Overcoming Elderspeak: A Qualitative Study of Three Alternatives

Corwin, Anna I.

doi:10.1093/geront/gnx009

Cited by 20 publications

(13 citation statements)

References 22 publications

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“…Stans, Dalemans, de Witte, and Beurskens () reported that it is essential to be aware of the illnesses experienced by older adults and how they influence communication. Communications with cognitively or physically affected older adults can be facilitated using blessings, jokes and narratives (Corwin, ), while good alternatives to verbal communication are the use of body language or involving family members in interactions with older adults (Forsgren et al., ). The participants in this study perceived that difficulty communicating with older adults was mainly due to their lack of competence in geriatric care, and this self‐blaming often increased the turnover rate at facilities.…”

Section: Discussionmentioning

confidence: 99%

Barriers to ethical nursing practice for older adults in long‐term care facilities

Choe

Kang

Lee

2018

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Barriers to ethical nursing practice for older adults in long‐term care facilities

Choe

Kang

Lee

2018

Journal of Clinical Nursing

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“…Contextual factors, including environmental factors and dyadic characteristics, may also serve as antecedents to elderspeak. For example, convents were found to have extremely low rates of elderspeak, leading to the hypothesis that elderspeak depends on the culture of the community ( Corwin, 2017 ). Somewhat unexpectedly, however, nursing home residents did not report receiving more elderspeak than cognitively intact older adults residing in the community ( O’Connor & Rigby, 1996 ).…”

Section: Resultsmentioning

confidence: 99%

Understanding Elderspeak: An Evolutionary Concept Analysis

Shaw

Gordon

2021

Innovation in Aging

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Background and Objectives Elderspeak is an inappropriate simplified speech register that sounds like baby talk and is used with older adults, especially in healthcare settings. Understanding the concept of elderspeak is challenging due to varying views about which communicative components constitute elderspeak and whether elderspeak is beneficial or harmful for older adults. Research Design and Methods Rodgers’ evolutionary concept analysis method was used to evaluate the concept of elderspeak through identification of elderspeak’s attributes, antecedents, and consequences. A systematic search using the PubMed, CINAHL, PsycINFO, and Embase databases was completed. Results Eighty-three theoretical or research articles from 1981 to 2020 were identified. Elderspeak characteristics were categorized by semantic, syntactic, pragmatic, paralinguistic, and nonverbal attributes. The primary antecedent to elderspeak is implicit ageism, in which old age cues and signs of functional or cognitive impairment led to simplified communication, usually from a younger caregiver. Research studies varied in reporting whether elderspeak facilitated or interfered with comprehension by older adults, in part depending on the operational definition of elderspeak and experimental manipulations. Exaggerated prosody, a key feature of elderspeak, was found to reduce comprehension. Elderspeak was generally perceived as patronizing by older adults and speakers were perceived as less respectful. In persons with dementia, elderspeak also increases the probability of resistiveness to care, which is an important correlate of behavioral and psychological symptoms of dementia. Discussion and Implications Based on this concept analysis, a new definition of elderspeak is proposed, in which attributes that have been found to enhance comprehension are differentiated from those that do not. Recommendations for consistent operationalization of elderspeak in future research are made.

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“…Such health promotion pratices contribute to the engagement of the aged in richer communicative interactions with their interlocutors and can contribute to the reduction of linguistic isolation and its consequences, including the cognition of this group. 24 Additionally, this professional can contribute to the identification of changes in language skills in individuals at risk for MCI. 7 The present study has several limitations.…”

Section: Discussionmentioning

confidence: 99%

Effects of language stimulation on cognition of institutionalized aged people: a preliminary case series study

Cunha

Pacheco

Barreto

2021

Dement. neuropsychol.

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ABSTRACT. Cognitive stimulation programs for institutionalized elderly people show positive results, however few studies have investigated the effectiveness of language stimulation programs for the health of this population. Objectives: To characterize the cognitive-linguistic profile of institutionalized elderly and to compare their performance before and after a language stimulation program (LSP). Methods: An exploratory case series study was conducted with nine residents of a Home for the Aged. Elderly people aged 60 or over, of both sexes, without neurological or neuropsychiatric diseases, communication disorders, intellectual impairment or severe visual or hearing impairment were included. The participants were submitted to an initial assessment through the Montreal Cognitive Assessment (MoCA) and Montreal Toulouse Battery Language Assessment – Brazil to characterize the cognitive-linguistic profile of the studied group. Five elderly were selected to participate in the LSP, of wich only two participated effectively in the program, but all were reassessed after the program was completed. Results: on the initial assessment, of the nine participants, only one had adequate cognitive performance and all presented changes in macro and/or microlinguistics aspects of oral discourse, with oral comprehension preserved. On the reassessment carried out with five participants, only two participants who adhered effectively to the program obtained improvements in MoCa scores. In regarding language, three participants performed better in the oral emission measures. The performance of the participants in oral comprehension remained or declined. Conclusion: The speech-language therapy intervention through a LSP contributes to improving the cognitive-linguistic performance of institutionalized elderly.

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Overcoming Elderspeak: A Qualitative Study of Three Alternatives

Cited by 20 publications

References 22 publications

Barriers to ethical nursing practice for older adults in long‐term care facilities

Barriers to ethical nursing practice for older adults in long‐term care facilities

Understanding Elderspeak: An Evolutionary Concept Analysis

Effects of language stimulation on cognition of institutionalized aged people: a preliminary case series study

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