Conversation Intervention with Alzheimer's Patients: Increasing the Relevance of Communication
Open accessAbstract
The effectiveness of conversation in improving verbal communication of nursing home residents with Alzheimer's disease was compared to exercise and a combination of both interventions. Fifty-five participants were randomly assigned to treatment group and raters were blinded. Treatment was given three times weekly for 30 minutes, for 16 weeks. Although all groups evidenced decline in the total number of words used as a group, the conversation-only subjects' performance was significantly better in terms of the number of nonredundant units of information produced (p = .0433) and conciseness (p = .0101) using analysis of covariance controlling for baseline performance. Individual subjects' change in performance was also examined. Active engagement in structured one-on-one conversation may improve relevance of communication in this population.
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A rationale for conversational abilities in companion robots arises given the improvements in cognition associated with increased social conversation.
“A rationale for conversational abilities in companion robots arises given the improvements in cognition associated with increased social conversation [38].”
From A Conversational Robot for Older Adults with Alzheimer's Disease (2020) · cites this paper as [38]
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · see citing works
McKhann, G., Drachman, D., Folstein, M., Katzman, R., Price, D., & Stadlan, E. M. (1984) · Neurology · doi:10.1212/wnl.34.7.939 · Cited by 27,915 · see citing works
Hirono, N., Mori, E., Ikejiri, Y., Imamura, T., Shimomura, T., Hashimoto, M., Yamashita, H., & Ikeda, M. (1997) · PubMed · Cited by 21,010 · see citing works
Kok, J. S., Berg, I. J., & Scherder, E. J. A. (2013) · Dementia and Geriatric Cognitive Disorders Extra · doi:10.1159/000353441 · Cited by 20,589 · see citing works
Older Adults' Reasons for Using Technology while Aging in Place
Peek, S. T. M., Luijkx, K. G., Rijnaard, M. D., Nieboer, M. E., van der Voort, C. S., Aarts, S., van Hoof, J., Vrijhoef, H. J., & Wouters, E. (2015) · Gerontology · doi:10.1159/000430949 · Cited by 19,803 · see citing works
Sensitivity and False Alarm Rate of a Fall Sensor in Long-Term Fall Detection in the Elderly
Kangas, M., Korpelainen, R., Vikman, I., Nyberg, L., & Jämsä, T. J. (2014) · Gerontology · doi:10.1159/000362720 · Cited by 19,003 · see citing works
A study of language functioning in Alzheimer patients
Appell, J., KERTESZ, A. E., & Fisman, M. (1982) · Brain and Language · doi:10.1016/0093-934x(82)90006-2 · Cited by 524 · see citing works
Alzheimer Disease and Associated Disorders
Post, S. G., & Whitehouse, P. J. (1992) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-199205000-00001 · Cited by 461 · see citing works
Camicioli, R. M., Howieson, D. B., Lehman, S., & Kaye, J. A. (1997) · Neurology · doi:10.1212/wnl.48.4.955 · Cited by 333 · see citing works
Comparative Study of Oral and Written Picture Description in Patients with Alzheimer's Disease
Croisile, B., Ska, B., Brabant, M.-J., Duchêne, A., Lepage, Y., Aimard, G., & Trillet, M. (1996) · Brain and Language · doi:10.1006/brln.1996.0033 · Cited by 216 · see citing works
Physical Aggression in Dementia Patients and Its Relationship to Depression
Lyketsos, C. G., Steele, C., Galik, E., Rosenblatt, A., Steinberg, M., Warren, A., & Sheppard, J.-M. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.1.66 · Cited by 199 · see citing works
