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SCIE research briefing 3: aiding communication with people with dementia
- Author:
- SOCIAL CARE INSTITUTE FOR EXCELLENCE
- Publisher:
- Social Care Institute for Excellence
- Publication year:
- 2005
- Place of publication:
- London
- Edition:
- Rev. ed.
A web-based briefing providing a concise summary of the current knowledge base on aiding communication with people with dementia. Coverage includes ethical considerations, views of service users and carers, innovative practice examples and implications for practice. Also highlights additional contacts and resources. The briefing was commissioned by the Social Care Institute for Excellence (SCIE). The latest edition of this Briefing was produced in April 2005 and the next updated is due in April 2006.
Reframing language, disrupting aging: a corpus-assisted multimodal critical discourse study
- Authors:
- MAGLIE Rosita Belinda, CENTONZE Laura
- Journal article citation:
- Working with Older People, 25(3), 2021, pp.253-264.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to explore two channels of communication (i.e. texts and images) from a non-governmental organization website called #DisruptAging with the aim of finding how multimodal knowledge dissemination contributes to dismantling misconceptions about the aging process. Design/methodology/approach: This analysis is based on an integrated approach that combines corpus-assisted discourse analysis (cf. Semino and Short, 2004; Baker et al., 2008, Baker, 2010) and multimodal critical discourse analysis (Machin and Mayr, 2012) via the American Medical Association format (2007) and the suite of FrameWorks tools (2015, 2017), which are applied to the collection of texts and images taken from #DisruptAging. Findings: A total of 69 stories corresponding with 218 images of older adults have shown to be powerful textual and semiotic resources, designed both for educational and awareness-raising purposes, to promote the so-called “aging well discourse” (cf. Loos et al., 2017). Social implications: This discursive approach to the textual and visual material found in #DisruptAging hopes to influence the governing institutions that we construct, and the people who are given power to run them, with the goal of fostering fair treatment of older people within society. Originality/value: There is a lack of studies investigating counter-discourse forms available online, which use textual and visual language to change the way society conceives the idea of aging. (Edited publisher abstract)
Digital storytelling experiences and outcomes with different recording media: an exploratory case study with older adults
- Authors:
- ALEXANDRAKIS Diogenis, CHORIANOPOULOS Konstantinos, TSELIOS Nikolaos
- Journal article citation:
- Journal of Technology in Human Services, 38(4), 2020, pp.352-383.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Digital storytelling is an advantageous practice for older adults. Although researchers have widely studied the effects of various recording media on users, including even their feelings of loneliness, to the best of our knowledge, there is no study that distinguishes and compares those effects within the digital storytelling process. In this exploratory case study, we tried to gain further insights into older adults' technology-mediated storytelling, the interactions, and the outcomes that different kinds of recording media have on users. Therefore, three storytelling components (paper notebook, voice recorder, and web platform) were used to probe their usability and emotional outcomes on five pensioners in Greece. Semi-structured interviews and questionnaires, among others, were implemented for data collection. According to the results, there was a variety of benefits and shortcomings for each tool. However, the web platform had a clear effect on decreasing users’ loneliness. Implications and future work on digital storytelling are discussed. (Edited publisher abstract)
Mentalization in dementia care: an autoethnographic account of a project worker’s experiences
- Authors:
- LUXMOORE Bethany, McEVOY Phil
- Journal article citation:
- Working with Older People, 21(3), 2017, pp.147-156.
- Publisher:
- Emerald
Purpose: Mentalization is a psychodynamic concept that can help us to understand our emotional responses to others. The purpose of this paper to illustrate how the concept of mentalization may be applied in dementia care. Design/methodology/approach: An autoethnographic account of the author’s experiences (first author), working as a project manager in which the author used the concept of mentalization to pay close attention to how the author’s emotional responses to people with dementia influenced thier communicative interactions. Findings: This paper outlines how the author processed the author’s own internal experiences in both mentalizing and non-mentalizing modes, as the author wrestled with feelings of conscious incompetence. In the non-mentalizing mode, the author was pre-occupied with the author’s own anxieties. The author struggled to relate to or make sense of the experiences of the individuals with advanced dementia that the author engaged with. Moving towards a mentalizing stance helped the author to attune to the embodied experiences of the people with dementia and recognise the reciprocal nature of our communicative interactions. Originality/value: This paper illustrates the role that mentalization may play in developing natural and authentic strategies to support communicative engagement in dementia care. These strategies may be of potential value to family carers. Family carers who can maintain a mentalizing stance may be more able to respond in empathic, person- centred ways to people who are living with dementia. On the other hand, non-mentalizing responses may be a root cause of mis-understanding and emotional disengagement. (Publisher abstract)
Moderating effect of communication difficulty on the relationship between depression and pain: a study on community-dwelling older adults in Hong Kong
- Authors:
- CHAN Wallace Chi Ho, KWAN Chi Wai, CHI Iris
- Journal article citation:
- Aging and Mental Health, 19(9), 2015, pp.829-834.
