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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.

Khan, Z; Da Silva, MV; Nunez, K-M; Kalafatis, C; Nowicki, S; Walker, Z; Testad, I; ... Ballard, C; + view all (2021) Investigating the effects of impairment in non-verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia. Alzheimer's and Dementia: Translational Research and Clinical Interventions , 7 (1) , Article e12172. 10.1002/trc2.12172. Green open access

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Abstract

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.

Type: Article
Title: Investigating the effects of impairment in non-verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia.
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/trc2.12172
Publisher version: https://doi.org/10.1002/trc2.12172
Language: English
Additional information: © 2021 The Authors. Alzheimer's & Dementia: Translational Research & Clinical Interventions published by Wiley Periodicals, Inc. on behalf of Alzheimer's Association. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 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.
Keywords: care needs, dementia, neuropsychiatric symptoms, nursing homes, quality of life
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Division of Psychiatry
URI: https://discovery.ucl.ac.uk/id/eprint/10127992
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