A Dyadic Remediation Program for Care Recipients with Dementia
Quayhagen, M. P., Quayhagen, M., Corbeil, R. R., ROTH, P. A., & Rodgers, J. A. (1995) · Nursing Research · doi:10.1097/00006199-199505000-00005 · Cited by 149 · see citing works
Evaluating Memory Wallets in Conversations With Persons With Dementia
Bourgeois, M. S. (1992) · Journal of Speech Language and Hearing Research · doi:10.1044/jshr.3506.1344 · Cited by 145 · see citing works
Modifying Repetitive Verbalizations of Community-Dwelling Patients with AD
Bourgeois, M. S., Burgio, L. D., Schulz, R., Beach, S. R., & Palmer, B. W. (1997) · The Gerontologist · doi:10.1093/geront/37.1.30 · Cited by 141 · see citing works
The Effect of Planned Walking on Communication in Alzheimer's Disease
Friedman, R., & Tappen, R. M. (1991) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1991.tb03617.x · Cited by 112 · see citing works
Self-citationCommunication Treatment for Adults With Dementia
Bourgeois, M. S. (1991) · Journal of Speech Language and Hearing Research · doi:10.1044/jshr.3404.831 · Cited by 104 · see citing works
Training Alzheimer's Disease Caregivers for Successful Communication
Ripich, D. N., Ziol, E. W., Fritsch, T., & Durand, E. J. (2000) · Clinical Gerontologist · doi:10.1300/j018v21n01_05 · Cited by 91 · see citing works
Communicating with individuals with Alzheimer's disease: Examination of recommended strategies
Tappen, R. M., Williams, C. L., Edelstein, J., Touhy, T. A., & Fishman, S. (1997) · Archives of Psychiatric Nursing · doi:10.1016/s0883-9417(97)80015-5 · Cited by 91 · see citing works
Self-citationDiscourse Topic Management in Senile Dementia of the Alzheimer's Type
Mentis, M., Briggs-Whittaker, J., & Gramigna, G. D. (1995) · Journal of Speech Language and Hearing Research · doi:10.1044/jshr.3805.1054 · Cited by 86 · see citing works
Care of Demented Patients with Severe Communication Problems
Ekman, S., Norberg, A., Viitanen, M. H., & Winblad, B. G. (1991) · Scandinavian Journal of Caring Sciences · doi:10.1111/j.1471-6712.1991.tb00102.x · Cited by 78 · see citing works
Longitudinal effects of Alzheimer disease on discourse production.
Tomoeda, C. K., & Bayles, K. A. (1993) · PubMed · Cited by 75 · see citing works
Use of the Arizona Battery for Communication Disorders of Dementia in the UK
Armstrong, L., Borthwick, S. E., Bayles, K. A., & Tomoeda, C. K. (1996) · International Journal of Language & Communication Disorders · doi:10.3109/13682829609042219 · Cited by 64 · see citing works
Cohén, D. (1991) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331759100600303 · Cited by 61 · see citing works
Interactional differences in Alzheimer's discourse: An examination of AD speech across two audiences
Ramanathan, V. (1994) · Language in Society · doi:10.1017/s0047404500017668 · Cited by 52 · see citing works
Speech Accommodations to Dementia
Kemper, S., Anagnopoulos, C., Lyons, K., & Heberlein, W. (1994) · Journal of Gerontology · doi:10.1093/geronj/49.5.p223 · Cited by 50 · see citing works
The Neuropsychology of Everyday Life: Issues in Development and Rehabilitation
(1990) · Foundations of neuropsychology · doi:10.1007/978-1-4613-1511-7 · Cited by 49 · see citing works
Edberg, A., SANDGREN, Å. N., & Hallberg, I. R. (1995) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.1995.tb00051.x · Cited by 43 · see citing works
Do consultant home visits have a future in old age psychiatry?
