Impact of Training Dementia Caregivers in Sensitivity to Nonverbal Emotion Signals
Open accessAbstract
Ninety-one mid- to late-stage dementia patients residing in nursing homes, along with their staff caregivers, participated in a study designed to assess whether training caregivers in sensitivity to nonverbal communication could enhance mood and reduce symptoms in patients and improve psychological well-being in caregivers. Patients and staff at three nursing homes comprised three groups that were randomly assigned to either a nonverbal sensitivity group, a behavioral placebo group that received instruction in the cognitive and behavioral aspects of dementia, and a wait-list control. Training consisted of 10 one-hour sessions taught by a clinical psychologist using prepared materials. Patient measures, which were taken at baseline and at 4 three-week intervals, included patient symptomatology (depression, agitation, behavioral symptoms), as reported by the staff caregivers, and positive and negative facial expressions of emotion elicited during a face-to-face interview and coded by trained research staff. Results indicated that positive affect increased sharply during the first 6 weeks after intervention in the nonverbal group, with the placebo and wait-list controls showing no change. There was also a decline in negative affect across time for all groups. Effects with respect to patient symptomatology did not reach significance. Caregivers in both training groups showed a decline in symptomatology, whereas the wait-list control group did not.
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From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [5]
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- Authors
- Magai, C., Gomberg, D., & Cohen, C. I.
- Affiliations
- Long Island University (US)
- SUNY Downstate Health Sciences University (US)
- ORCID
- Cohen, Carl I.
- Venue
- International Psychogeriatrics
- Publisher
- Elsevier BV
- Published
- 2002-03
- Volume
- 14
- Issue
- 1
- Pages
- 25-38
- ISSN
- 1041-6102 (ISSN-L)
- OpenAlex
- W2116909099
- Cited by
- 117
- References
- 37
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 1 · 2023: 6 · 2022: 5 · 2021: 7 · 2020: 2 · 2019: 3 · 2018: 5 · 2017: 7 · 2016: 9 · 2015: 4 · 2014: 8 · 2013: 5 · 2012: 10
- FWCI
- 1.07
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Psychogeriatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k07ag000921-05)
- National Institute on Aging (KO7 AG00921)
- National Institute of General Medical Sciences (S06GM054650, 1 SO6 GM54650)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- dementia caregiving, nonverbal communication, facial expressions, caregiver education, nursing home staff, agitation, depression, behavioral symptoms, caregiver well-being, positive and negative affect
- MeSH terms
- Adult, Affective Symptoms, Aged, Aged, 80 and over, Attention, Attitude of Health Personnel, Cues, Dementia, Education, Nursing, Continuing, Emotions, Facial Expression, Female, Humans, Inservice Training, Male, Nonverbal Communication, Nurse-Patient Relations, Nursing Assessment, Nursing Homes, Nursing Staff, Program Evaluation, Nursing Education Research, Caregivers
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