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Communication skills training in dementia care: a systematic review of effectiveness, training content, and didactic methods in different care settings

Published online by Cambridge University Press:  02 November 2012

Eva Eggenberger ,
Katharina Heimerl  and
Michael I. Bennett
Eva Eggenberger*
Affiliation:
IFF-Palliative Care and Organizational Ethics, University of Klagenfurt, Vienna, Austria Department of Internal Medicine and Geriatrics, General Hospital, Nürnberg, Germany
Katharina Heimerl
Affiliation:
IFF-Palliative Care and Organizational Ethics, University of Klagenfurt, Vienna, Austria
Michael I. Bennett
Affiliation:
Leeds Institute of Health Sciences, University of Leeds, Leeds, UK
*
Correspondence should be addressed to: Eva C. Eggenberger, MSc, MD, Department of Palliative Care and Organizational Ethics, IFF-Faculty for Interdisciplinary Research Vienna, University of Klagenfurt, 1070 Vienna, Austria. Phone: +43-1-522 4000–101; Fax: +43-1-522 4000–178. Email: [email protected].
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Abstract

Background: Caring for and caring about people with dementia require specific communication skills. Healthcare professionals and family caregivers usually receive little training to enable them to meet the communicative needs of people with dementia. This review identifies existent interventions to enhance communication in dementia care in various care settings.

Methods: We searched MEDLINE, AMED, EMBASE, PsychINFO, CINAHL, The Cochrane Library, Gerolit, and Web of Science for scientific articles reporting interventions in both English and German. An intervention was defined as communication skills training by means of face-to-face interaction with the aim of improving basic communicative skills. Both professional and family caregivers were included. The effectiveness of such training was analyzed. Different types of training were defined. Didactic methods, training content, and additional organizational features were qualitatively examined.

Results: This review included 12 trials totaling 831 persons with dementia, 519 professional caregivers, and 162 family caregivers. Most studies were carried out in the USA, the UK, and Germany. Eight studies took place in nursing homes; four studies were located in a home-care setting. No studies could be found in an acute-care setting. We provide a list of basic communicative principles for good communication in dementia care. Didactic methods included lectures, hands-on training, group discussions, and role-play.

Conclusion: This review shows that communication skills training in dementia care significantly improves the quality of life and wellbeing of people with dementia and increases positive interactions in various care settings. Communication skills training shows significant impact on professional and family caregivers’ communication skills, competencies, and knowledge. Additional organizational features improve the sustainability of communication interventions.

Keywords

dementiacommunicationskills trainingfamily caregiversprofessionalseducationsystematic review
Type
Review Article
Information
International Psychogeriatrics , Volume 25 , Issue 3 , March 2013 , pp. 345 - 358
Copyright
Copyright © International Psychogeriatric Association 2012

