title: Methods to Enhance Verbal Communication between Individuals with Alzheimer's Disease and Their Formal and Informal Caregivers: A Systematic Review.
abstract: Alzheimer's disease is the leading cause of dementia in older adults. Although memory problems are the most characteristic symptom of this disorder, many individuals also experience progressive problems with communication. This systematic review investigates the effectiveness of methods to improve the verbal communication of individuals with Alzheimer's disease with their caregivers. The following databases were reviewed: PsychINFO, CINAHL, EMBASE, MEDLINE, REHABDATA, and COMDIS. The inclusion criteria were: (i) experimentally based studies, (ii) quantitative results, (iii) intervention aimed at improving verbal communication of the affected individual with a caregiver, and (iv) at least 50% of the sample having a confirmed diagnosis of Alzheimer's disease. A total of 13 studies met all of the inclusion criteria. One technique emerged as potentially effective: the use of memory aids combined with specific caregiver training programs. The strength of this evidence was restricted by methodological limitations of the studies. Both adoption of and further research on these interventions are recommended.
authors.affiliation: School of Rehabilitation Sciences, University of Ottawa, 451 Smyth Road, Ottawa, ON, Canada K1H 8M5.
authors.forename: Mary
authors.initials: M
authors.lastname: Egan
authors.forename: Daniel
authors.initials: D
authors.lastname: Bérubé
authors.forename: Geneviève
authors.initials: G
authors.lastname: Racine
authors.forename: Carol
authors.initials: C
authors.lastname: Leonard
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Rochon
references.citation: Neurology. 2000 Jul 12;55(1):66-73
references.pmid: 10891908
references.citation: Worldviews Evid Based Nurs. 2009;6(3):149-59
references.pmid: 19523033
references.citation: Clin Gerontol. 2002;24(3-4):63-75
references.pmid: 18270554
references.citation: Int J Aging Hum Dev. 1991;33(4):249-67
references.pmid: 1761315
references.citation: Psychol Aging. 1997 Mar;12(1):3-11
references.pmid: 9100263
references.citation: J Am Geriatr Soc. 1999 Feb;47(2):203-14
references.pmid: 9988292
references.citation: Gerontologist. 2001 Aug;41(4):449-60
references.pmid: 11490043
references.citation: J Am Geriatr Soc. 1991 Jul;39(7):650-4
references.pmid: 2061529
references.citation: J Speech Hear Res. 1992 Dec;35(6):1344-57
references.pmid: 1494276
references.citation: Int J Nurs Stud. 1983;20(1):23-32
references.pmid: 6552227
references.citation: J Speech Lang Hear Res. 2003 Apr;46(2):341-52
references.pmid: 14700376
references.citation: J Commun Disord. 2003 Mar-Apr;36(2):101-27
references.pmid: 12609577
references.citation: Int J Aging Hum Dev. 1996;43(1):35-92
references.pmid: 8886875
references.citation: Gerontologist. 1993 Dec;33(6):747-55
references.pmid: 8314101
references.citation: Gerontologist. 1989 Apr;29(2):150-5
references.pmid: 2666277
references.citation: Psychol Aging. 1989 Dec;4(4):402-8
references.pmid: 2515874
references.citation: Neurology. 1985 Mar;35(3):394-7
references.pmid: 3974897
references.citation: J Commun Disord. 1997 Mar-Apr;30(2):79-98; quiz 98-9
references.pmid: 9100125
references.citation: Eur J Disord Commun. 1996;31(2):171-80
references.pmid: 8776438
references.citation: Brain Inj. 1998 Jan;12(1):1-14
references.pmid: 9483333
references.citation: J Appl Behav Anal. 1993 Spring;26(1):77-87
references.pmid: 8473260
references.citation: Res Theory Nurs Pract. 2007;21(1):32-44
references.pmid: 17378463
references.citation: Geriatr Nurs. 2002 Sep-Oct;23(5):262-6
references.pmid: 12386603
references.citation: West J Nurs Res. 1996 Apr;18(2):120-35
references.pmid: 8638419
references.citation: Am Fam Physician. 2004 Feb 1;69(3):548-56
references.pmid: 14971837
references.citation: Int Psychogeriatr. 2000 Jun;12(2):249-65
references.pmid: 10937544
references.citation: J Gerontol Nurs. 1999 Feb;25(2):6-13
references.pmid: 10347432
references.citation: Alzheimer Dis Assoc Disord. 1994;8 Suppl 1:S230-41
references.pmid: 8068266
references.citation: J Adv Nurs. 1992 Jun;17(6):658-66
references.pmid: 1607496
references.citation: Alzheimer Dis Assoc Disord. 1993 Winter;7(4):223-36
references.pmid: 8305190
references.citation: CMAJ. 1994 Mar 15;150(6):899-913
references.pmid: 8131123
references.citation: ACM Trans Access Comput. 2009 Mar;1(3):15
references.pmid: 21785666
references.citation: J Speech Hear Disord. 1988 Feb;53(1):8-15
references.pmid: 3339870
references.citation: Am J Alzheimers Dis Other Demen. 2001 Mar-Apr;16(2):115-20
references.pmid: 11302072
references.citation: Arch Psychiatr Nurs. 1995 Oct;9(5):279-85
references.pmid: 7487169
references.citation: Aging Ment Health. 2001 Aug;5(3):289-94
references.pmid: 11575069
references.citation: Semin Speech Lang. 2001 Nov;22(4):305-15
references.pmid: 11574906
references.citation: Nurs Res. 1995 May-Jun;44(3):153-9
references.pmid: 7761291
references.citation: Int J Aging Hum Dev. 1992-1993;36(4):321-33
references.pmid: 1305151
references.citation: J Appl Behav Anal. 1990 Spring;23(1):29-42
references.pmid: 2139873
references.citation: J Music Ther. 2000 Fall;37(3):183-95
references.pmid: 10990596
references.citation: Alzheimer Dis Assoc Disord. 1994;8 Suppl 3:95-109
references.pmid: 7999352
references.citation: Int J Geriatr Psychiatry. 2001 Aug;16(8):816-21
references.pmid: 11536349
references.citation: Alzheimer Dis Assoc Disord. 2002 Apr-Jun;16(2):81-7
references.pmid: 12040303
references.citation: Gerontologist. 1999 Dec;39(6):729-35
references.pmid: 10650683
references.citation: J Speech Lang Hear Res. 2000 Apr;43(2):395-413
references.pmid: 10757692
references.citation: Semin Speech Lang. 2004 May;25(2):151-67
references.pmid: 15118942
references.citation: Int J Aging Hum Dev. 1999;49(2):127-48
references.pmid: 10615925
references.citation: J Geriatr Psychiatry Neurol. 2007 Mar;20(1):58-62
references.pmid: 17341772
references.citation: West J Nurs Res. 2002 Mar;24(2):195-216
references.pmid: 11858349
references.citation: Brain Lang. 1986 Jul;28(2):235-49
references.pmid: 3730816
references.citation: Geriatr Nurs. 1995 Jan-Feb;16(1):15-9
references.pmid: 7859996
references.citation: Arch Psychiatr Nurs. 1997 Oct;11(5):249-56
references.pmid: 9336993
references.citation: Brain Lang. 1996 Apr;53(1):1-19
references.pmid: 8722896
references.citation: J Speech Lang Hear Res. 2003 Apr;46(2):353-67
references.pmid: 14700377
references.citation: J Adv Nurs. 2002 Aug;39(4):370-6
references.pmid: 12139649
references.citation: Int J Lang Commun Disord. 1998;33 Suppl:121-5
references.pmid: 10343677