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Understanding Elderspeak: An Evolutionary Concept Analysis.

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Summary
This summary is machine-generated.

Elderspeak, a simplified speech register used with older adults, is often rooted in ageism. While some studies suggest it aids comprehension, research indicates it can reduce understanding and be perceived as patronizing, especially in dementia care.

Keywords:
AgeismCommunicationDementiaResistiveness to careSystematic review

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Area of Science:

  • Gerontology
  • Linguistics
  • Communication Studies

Background:

  • Elderspeak is a simplified speech register used with older adults, often in healthcare.
  • Understanding elderspeak is complex due to differing views on its components and effects.

Purpose of the Study:

  • To analyze the concept of elderspeak using Rodgers' evolutionary concept analysis method.
  • To identify elderspeak's attributes, antecedents, and consequences.

Main Methods:

  • Systematic literature search across PubMed, CINAHL, PsycINFO, and Embase.
  • Analysis of 83 articles published between 1981 and 2020.

Main Results:

  • Elderspeak attributes include semantic, syntactic, pragmatic, paralinguistic, and nonverbal features.
  • Implicit ageism is a primary antecedent, often triggered by perceived functional or cognitive decline.
  • Exaggerated prosody in elderspeak can reduce comprehension and is perceived as patronizing, increasing resistiveness to care in dementia patients.

Conclusions:

  • A refined definition of elderspeak is proposed, distinguishing comprehension-enhancing from comprehension-hindering attributes.
  • Recommendations are made for consistent operationalization of elderspeak in future research.