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A study on assessment of communication in dementia

痴呆症患者沟通评估的研究

基本信息

批准号：
15500377
负责人：
HONDA Rumi
金额：
$ 1.15万
依托单位：
Prefectural University of Hiroshima (2005)Hiroshima Prefectual College of Health Sciences (2003-2004)
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2003
资助国家：
日本
起止时间：
2003 至 2005
项目状态：
已结题

项目摘要

The first object of this study was to revise our previously developed "Discourse Assessment Scale for Dementia" and improve its simplicity and handiness. In addition to detect communication deficits of people with dementia, we aimed at expanding it into a clinically useful assessment scale, which would also be able to evaluate the effectiveness of clinical intervention.In the first place, we made up a new version of the discourse assessment scale, which included the same contents as the original scale, but was modified in order to make assessment work easier. We compared the two scales in terms of inter-rater reliability and handiness, and found little difference between them.Second, we administered the discourse assessment and MMSE to people with Alzheimer's disease of a wide range of severity, and examined the correlation between the discourse performance and the general cognitive abilities measured by MMSE. There were statistically significant correlation coefficients between the step values of the discourse scale and MMSE score.We also gathered information on the actual state of dementia assessment and intervention by speech-language-hearing therapists (SLHT) in Japan. It turned out that many SLHTs experienced difficulty in conducting assessment and effective intervention.As a tool for communication intervention, we developed "the Memory Slide Show" and carried out a preliminary study to investigate the change of communication by the use of this tool. It was suggested that the slide show was useful for conversation, but that the communication performance fluctuated due to environmental differences.Further, we are planning to clarify the influence of the slide show on conversation and to examine the change of communication performance according to the listeners/caregiver, the topic of conversation, the communication setting, and other factors using our assessment scale.

本研究的第一个目的是修订我们先前发展的“失智症语篇评量量表”，使其更简单、更易操作。本研究旨在将其扩展为一个具有临床实用价值的评估量表，以检测痴呆患者的沟通障碍，并评估临床干预的有效性。首先，我们编制了一个新版本的话语评估量表，该量表包括与原量表相同的内容，但为了使评估工作更容易进行而进行了修改。其次，对不同严重程度的阿尔茨海默病患者进行了语篇评估和简易智能状态检查（MMSE），考察了语篇评估与MMSE测量的一般认知能力之间的相关性。语篇量表的阶跃值与MMSE评分之间的相关系数具有统计学意义。我们还收集了日本言语-语言-听力治疗师（SLHT）对痴呆症评估和干预的实际情况。结果发现，许多学生在进行评估和有效干预时遇到困难，我们开发了“记忆幻灯片”作为沟通干预的工具，并对使用该工具进行的沟通变化进行了初步研究。有人认为幻灯片对谈话是有用的，但由于环境的差异，沟通能力会发生波动。此外，我们计划弄清幻灯片对谈话的影响，并使用我们的评估量表，根据倾听者/护理者、谈话主题、沟通环境等因素，考察沟通能力的变化。