Developing Behavioral Coding to Understand Family Communication Breakdown in Dementia Care.

Developing Behavioral Coding to Understand Family Communication Breakdown in Dementia Care.
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DOI:
10.1177/01939459211062957
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发表时间:
2022-03
影响因子:
1.8
通讯作者:
Williams K
Williams K
中科院分区:
医学4区
文献类型:
--
作者:
Coleman CK;Aly IM;Dunham A;Inderhees K;Richardson M;Wilson P;Berkley A;Savundranayagam M;Williams K

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沟通障碍对痴呆症患者的家庭照顾者来说是一个挑战。我们采用了既定的理论和规模的计算机辅助行为编码的特点照顾者沟通的二次分析。我们开发了语言、非语言和故障编码方案,并建立了可靠性(κ > .85)。在分析的221个家庭录像中,55%的交流是互动的,30%是沉默的,4%是与自己或他人交谈,8%是崩溃。每次观察平均发生2.4次(SD = 1.9)故障,85%的时间成功解决,其中31%在仅一次标记和修复策略后最成功解决。护理人员是主要发言人(67%);他们的沟通之前,大多数故障(65%),他们主要是故障后启动的修复(70%)。常见的修复策略包括澄清(31%),提问(24%)和重复信息(24%)。沟通策略和修复成功之间的关联将为护理人员培训提供证据。
Communication breakdown is a challenge for family caregivers of persons living with dementia. We adapted established theory and scales for computer-assisted behavioral coding to characterize caregiver communication for a secondary analysis. We developed verbal, nonverbal, and breakdown coding schemes and established reliability (κ > .85). Within the 221 family caregiving videos analyzed, 55% of exchanges were interactive, 30% were silence, 4% consisted of talking to self or others, and 8% included a breakdown. An average of 2.4 (SD = 1.9) breakdowns occurred per observation and were successfully resolved 85% of the time, with 31% being resolved most successfully following only one flag and repair strategy. Caregivers were the primary speakers (67%); their communication preceded most breakdown (65%), and they primarily initiated the repairs after a breakdown (70%). Common repair strategies included clarifications (31%), asking questions (24%), and repeating information (24%). Associations between communication strategies and repair success will provide evidence for caregiver training.
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