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Oral Health Assessment by Lay Personnel for Older Adults
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Potentially Inadequate Real-Life Speech Levels by Healthcare Professionals during Communication with Older

Anna K Stuck1, Stephan Born1, Andreas E Stuck1

  • 1Department of Geriatrics, University of Bern, University Hospital Inselspital Bern, 3010 Bern, Switzerland.

International Journal of Environmental Research and Public Health
|March 11, 2023
PubMed
Summary
This summary is machine-generated.

Healthcare professionals often use speech levels below 60 dBA with older inpatients in group settings. This potentially inadequate communication was most frequent during chair exercise groups, highlighting a need for further investigation.

Keywords:
discharge planning meetingselderlygeriatricshealthcare providershearinghospitalized

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Area of Science:

  • Gerontology
  • Healthcare Communication
  • Audiology

Background:

  • Effective communication is crucial for older adults in healthcare settings.
  • Assessing real-world speech levels of health professionals interacting with geriatric patients is important.
  • Previous research has not extensively studied speech levels in small group geriatric care settings.

Purpose of the Study:

  • To investigate the real-life speech levels of health professionals during communication with older inpatients in small group settings.
  • To identify if speech levels fall below a potentially inadequate threshold (<60 dBA).
  • To compare speech levels across different types of group interactions.

Main Methods:

  • A prospective observational study was conducted in a geriatric rehabilitation unit.
  • Speech levels of health professionals were measured during discharge planning meetings, chair exercise groups, and memory training groups.
  • A sound level meter (CESVA LF010) was used, with <60 dBA defined as potentially inadequate.

Main Results:

  • The mean proportion of talk time with potentially inadequate speech levels was 61.6%.
  • Chair exercise groups showed significantly higher proportions of inadequate speech levels (95.1%) compared to discharge planning (54.8%) and memory training (56.3%) groups.
  • These differences between group settings were statistically significant (p=0.01).

Conclusions:

  • Real-life speech levels of health professionals vary significantly across different group settings.
  • Potentially inadequate speech levels are common, particularly in exercise groups for older inpatients.
  • Further research is warranted to understand and address these communication challenges in geriatric care.