- Publisher:
- Taylor and Francis
Objectives: This study examined the relationship between depression and pain, and the moderating effect of communication difficulty on this relationship, among community-dwelling older adults in Hong Kong. Method: Logistic regression was used to analyse secondary data regarding 12,402 Chinese older adults applying for long-term care service in Hong Kong in 2012. Results: Approximately 30% of participants were depressed and 37% experienced communication difficulty. Depression was associated with increased pain. Communication difficulty was found to moderate the relationship between depression and pain. Pain scores increased more when individuals who experienced communication difficulty reported being depressed, compared to those who did not experience communication difficulty. Conclusion: The moderating effect of communication difficulty may be explained by the interaction between depression and communication difficulty. Participants who were depressed and concurrently experienced communication difficulty may be more likely to catastrophise their pain and may tend to report or experience more pain. Health care professionals need to be aware of the different effects of communication difficulty on the pain experiences of older adults. Psychosocial intervention may be provided to minimize older adults’ communication barriers to pain management. (Edited publisher abstract)
Age-related hearing loss: quality of care for quality of life
- Author:
- LI-KOROTKY Ha-Sheng
- Journal article citation:
- Gerontologist, 52(2), April 2012, pp.265-271.
- Publisher:
- Oxford University Press
Age-related hearing loss (ARHL) is a major public health problem, resulting in reduced speech understanding, for millions of geriatric patients. ARHL is the third most prevalent chronic condition in older Americans, after hypertension and arthritis, and is a leading cause of adult hearing handicaps in the United States. Between 25-40% of the population aged 65 years and older is hearing impaired, and the prevalence is expected to rise with the increasing ageing Baby Boomer population. Despite this, ARHL remains an often undetected, underestimated and neglected condition due to the slow development process of the disease. The consequences of ARHL (social isolation, reduced environmental stimulation and depression) may aggravate cognitive decline. Health care professionals who serve the geriatric population need to understand the fundamental ARHL-associated changes that affect auditory and cognitive processing of speech and aural communication, in order to improve the quality of hearing health care and the overall quality of life of the Baby Boomer generation. The purpose of this review is to raise the awareness of ARHL, to update understanding of ARHL with a focus on age-related deficits in auditory and cognitive processing of speech, and to explore strategies of prevention, identification, amplification, and aural rehabilitation.
The effectiveness of the Talking Mats framework in helping people with dementia to express their views on well-being
- Authors:
- MURPHY Joan, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 9(4), November 2010, pp.454-472.
- Publisher:
- Sage
Thirty one people at different stages of dementia were interviewed them about their well-being using Talking Mats, a low-tech communication framework, and usual communication methods. The communication effectiveness of each method was compared. Findings revealed that the Talking Mats framework was associated with better communication at all stages of dementia when compared to usual communication methods. Better communication effectiveness was evident in the participants’ understanding, engagement, keeping on-track and ability to make their views understood. There was also less repetitive behaviour and less distractibility when using the Talking Mats framework. The authors conclude that the Talking Mats framework can play an important role in improving communication by providing an accessible, low cost tool which family and staff can use with people with dementia to help them express their views.
Older audiences' responses to mental health promotion messages
- Authors:
- PETTIGREW Simone, DONOVAN Robert
- Journal article citation:
- International Journal of Mental Health Promotion, 11(1), February 2009, pp.23-31.
- Publisher:
- Taylor and Francis
This study focused on the role of motivation and ability in older audiences' interpretations of mental health promotion messages. The aim was to generate insights into the ways in which older people respond to such messages, to inform the development of mental health promotion communications. Twenty individual interviews and 12 focus groups were conducted with a total of 111 Western Australians aged 40 years and older. Interviewees were exposed to series of mental health messages and asked to share their thoughts and feelings about the message content and style. Data analysis focused on the barriers and facilitators that influenced interviewees' acceptance of the mental health recommendations contained in the messages. The major themes evident in the data were a desire to exhibit compliance, the importance of perceived personal relevance, sensitivity to the tone of the message, literal interpretations of message content and impediments to adoption. Implications for mental health are discussed.
The need for a common language to describe older people's housing
- Author:
- HOUSING CORPORATION
- Publisher:
- Housing Corporation
- Publication year:
- 2008
- Pagination:
- 3p.
- Place of publication:
- London
A discussion paper from phase one of the Towards a Common Currency project noted that elderly people are often confused by the definitions and descriptions used to describe housing and other support. In this part of the project researchers discovered that most social housing landlords did not give sufficiently detailed descriptions of housing developments or schemes to elderly people or those acting on their behalf.
Communication and dementia: how effective is the Talking Mats approach?
- Authors:
- COX Sylvia, MURPHY Joan, GRAY Cindy
- Journal article citation:
- Journal of Dementia Care, 16(3), May 2008, pp.35-38.
- Publisher:
- Hawker
This article gives the background and sets out key findings of a research project funded by the Joseph Rowntree Foundation. The study examined the effectiveness of Talking Matts, a low-technology communication framework to help people with dementia to express themselves, compared to other communication methods. Participants were recruited through dementia service providers and residential care homes in central Scotland. Results found that Talking Mats enabled people with moderate and late stage dementia to communicate their views more readily than either ordinary or structured conversation. The framework appeared to offer a valuable resource to people with dementia, family carers and care practitioners.