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Investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia

INTRODUCTION: People living with dementia in nursing homes have complex needs; impairments in cognition, communication, and daily function; neuropsychiatric symptoms (NPS); and poor quality of life (QoL). The current study examines impairments in non‐verbal communication as a potential driver of NPS...

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Autores principales: Khan, Zunera, Da Silva, Miguel Vasconcelos, Nunez, Kayleigh‐Marie, Kalafatis, Chris, Nowicki, Steven, Walker, Zuzana, Testad, Ingelin, Francis, Paul, Ballard, Clive
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088100/
https://www.ncbi.nlm.nih.gov/pubmed/33969179
http://dx.doi.org/10.1002/trc2.12172
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author Khan, Zunera
Da Silva, Miguel Vasconcelos
Nunez, Kayleigh‐Marie
Kalafatis, Chris
Nowicki, Steven
Walker, Zuzana
Testad, Ingelin
Francis, Paul
Ballard, Clive
author_facet Khan, Zunera
Da Silva, Miguel Vasconcelos
Nunez, Kayleigh‐Marie
Kalafatis, Chris
Nowicki, Steven
Walker, Zuzana
Testad, Ingelin
Francis, Paul
Ballard, Clive
author_sort Khan, Zunera
collection PubMed
description INTRODUCTION: People living with dementia in nursing homes have complex needs; impairments in cognition, communication, and daily function; neuropsychiatric symptoms (NPS); and poor quality of life (QoL). The current study examines impairments in non‐verbal communication as a potential driver of NPS and QoL. METHODS: One hundred nursing home residents with dementia were assessed using the Emory Dyssemia Index (EDI), Neuropsychiatric Inventory Nursing Home version (NPI‐NH), Quality of Life in Alzheimer's Disease (QoL‐AD) at baseline, 12‐, and 24‐week follow‐up. RESULTS: The quantile regression (0.5) model indicated that impairment of non‐verbal communication was independently associated with the severity of NPS (P = .001) and proxy reported QoL (P < .05), levels of agitation (P < .05), and professional caregiver burden (P < .05). DISCUSSION: These results highlight a novel potential approach to improve NPS and QoL using retained elements of non‐verbal communication, particularly for people with severe dementia.
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spelling pubmed-80881002021-05-07 Investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia Khan, Zunera Da Silva, Miguel Vasconcelos Nunez, Kayleigh‐Marie Kalafatis, Chris Nowicki, Steven Walker, Zuzana Testad, Ingelin Francis, Paul Ballard, Clive Alzheimers Dement (N Y) Research Articles INTRODUCTION: People living with dementia in nursing homes have complex needs; impairments in cognition, communication, and daily function; neuropsychiatric symptoms (NPS); and poor quality of life (QoL). The current study examines impairments in non‐verbal communication as a potential driver of NPS and QoL. METHODS: One hundred nursing home residents with dementia were assessed using the Emory Dyssemia Index (EDI), Neuropsychiatric Inventory Nursing Home version (NPI‐NH), Quality of Life in Alzheimer's Disease (QoL‐AD) at baseline, 12‐, and 24‐week follow‐up. RESULTS: The quantile regression (0.5) model indicated that impairment of non‐verbal communication was independently associated with the severity of NPS (P = .001) and proxy reported QoL (P < .05), levels of agitation (P < .05), and professional caregiver burden (P < .05). DISCUSSION: These results highlight a novel potential approach to improve NPS and QoL using retained elements of non‐verbal communication, particularly for people with severe dementia. John Wiley and Sons Inc. 2021-05-01 /pmc/articles/PMC8088100/ /pubmed/33969179 http://dx.doi.org/10.1002/trc2.12172 Text en © 2021 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Research Articles
Khan, Zunera
Da Silva, Miguel Vasconcelos
Nunez, Kayleigh‐Marie
Kalafatis, Chris
Nowicki, Steven
Walker, Zuzana
Testad, Ingelin
Francis, Paul
Ballard, Clive
Investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia
title Investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia
title_full Investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia
title_fullStr Investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia
title_full_unstemmed Investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia
title_short Investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia
title_sort investigating the effects of impairment in non‐verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088100/
https://www.ncbi.nlm.nih.gov/pubmed/33969179
http://dx.doi.org/10.1002/trc2.12172
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