title: A Video-Based Intervention on and Evaluation of Nursing Aides' Therapeutic Communication and Residents' Agitation During Mealtime in a Dementia Care Unit.
abstract: The researchers conducted a communication training intervention for certified nursing assistants (CNAs). The intervention aimed at improving CNAs' therapeutic techniques for relating to agitated residents during care. This study focused on an in-depth evaluation of mealtime interactions using videos. Sixteen CNAs and 16 residents living with dementia from one long-term care facility were videotaped during mealtime interactions before and after a therapeutic communication training program. Mixed-effect Poisson regression revealed no effect of the intervention as a whole on residents' refusals, but the intervention did improve CNAs' communication. Additional analyses using specific CNAs' therapeutic communication behaviors indicated a significant negative association with refusals at post-test but not pretest. The findings suggest some communication mechanisms for how the intervention positively influenced residents' refusals.
authors.affiliation: a Departments of Social Welfare and Medicine/Geriatrics , University of California , Los Angeles , California , USA.
authors.forename: Lené
authors.initials: L
authors.lastname: Levy-Storms
authors.affiliation: b Kent School of Social Work , University of Louisville , Louisville , Kentucky , USA.
authors.forename: Lesley M
authors.initials: LM
authors.lastname: Harris
authors.affiliation: c Center for Health Policy , University of California , Los Angeles , California , USA.
authors.forename: Xiao
authors.initials: X
authors.lastname: Chen
mesh_terms: D000328:Adult; D000368:Aged; D003142:Communication; D003704:Dementia / Q000451:nursing* / Q000523:psychology; D004521:Educational Measurement; D005260:Female; D006299:Health Services for the Aged; D006801:Humans; D007318:Inservice Training; D008297:Male; D062407:Meals; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009728:Nursing Assistants / Q000193:education*; D009735:Nursing Homes; D015397:Program Evaluation; D014741:Video Recording; D055815:Young Adult
keywords: Alzheimer’s disease; behavioral problems; communication; dementia; non-pharmacological care; nursing aides; nursing home; person-centered care