Orrell, M. W., & Katona, C. (1998) · International Journal of Geriatric Psychiatry · doi:10.1002/(sici)1099-1166(199806)13:6 · Cited by 42 · see citing works
Exercise Testing and Exercise Prescription for Special Cases
Ben-Ari, E. (1988) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-198803000-00005 · Cited by 37 · see citing works
Coherence Patterns in Alzheimer's Discourse
Ellis, D. G. (1996) · Communication Research · doi:10.1177/009365096023004007 · Cited by 35 · see citing works
Nursing students'experiences caring for cognitively impaired elderly people
Beck, C. T. (1996) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1996.09819.x · Cited by 29 · see citing works
Alzheimer's Dementia: Coping with Communication Decline
Hendryx-Bedalov, P. M. (2000) · Journal of Gerontological Nursing · doi:10.3928/0098-9134-20000801-06 · Cited by 26 · see citing works
Advances in neurology, vol. 51: Alzheimer's disease
Bruyn, G. W. (1990) · Journal of the Neurological Sciences · doi:10.1016/0022-510x(90)90064-t · Cited by 26 · see citing works
Ripich, D. N., Fritsch, T., Ziol, E. W., & Durand, E. J. (2000) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331750001500407 · Cited by 19 · see citing works
Psychosocial Consequences of Significant Brain Injury
Pepping, M., & Roueche, J. R. (1991) · Foundations of neuropsychology · doi:10.1007/978-1-4613-1511-7_9 · Cited by 14 · see citing works
Interventions for Alzheimer's Disease: A Caregiver's Complete Reference
Tappen, R. M. (1997) · Cited by 13 · see citing works
Self-citation(1993) · Springer eBooks · doi:10.1007/978-1-4899-7248-4 · Cited by 10 · see citing works
A Model Treatment Approach for the Acutely Aphasic Patient
Holland, A. L., Swindell, C. S., & Fromm, D. (1983) · The Aphasiology Archive (University of Pittsburgh) · Cited by 8 · see citing works
Cognitive impairment: Policy implications for service design
Lombardo, N. E. (1991) · American Journal of Alzheimer s Disease & Other Dementias® · doi:10.1177/153331759100600203 · Cited by 8 · see citing works
Facilitation of word retrieval in Alzheimer's disease.
Huff, F. J., Spanier, C., & Protetch, J. (1990) · PubMed · Cited by 6 · see citing works
Macnicol, J. (2000) · London School of Economics and Political Science Research Online (London School of Economics and Political Science) · Cited by 3 · see citing works
Flagged first, then by citations
1 of the 42 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Nonpharmacological therapies in Alzheimer’s disease: a systematic review of efficacy
Olazarán, J., Reisberg, B., Clare, L., Cruz, I., Peña-Casanova, J., del Ser, T., Woods, B., Beck, C., Auer, S., Lai, C., et al. (2010) · Dementia and Geriatric Cognitive Disorders · doi:10.1159/000316119 · Cited by 937 · see citing works
Psychological treatments for depression and anxiety in dementia and mild cognitive impairment
Orgeta, V., Qazi, A., Spector, A. E., & Orrell, M. W. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009125.pub2 · Cited by 208 · see citing works
Vasse, E., Vernooij-Dassen, M., Spijker, A., Rikkert, M. O., & Koopmans, R. (2010) · International Psychogeriatrics · doi:10.1017/s1041610209990615 · Cited by 155 · see citing works
de Andrade, L. P., Gobbi, L. T. B., Coelho, F. G. M., Christofoletti, G., Costa, J. L. R., & Stella, F. (2013) · Journal of the American Geriatrics Society · doi:10.1111/jgs.12531 · Cited by 150 · see citing works
Arcoverde, C., Deslandes, A. C., Moraes, H., Almeida, C., de Araújo, N. B., Vasques, P. E., Silveira, H., & Laks, J. (2014) · Arquivos de Neuro-Psiquiatria · doi:10.1590/0004-282x20130231 · Cited by 131 · see citing works
Egan, M. Y., Bérubé, D., Racine, G., Léonard, C., & Rochon, E. A. (2010) · International Journal of Alzheimer s Disease · doi:10.4061/2010/906818 · Cited by 109 · see citing works
