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Conversation coaching in dementia: a feasibility study.

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Summary

This study found that a conversation coaching intervention is feasible for people with dementia, maintaining or improving their communication abilities and well-being. The intervention also enhanced the well-being of their communication partners.

Keywords:
Cognitive communicationCommunication interventionCommunication partnersDementiaEmentia education

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Area of Science:

  • Gerontology
  • Neurology
  • Speech and Language Therapy

Background:

  • Cognitive-communication deficits significantly impact conversation abilities in individuals with dementia.
  • Communication interventions offer a pathway to enhance quality of life through increased positive interactions and overall well-being.

Purpose of the Study:

  • To evaluate the feasibility of a novel conversation coaching intervention designed for people with dementia and their communication partners.
  • To assess the intervention's impact on communication function and well-being.

Main Methods:

  • A mixed-method design was employed, involving 17 people with dementia and 17 communication partners over a 12-month period.
  • The intervention consisted of 6 weekly sessions (individual and group-based) with pre- and post-intervention assessments using tools like Profiling Communication Ability in Dementia (P-CAD).
  • A three-month follow-up period was included to assess sustained effects.

Main Results:

  • Twenty-eight participants completed the intervention; 71% of people with dementia showed maintained communication function (P-CAD scores) at three months, with 29% improving.
  • All participants achieved their communication goals as measured by Goal Attainment Scaling.
  • Well-being improved post-intervention for 71% of people with dementia and 79% of communication partners.

Conclusions:

  • Preliminary findings suggest the conversation coaching intervention is feasible and beneficial for people with dementia.
  • The intervention effectively maintained or improved communication abilities and well-being in individuals with dementia.
  • This collaborative approach enhances retained communication skills, supporting people living with dementia.