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References

Adams, T. and Gardiner, P. (2005). Communication and interaction within dementia care triads: developing a theory for relationship-centred care. Dementia, 4, 185–205.CrossRefGoogle Scholar
Allen-Burge, R. (2001). Increasing communication among nursing home residents. Journal of Clinical Geropsychology, 7, 213–230.CrossRefGoogle Scholar
Beer, C.et al. (2011). Development and evaluation of an educational intervention for general practitioners and staff caring for people with dementia living in residential facilities. International Psychogeriatrics, 23, 221–229.CrossRefGoogle ScholarPubMed
Brodaty, H., Green, A. and Koschera, A. (2003). Meta-analysis of psychosocial interventions for caregivers of people with dementia. Journal of the American Geriatrics Society, 51, 657–664.CrossRefGoogle ScholarPubMed
Burgio, L. D.et al. (2001). Come talk with me: improving communication between nursing assistants and nursing home residents during care routines. Gerontologist, 41, 449–460.CrossRefGoogle ScholarPubMed
Burgio, L. D., Stevens, A., Burgio, K. L., Roth, D. L., Paul, P. and Gerstle, J. (2002). Teaching and maintaining behavior management skills in the nursing home. Gerontologist, 42, 487–496.CrossRefGoogle ScholarPubMed
Burns, R., Nichols, L. O., Martindale-Adams, J., Graney, M. J. and Lummus, A. (2003). Primary care interventions for dementia caregivers: 2-year outcomes from the REACH study. Gerontologist, 43, 547–555.CrossRefGoogle ScholarPubMed
Chapman, A. and Law, S. (2009). Bridging the gap: an innovative dementia learning program for healthcare assistants in hospital wards using facilitator-led discussions. International Psychogeriatrics, 21, S58–63.CrossRefGoogle Scholar
Cherry, D. L.et al. (2009). Educating primary care physicians in the management of Alzheimer's disease: using practice guidelines to set quality benchmarks. International Psychogeriatrics, 21, 44–52.CrossRefGoogle ScholarPubMed
Chung, J. C. and Lai, C. K. (2002). Snoezelen for dementia. Cochrane Database of Systematic Reviews, Art. No. CD003152.CrossRefGoogle Scholar
Davies, E. and Higginson, I. J. (2004). The Solid Facts: Palliative Care. Copenhagen: World Health Organization.Google Scholar
Done, D. J. and Thomas, J. A. (2001). Training in communication skills for informal carers of people suffering from dementia: a cluster randomized clinical trial comparing a therapist led workshop and a booklet. International Journal of Geriatric Psychiatry, 16, 816–821.CrossRefGoogle ScholarPubMed
Doyle, C. (2009). International perspectives on dementia education, training and knowledge transfer. International Psychogeriatrics, 21, S1–S2.CrossRefGoogle ScholarPubMed
Fleming, R. and FitzGerald, D. (2009). Large-scale training in the essentials of dementia care in Australia: dementia care skills for aged care workers project. International Psychogeriatrics, 21, S53–S57.CrossRefGoogle ScholarPubMed
Folstein, M. F., Folstein, S. E. and McHugh, P. R. (1975). “Mini- mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Gormley, N., Lyons, D. and Howard, R. (2001). Behavioral management of aggression in dementia: a randomized controlled trial. Age and Ageing, 30, 141–145.CrossRefGoogle ScholarPubMed
Haberstroh, J., Neumeyer, K., Schmitz, B., Perels, F. and Pantel, J. (2006). Communication training for family caregivers of dementia patients. Zeitschrift fuer Gerontologie und Geriatrie, 39, 358–364.CrossRefGoogle ScholarPubMed
Haberstroh, J., Neumeyer, K., Schmitz, B. and Pantel, J. (2009). Development and evaluation of a training program for nursing home professionals to improve communication in dementia care. Zeitschrift fuer Gerontologie und Geriatrie, 42, 108–116.CrossRefGoogle ScholarPubMed
Hansen Niels, V., Jørgensen, T. and Ørtenblad, L. (2006). Massage and touch for dementia. Cochrane Database of Systematic Reviews, Art. No. CD004989.Google Scholar
Hauer, K., Becker, C., Lindemann, U. and Beyer, N. (2006). Effectiveness of physical training on motor performance and fall prevention in cognitively impaired older persons: a systematic review. American Journal of Physical Medicine and Rehabilitation, 85, 847–857.CrossRefGoogle ScholarPubMed
Higgins, J. and Green, S. (2009). The Cochrane Handbook for Systematic Reviews of Interventions, Version 5.0.2 (updated September 2009). Chichester: John Wiley & Sons.Google Scholar
Holt, F. E., Birks, T. P., Thorgrimsen, L. M., Spector, A. E., Wiles, A. and Orrell, M. (2003). Aroma therapy for dementia. Cochrane Database of Systematic Reviews, Art. No. CD003150.CrossRefGoogle Scholar
