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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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Metadata
- 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 › Medicine › Geriatrics and Gerontology › 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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