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Updated: Jul 4, 2026

Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing

Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing

Published on: January 24, 2020

Elderspeak communication: impact on dementia care.

Kristine N Williams¹, Ruth Herman, Byron Gajewski

¹School of Nursing, University of Kansas Medical Center, Kansas City, KS 66160, USA. kwilliams1@kumc.edu

American Journal of Alzheimer'S Disease and Other Dementias

|July 2, 2008

Summary

Elderspeak, a condescending communication style, significantly increases resistiveness to care in individuals with dementia. Avoiding this communication may improve nursing care for dementia patients.

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Last Updated: Jul 4, 2026

Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing

Highlighting and Reducing the Impact of Negative Aging Stereotypes During Older Adults' Cognitive Testing

Published on: January 24, 2020

Area of Science:

Gerontology
Dementia Care
Communication Studies

Background:

Resistiveness to care is prevalent in older adults with dementia, complicating nursing care and increasing costs.
Elderspeak, characterized by infantilizing language, is hypothesized to provoke resistiveness in dementia patients.

Purpose of the Study:

To investigate the relationship between staff communication styles (normal talk vs. elderspeak) and resident resistiveness to care in individuals with dementia.
To quantify the impact of elderspeak on the probability of resistiveness to care.

Main Methods:

Analysis of 80 videotaped care episodes involving 20 nursing home residents with dementia.
Coding of staff communication for elderspeak and normal talk.
Assessment of resident behavior as cooperative or resistive to care.
Application of Bayesian statistical analysis to determine the probability of resistiveness.

Main Results:

A significant association was found between communication style and resident resistiveness to care (Bayes P = .0082).
Elderspeak was associated with a higher probability of resistiveness to care (.55, 95% CrI, .44-.66) compared to normal talk (.26, 95% CrI, .12-.44).

Conclusions:

The communication style employed by nursing staff directly influences resistiveness to care in dementia patients.
Reducing elderspeak through communication training may be a viable strategy to decrease resistiveness to care and improve care quality.