Cited by 117Dementia and Cognitive Impairment ResearchGeriatric Care and Nursing HomesPatient-Provider Communication in Healthcare

Impact of Training Dementia Caregivers in Sensitivity to Nonverbal Emotion Signals

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Magai, Carol, Gomberg, David, Cohen, Carl I.·2002·International Psychogeriatrics

Abstract

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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Crossref · 10.1017/s1041610202008256

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Authors
Magai, C., Gomberg, D., & Cohen, C. I.
Affiliations
  • Long Island University (US)
  • SUNY Downstate Health Sciences University (US)
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
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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