McGilton, K. S., Boscart, V., Fox, M. T., Sidani, S., Rochon, E. A., & Sorin‐Peters, R. (2009) · Worldviews on Evidence-Based Nursing · doi:10.1111/j.1741-6787.2009.00155.x · Cited by 93 · see citing works
Focus on communication: increasing the opportunity for successful staff–patient interactions
McGilton, K. S., Sorin‐Peters, R., Sidani, S., Rochon, E. A., Boscart, V., & Fox, M. T. (2010) · International Journal of Older People Nursing · doi:10.1111/j.1748-3743.2010.00210.x · Cited by 84 · see citing works
Swan, K., Hopper, M., Wenke, R., Jackson, C., Till, T., & Conway, E. (2018) · American Journal of Speech-Language Pathology · doi:10.1044/2017_ajslp-17-0043 · Cited by 83 · see citing works
Kurz, A. F., Leucht, S., & Lautenschlager, N. T. (2011) · International Psychogeriatrics · doi:10.1017/s1041610211001001 · Cited by 82 · see citing works
Aspects of communication in Alzheimer's disease: clinical features and treatment options
Woodward, M. (2013) · International Psychogeriatrics · doi:10.1017/s1041610213000318 · Cited by 77 · see citing works
Coelho, F. G. D. M., Galduróz, J. C. F., Gobbi, S., & Stella, F. (2009) · Brazilian Journal of Psychiatry · doi:10.1590/s1516-44462009000200014 · Cited by 70 · see citing works
A Conversational Robot for Older Adults with Alzheimer's Disease
Pou-Prom, C., Raimondo, S., & Rudzicz, F. (2020) · ACM Transactions on Human-Robot Interaction · doi:10.1145/3380785 · Cited by 59 · see citing works
Sorin‐Peters, R., McGilton, K. S., & Rochon, E. A. (2010) · Aphasiology · doi:10.1080/02687038.2010.494829 · Cited by 57 · see citing works
Wilson, R., Rochon, E. A., Mihailidis, A., & Léonard, C. (2011) · Journal of Speech Language and Hearing Research · doi:10.1044/1092-4388(2011/10-0206 · Cited by 56 · see citing works
Preliminary study of a communication intervention for family caregivers and spouses with dementia
Williams, C. L., Newman, D., & Hammar, L. M. (2017) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.4816 · Cited by 55 · see citing works
Self-citationWilson, R., Rochon, E. A., Mihailidis, A., & Léonard, C. (2013) · Journal of Communication Disorders · doi:10.1016/j.jcomdis.2013.01.004 · Cited by 49 · see citing works
Automated analysis of lexical features in frontotemporal degeneration
Cho, S., Nevler, N., Ash, S., Shellikeri, S., Irwin, D. J., Massimo, L., Rascovsky, K., Olm, C., Grossman, M., & Liberman, M. (2021) · Cortex · doi:10.1016/j.cortex.2021.01.012 · Cited by 41 · see citing works
Therapeutic Conversation to Improve Mood in Nursing Home Residents with Alzheimer's Disease
Tappen, R. M., & Williams, C. L. (2009) · Research in Gerontological Nursing · doi:10.3928/19404921-20090428-02 · Cited by 40 · see citing works
Self-citationThe Effectiveness of Function-Focused Care Interventions in Nursing Homes: A Systematic Review
Lee, S. J., Kim, M. S., Jung, Y. J., & Chang, S. O. (2018) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000268 · Cited by 39 · see citing works
da Cruz, A. N., Lima, T. M., & Brandão, L. (2017) · Dementia & Neuropsychologia · doi:10.1590/1980-57642016dn11-030004 · Cited by 31 · see citing works
Williams, C. L., & Parker, C. G. (2012) · Issues in Mental Health Nursing · doi:10.3109/01612840.2011.653040 · Cited by 21 · see citing works
Self-citationBarrett, E., Casey, B., Dollard, M., McCarthy, B., & Casey, D. (2020) · Activities Adaptation & Aging · doi:10.1080/01924788.2020.1794352 · Cited by 17 · see citing works
Cognitive impairment and pragmatics
Gutiérrez‐Rexach, J., & Schatz, S. (2016) · SpringerPlus · doi:10.1186/s40064-016-1759-7 · Cited by 13 · see citing works
Communication training for care home workers: outcomes for older people, staff, families and friends
