4.5 Article

Preliminary study of a communication intervention for family caregivers and spouses with dementia

Journal

INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY
Volume 33, Issue 2, Pages E343-E349

Publisher

WILEY
DOI: 10.1002/gps.4816

Keywords

Alzheimer's disease; communication; dementia; family caregivers; spouse

Funding

  1. Florida Atlantic University Foundation
  2. Christine E Lynn College of Nursing, Florida Atlantic University

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ObjectiveThis study was to designed to examine the feasibility and preliminary outcomes of CARE: Caring About Relationships and Emotions, a 10-week, home-based, intervention to support married couples affected by dementia. MethodsFifteen older couples participated in a single group repeated measures feasibility study. Weekly, video-recorded conversations over 10weeks were used to rate communication using the Verbal/Nonverbal Interaction Scale for caregivers and care receivers. ResultsAccounting for mental status of care recipients, the ratio of social to unsocial communication showed a significant improvement across sessions-an average of 4.46 points per session [=4.46, t(10)=1.96, p=.039]. Spouse caregiver (CG) communication showed a significant decrease in the number of disabling communications with approximately .65 decreased comments per session [=0.654, t(11)=-2.61, p=.024]. ConclusionsAt home dyadic, relationship-focused psychoeducational intervention to improve communication in spouses affected by dementia has the potential to improve communication outcomes. Creative ways of working with couples are needed to help them sustain their relationships and maintain their health.

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