Improving nonverbal communication between caregivers and people with advanced dementia: the effect of staff training in intensive interaction on quality of life

Dampney-Jay, Gail (2015) Improving nonverbal communication between caregivers and people with advanced dementia: the effect of staff training in intensive interaction on quality of life. D.Clin.Psych. thesis, Canterbury Christ Church University.

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Abstract

Impairment of language-based communication is a hallmark of advanced dementia, which often leads to social isolation. However, nonverbal communication remains relatively preserved. Intensive Interaction, a nonverbal communication technique, offers a potential means for maintaining connections. This study assessed the feasibility of a full scale randomized control trial (RCT), to ascertain whether or not training care staff to use Intensive Interaction techniques could improve Quality of Life (QoL) for residents with advanced dementia.
Using a non-randomised control design, staff in a nursing home were paired with a resident and offered training in Intensive Interaction, with video recordings of their interactions and QoL measures for the resident taken before and after training and at 3 month follow-up. These were compared to outcomes in a control home in which care continued as usual.
Results from the intervention home indicated an increase in communication behaviours that facilitated and showed pleasure in interactions and a decrease in behaviours that hindered and expressed displeasure in interactions. Furthermore, scores on QoL assessment also improved. These changes were significantly different to those observed in the control home. Large effect sizes for these changes were suggestive of clinical relevance and thus further research through a full-scale trial is recommended.

Item Type: Thesis (Doctoral)
Subjects: P Language and Literature > P Philology. Linguistics > P0099.5 Nonverbal communication
R Medicine > RC Internal medicine > RC0435 Psychiatry > RC0512 Psychopathology. Mental disorders > RC0521 Dementia
Divisions: Faculty of Social and Applied Sciences > School of Psychology, Politics and Sociology > Salomons Centre for Applied Psychology
Depositing User: Mrs Kathy Chaney
Date Deposited: 02 Jun 2015 12:49
Last Modified: 10 Aug 2017 03:49
URI: https://create.canterbury.ac.uk/id/eprint/13454

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Last edited: 29/06/2016 12:23:00