020; 3:e21881. [PMID: 34406973 PMCID: PMC8373373 DOI: 10.2196/21881] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2020] [Revised: 08/10/2020] [Accepted: 08/12/2020] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Long-term care (LTC) homes provide 24-hour care for people living with complex care needs. LTC staff assist older adults living with chronic conditions such as Alzheimer disease, related dementias, and stroke, which can cause communication disorders. In addition to the complex cognitive challenges that can impact communication, further difficulties can arise from cultural-language differences between care staff and residents. Breakdowns in caregiver-resident communication can negatively impact the delivery of person-centered care. Recent advances in mobile technology, specifically mobile devices (tablets and smartphones) and their software apps, offer innovative solutions for supporting everyday communication between care staff and residents. To date, little is known about the care staff's perspectives on the different ways that mobile technology could be used to support communication with residents. OBJECTIVE This study aims to identify care staff's perspectives on the different ways of using devices and apps to support everyday communication with adults living in LTC homes and the priority care areas for using mobile technology to support communication with residents. METHODS This descriptive study employed concept mapping methods to explore care staff's perspectives about ways of using mobile technology with residents and to identify the usefulness, practicality, and probable uses of mobile technology to support communication in priority care areas. Concept mapping is an integrated mixed methods approach (qualitative and quantitative) that uses a structured process to identify priority areas for planning and evaluation. In total, 13 care staff from a single LTC home participated in this study. Concept mapping includes 2 main data collection phases: (1) statement generations through brainstorming and (2) statement structuring through sorting and rating. Brainstorming took place in person in a group session, whereas sorting and rating occurred individually after the brainstorming session. Concept mapping data were analyzed using multidimensional scaling and cluster analysis to generate numerous interpretable data maps and displays. RESULTS Participants generated 67 unique statements during the brainstorming session. Following the sorting and rating of the statements, a concept map analysis was performed. In total, 5 clusters were identified: (1) connect, (2) care management, (3) facilitate, (4) caregiving, and (5) overcoming barriers. Although all 5 clusters were rated as useful, with a mean score of 4.1 to 4.5 (Likert: 1-5), the care staff rated cluster 2 (care management) as highest on usefulness, practicality, and probable use of mobile technology to support communication in LTC. CONCLUSIONS This study provided insight into the viewpoints of care staff regarding the different ways mobile technology could be used to support caregiver-resident communication in LTC. Our findings suggest that care management, facilitating communication, and overcoming barriers are 3 priority target areas for implementing mobile health interventions to promote person-centered care and resident-centered care.
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Affiliation(s)
- Rozanne Wilson
- School of Audiology and Speech Sciences, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada
| | - Jeff Small
- School of Audiology and Speech Sciences, Faculty of Medicine, The University of British Columbia, Vancouver, BC, Canada
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