Speech rate and syntactic complexity effects on the auditory comprehension of alzheimer patients

Tomoeda, Cheryl K.; Bayles, Kathryn A.; Boone, Daniel R.; Kaszniak, Alfred W.; Slauson, Thomas J.

doi:10.1016/0021-9924(90)90019-u

Cited by 45 publications

(29 citation statements)

References 21 publications

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“…These results provide empirical evidence to support the hypotheses in the literature that direct instructions, which are characterised by sentences which are short, syntactically simple and precise, are both easier to understand and lead to greater compliance in PwD . This study adds to these findings that direct instructions can encourage people with dementia to show more positive communicative behaviour themselves, engaging with tasks with the care worker and even initiating interaction themselves.…”

Section: Discussionsupporting

confidence: 81%

“…This is the first study to experimentally manipulate the use of isolated communication techniques by care assistants of PwD in a naturalistic setting. Research to date has examined communication in a laboratory setting (18,22,23,30,31), has only observed behaviour in a naturalistic setting (16,17,20,21) or have not looked at techniques in isolation (14,15).…”

Section: Discussionmentioning

confidence: 99%

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Effects of care assistant communication style on communicative behaviours of residents with dementia: a systematic multiple case study

Stanyon

Thomas

Gordon

et al. 2018

Scandinavian Caring Sciences

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Objectives To determine whether varying the communication style of care assistants, encouraging them to use direct instructions and allowing more time for residents’ responses influenced the communicative behaviour of care home residents living with dementia. Design This study used a multiple systematic case study design. Participants were video‐recorded during morning care routines in three communication conditions: usual communication, direct instructions and pacing (allowing more time for resident responses). Each dyad acted as its own control. Setting The study took place in a residential care home in the East Midlands, UK. Participants Three dyads (person with dementia/care worker) Measures The level of compliance with instructions was measured. Validated measures were used to rate positive communicative behaviour (engagement with care tasks, eye contact and initiation of interaction) and negative communicative behaviour (e.g. shouting and kicking). Results Care assistants were able to employ direct instructions after brief training. The use of direct instructions was positively correlated with positive communicative behaviour from residents (p < 0.05). The pacing condition was not employed adequately to evaluate effectiveness. Negative communicative behaviour (resistiveness to care) was rare. Conclusion The use of direct instructions by care assistants holds promise for effective communication with people with dementia and warrants further investigation in larger samples and in varied contexts.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Effects of care assistant communication style on communicative behaviours of residents with dementia: a systematic multiple case study

Stanyon

Thomas

Gordon

et al. 2018

Scandinavian Caring Sciences

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“…This dif culty is apparent in their conversational interaction as well as in their performance in many laboratory tasks (e.g., Almor, Kempler, MacDonald, Andersen, & Tyler, 1999;Emery, 1985;Kempler, Almor, Tyler, Andersen, & MacDonald, 1998b;Rochon, Waters, & Caplan, 1994;Tomoeda et al, 1990). The origins of this dif culty, however, are not well understood.…”

Section: Introductionmentioning

confidence: 93%

“…Patients with Alzheimer's disease (AD) have dif culty comprehending spoken language (Kempler, 1995;Tomoeda, Bayles, Boone, & Kaszniak, 1990). This dif culty is apparent in their conversational interaction as well as in their performance in many laboratory tasks (e.g., Almor, Kempler, MacDonald, Andersen, & Tyler, 1999;Emery, 1985;Kempler, Almor, Tyler, Andersen, & MacDonald, 1998b;Rochon, Waters, & Caplan, 1994;Tomoeda et al, 1990).…”

Section: Introductionmentioning

confidence: 98%

Comprehension of long distance number agreement in probable Alzheimer's disease

Almor

MacDonald

Kempler

et al. 2001

Language and Cognitive Processes

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Two cross-modal naming experiments examined the role of working memory in processing sentences and discourses of various lengths. In Experiment 1, 10 memory impaired patients with probable Alzheimer's disease (AD) and 10 healthy elderly control participants showed similar sensitivity to violations of subject-verb number agreement in a short sentence condition and similar degradation to this sensitivity in a long sentence condition. Performance in neither length condition correlated with performance on working memory tasks, suggesting that the processes involved in interpreting a grammatical dependency between adjacent and nonadjacent elements are different from those required in the working memory tasks. In Experiment 2, the same 10 AD patients were less sensitive than the 10 control participants to pronounantecedent number agreement violations in a short discourse condition, but neither group was affected by additional length. In this experiment, performance in both the short and long conditions correlated with working memory performance. These results show that grammatical and discourse dependencies pose different memory and processing demands, and that these differences are not simply due to differences in the amount of intervening material between dependent words. The results also suggest that while the working memory de cits characteristic of AD do not interfere with on-line grammatical processing within sentences, they do compromise on-line discourse processing across sentences.

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“…sentence processing in DAT reported data revealing a significant impairment (e.g., Grossman & WhiteDevine, 1998;Tomoeda, Bayles, Boone, & Kaszniak, 1990). Grossman et al (1995) used the mass/count noun distinction to probe grammatical sentence processing in people with DAT.…”

mentioning

confidence: 98%

Semantic and syntactic processing of mass and count nouns: Data from dementia

Mondini

Arcara

Jarema

2014

Journal of Clinical and Experimental Neuropsychology

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In the present research, we investigated the processing of Italian mass and count nouns and of their semantic and morphosyntactic attributes in people with neurodegenerative disease. The performance of a group of 26 Italian participants with Alzheimer's disease was studied in a semantic judgment task and a syntactic judgment task. Results were analyzed by means of mixed-effect models, revealing an interaction between task and stimulus category: The probability for correct responses to mass stimuli was significantly lower than that for count stimuli, but only in the semantic task. These findings confirm the major semantic impairment in dementia and suggest that mass nouns have particular features that make them more prone to impairment than count nouns for a progressively degenerating brain.

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Speech rate and syntactic complexity effects on the auditory comprehension of alzheimer patients

Cited by 45 publications

References 21 publications

Effects of care assistant communication style on communicative behaviours of residents with dementia: a systematic multiple case study

Effects of care assistant communication style on communicative behaviours of residents with dementia: a systematic multiple case study

Comprehension of long distance number agreement in probable Alzheimer's disease

Semantic and syntactic processing of mass and count nouns: Data from dementia

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