Killick, J. and Allan, K. (2006). The Good Sunset Project: making contact with those close to death. Journal of Dementia Care, 14, 22–24.Google Scholar
Killick, J. and Allan, K. (2008). Communication and the Care of People with Dementia, 3rd edn, Maidenhead: Open University Press.Google Scholar
Kitwood, T. (2008). Demenz. Der Person-Zentrierte Ansatz im Umgang mit Verwirrten Menschen. Bern: Huber Verlag.Google Scholar
Kruijver, I. P., Kerkstra, A., Francke, A. L., Bensing, J. M. and van de Wiel, H. B. (2000). Evaluation of communication training programs in nursing care: a review of the literature. Patient Education and Counseling, 39, 129–145.CrossRefGoogle ScholarPubMed
Kuske, B., Hanns, S., Luck, T., Angermeyer, M. C., Behrens, J. and Riedel-Heller, S. G. (2007). Nursing home staff training in dementia care: a systematic review of evaluated programs. International Psychogeriatrics, 19, 818–841.CrossRefGoogle Scholar
Kuske, B.et al. (2009). Training in dementia care: a cluster-randomized controlled trial of a training program for nursing home staff in Germany. International Psychogeriatrics, 21, 295–308.CrossRefGoogle Scholar
Magai, C., Cohen, C. I. and Gomberg, D. (2002). Impact of training dementia caregivers in sensitivity to nonverbal emotion signals. International Psychogeriatrics, 14, 25–38.CrossRefGoogle ScholarPubMed
McCallion, P., Toseland, R. W., Lacey, D. and Banks, S. (1999). Educating nursing assistants to communicate more effectively with nursing home residents with dementia. Gerontologist, 39, 546–558.CrossRefGoogle ScholarPubMed
Neal, M. and Barton Wright, P. (2003). Validation therapy for dementia. Cochrane Database of Systematic Reviews, Art. No. CD001394.CrossRefGoogle Scholar
NHS (2005). Everybody's Business: Integrated Mental Health Services for Older Adults – A Service Development Guide. Quarry Hill, UK: Care Service Improvement Partnership.Google Scholar
NHS (2007). Living Well with Dementia – A National Dementia Strategy. London: Department of Health.Google Scholar
NICE (2007). Dementia: A NICE-SCIE Guideline on Supporting People with Dementia and their Carers in Health and Social Care. London: Royal College of Psychiatrists.Google Scholar
Payne, S. and Froggatt, K. (2009). Improving palliative and end-of-life care for older people in Ireland: a new model and framework for institutional care. Journal of Palliative Care, 25, 218–226.CrossRefGoogle Scholar
Ripich, D. N., Ziol, E., Fritsch, T. and Durand, E. J. (1994). Training Alzheimer's disease caregivers for successful communication. Clinical Gerontologist, 21, 37–56.CrossRefGoogle Scholar
Rössler, A., Schwerdt, R. and Renteln-Kruse, W. (2005). Was die Sprache Alzheimer-Kranker mit der Celans verbindet. Über Kommunikation mit schwer betroffenen Demenzpatienten. Zeitschrift für Gerontologie und Geriatrie, 38, 354–359.CrossRefGoogle Scholar
Schmitt, B. and Frolich, L. (2007). Creative therapy options for patients with dementia: a systematic review. Fortschritte der Neurologie und Psychiatrie, 75, 699–707.CrossRefGoogle ScholarPubMed
Selwood, A., Johnston, K., Katona, C., Lyketsos, C. and Livingston, G. (2007). Systematic review of the effect of psychological interventions on family caregivers of people with dementia. Journal of Affective Disorders, 101, 75–89.CrossRefGoogle ScholarPubMed
Spector, A., Davies, S., Woods, B. and Orrell, M. (2000). Reality orientation for dementia: a systematic review of the evidence of effectiveness from randomized controlled trials. Clinical Gerontologist, 40, 206–212.CrossRefGoogle ScholarPubMed
Teri, L., McCurry, S. M., Logsdon, R. and Gibbons, L. E. (2005). Training community consultants to help family members improve dementia care: a randomized controlled trial. Gerontologist, 45, 802–811.CrossRefGoogle ScholarPubMed
Vasse, E., Vernooij-Dassen, M., Spijker, A., Rikkert, M. G. and Koopmans, R. (2009). A systematic review of communication strategies for people with dementia in residential and nursing homes. International Psychogeriatrics, 22, 189–200.CrossRefGoogle ScholarPubMed
Vink, A. C., Birks, J., Bruinsma, M. S. and Scholten, R. J. (2003). Music therapy for people with dementia. Cochrane Database of Systematic Reviews, Art. No. CD003477.CrossRefGoogle Scholar
Williams, K. N. (2006). Improving outcomes of nursing home interactions. Research in Nursing and Health, 29, 121–133.CrossRefGoogle ScholarPubMed
Woods, B., Spector, A. E., Jones, C. A., Orrell, M. and Davies, S. P. (2005). Reminiscence therapy for dementia. Cochrane Database of Systematic Reviews, Art. No. CD001120.CrossRefGoogle Scholar
Zarit, S. and Femia, E. (2008). Behavioral and psychosocial interventions for family caregivers. American Journal of Nursing, 108, 47–53.CrossRefGoogle ScholarPubMed