Moriarty, J., Kam, M., Coomber, C., Rutter, D., & Turner, M. J. (2013) · Cited by 11 · see citing works
Kroll, T., & Naue, U. (2011) · Dementia · doi:10.1177/1471301210392973 · Cited by 8 · see citing works
Park, K., & Moon, S. (2022) · Psychogeriatrics · doi:10.1111/psyg.12891 · Cited by 7 · see citing works
Pragmatic function impairment and Alzheimer’s dementia
Schatz, S., & González-Rivera, M. (2016) · Pragmatics & Cognition · doi:10.1075/pc.23.2.07sch · Cited by 5 · see citing works
Ablinger, I., Dressel, K., Rott, T., Lauer, A. A., Tiemann, M., Batista, J. P., Taddey, T., Grimm, H. S., & Grimm, M. O. W. (2022) · Biomedicines · doi:10.3390/biomedicines10112922 · Cited by 5 · see citing works
Yuan, L., Ye, J., Wang, W., Xiao, A., Ying, Z., Lin, W., Wei, Y., Smith, G. D., Wu, J., Tang, Q., et al. (2024) · ALPHA PSYCHIATRY · doi:10.5152/alphapsychiatry.2023.1470 · Cited by 5 · see citing works
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Nascimento, C. M. C., Varela, S., Pérez, C. A., & Carral, J. M. C. (2016) · Revista Andaluza de Medicina del Deporte · doi:10.1016/j.ramd.2015.02.003 · Cited by 5 · see citing works
Persaud, M. (2009) · TSpace (University of Toronto) · Cited by 4 · see citing works
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Kojer, M. (2013) · Public Health Forum · doi:10.1016/j.phf.2013.06.006 · Cited by 3 · see citing works
Enhancing socio-communicative functions in an MCI patient with intra-nasal insulin: a case report
Schatz, S., & Gutiérrez, G. R. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1326702 · Cited by 2 · see citing works
Kim, M., Cho, C., Lee, C., & Kohzuki, M. (2015) · Asian Journal of Human Services · doi:10.14391/ajhs.8.131 · Cited by 2 · see citing works
Dehdari, T., Mansouri, T., Fatemi, N. S., Gohari, M. R., & Borhaninejad, V. R. (2015) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 2 · see citing works
Swall, A. (2015) · Figshare · Cited by 2 · see citing works
Intranasal Insulin as Promising Therapy for Preserving Pragmatic Competence in MCI and AD
Schatz, S. (2020) · IntechOpen eBooks · doi:10.5772/intechopen.90725 · Cited by 1 · see citing works
Clinical cases in neurovascular diseases and traumatic brain injury
Konstantopoulos, K., & Giakoumettis, D. (2023) · Elsevier eBooks · doi:10.1016/b978-0-12-823875-2.00011-6 · Cited by 1 · see citing works
Tailoring Semantic Interventions for Older Adults: Task-Focused and Person-Centered Approaches
Folia, V., & Silva, S. (2024) · Brain Sciences · doi:10.3390/brainsci14090907 · Cited by 1 · see citing works
Wilson, R. (2013) · TSpace (University of Toronto)
Modelling of Elderly People with Dementia and Caregivers in Malaysia: A Qualitative Approach
Hamzah, M. Z., Ismail, R., & Sanusi, N. A. (2025) · Advances in Gerontology · doi:10.1134/s2079057025600491
- Authors
- Tappen, R. M., Williams, C. L., Barry, C., & Disesa, D.
- Affiliations
- University of Miami (US)
- Florida Atlantic University (US)
- Venue
- Clinical Gerontologist
- Publisher
- The Haworth Press
- Published
- 2002-07-31
- Volume
- 24
- Issue
- 3-4
- Pages
- 63-75
- ISSN
- 0731-7115 (ISSN-L)
- 1545-2301
- PMC
- PMC2239260
- OpenAlex
- W2094649988
- Cited by
- 42
- References
- 42
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2018: 2 · 2017: 2 · 2016: 3 · 2015: 3 · 2014: 2 · 2013: 6 · 2012: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Gerontologist (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research (R01NR003322)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Hearing Loss and Rehabilitation
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Keywords
- Alzheimer's disease, verbal communication, nursing home residents, older adults, speech therapy, exercise intervention, brevity
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