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Relationships between appraisals of caregiver communication strategies and burden among spouses and adult children

Published online by Cambridge University Press:  24 March 2011

Marie Y. Savundranayagam  and
J. B. Orange
Marie Y. Savundranayagam*
Affiliation:
Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, Milwaukee, USA
J. B. Orange
Affiliation:
School of Communication Sciences and Disorders, University of Western Ontario, London, Ontario, Canada
*
Correspondence should be addressed to: Marie Y. Savundranayagam, Helen Bader School of School of Social Welfare, University of Wisconsin–Milwaukee, 1059 Enderis Hall, P.O. Box 786, Milwaukee, WI 53201, USA. Phone: +1 (414) 229-6034; Fax: +1 (414) 229-5311. Email: maries@uwm.edu.
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Abstract

Background: The purpose of this study was to investigate the impact of caregivers’ appraisals of the effectiveness of their own communication strategies on caregiver burden when caring for family members with Alzheimer's disease (AD).

Methods: Family caregivers (N = 84) of participants with AD completed questionnaires appraising communication strategies, problem behaviors, and levels of three types of burden.

Results: Hierarchical linear regression models revealed that effective strategies and kinship status were significantly linked with stress burden, whereas effective strategies and problem behaviors were significantly related to relationship burden. Cognitive status of participants with AD significantly predicted objective burden. Caregivers who rated effective strategies as helpful were more likely to experience lower levels of stress and relationship burden.

Conclusions: Findings provide preliminary support for understanding mechanisms by which the appraisals of communication strategies influence caregiver burden and justify testing empirically derived communication interventions.

Keywords

Alzheimer's diseasefamily caregiversverbal breakdownslanguage techniques
Type
Research Article
Information
International Psychogeriatrics , Volume 23 , Issue 9 , November 2011 , pp. 1470 - 1478
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Bourgeois, M. S. (2002). The challenge of communicating with persons with dementia. Alzheimer's Care Quarterly, 3, 132.Google Scholar
Bourgeois, M. S., Burgio, L. D., Schulz, R., Beach, S. and Palmer, B. (1997). Modifying repetitive verbalizations of community-dwelling patients with AD. Gerontologist, 37, 30–39.CrossRefGoogle ScholarPubMed
Bourgeois, M. S., Dijkstra, K., Burgio, L. D. and Allen, R. S. (2004). Communication skills training for nursing aides of residents with dementia: the impact of measuring performance. Clinical Gerontologist, 27, 119–138.CrossRefGoogle Scholar
Gallagher-Thompson, D. and Coon, D. W. (2007). Evidence-based psychological treatments for distress in family caregivers of older adults. Psychology and Aging, 22, 37–51.CrossRefGoogle ScholarPubMed
Gentry, R. A. and Fisher, J. E. (2007). Facilitating conversation in elderly persons with Alzheimer's disease. Clinical Gerontologist, 31, 77–98.CrossRefGoogle Scholar
Gibson, M. J. and Houser, A. N. (2007). Valuing the Invaluable: A New Look at the Economic Value of Family Caregiving. Washington, DC: AARP Public Policy Institute.Google Scholar
Hooker, K., Monahan, D. J., Bowman, S. R., Frazier, L. D. and Shifren, K. (1998). Personality counts for a lot: predictors of mental and physical health of spouse caregivers in two disease groups. Journals of Gerontology: Psychological Sciences, 53, P73–P85.CrossRefGoogle ScholarPubMed
Hopper, T. (2001). Indirect interventions to facilitate communication in Alzheimer's disease. Seminars in Speech and Language, 22, 305–315.CrossRefGoogle ScholarPubMed
Mahendra, N., Kim, E. S., Bayles, K. A., Hopper, T., Cleary, S. J. and Azuma, T. (2005). Evidence-based practice recommendations for working with individuals with dementia: computer-assisted cognitive interventions (CACIs). Journal of Medical Speech-Language Pathology, 13, xxxv–xliv.Google Scholar
Molloy, D. W., Alemyaheu, E. and Roberts, R. (1991). Reliability of a standardized Mini-Mental State Examination compared with the traditional Mini-Mental State Examination. American Journal of Psychiatry, 148, 102–105.Google ScholarPubMed
Montgomery, R. J. V., Borgatta, E. F. and Borgatta, M. L. (2000). Societal and family change in the burden of care. In Liu, W. T. and Kendig, H. (eds.), Who Should Care for the Elderly? An East-West Value Divide (pp. 27–54) New Jersey: World Scientific.CrossRefGoogle Scholar
Murray, J., Schneider, J., Banerjee, S. and Mann, A. (1999). Eurocare: a cross-national study of co-resident spouse carers for people with Alzheimer's disease. II. A qualitative analysis of the experience of caregiving. International Journal of Geriatric Psychiatry, 14, 662–667.3.0.CO;2-4>CrossRefGoogle Scholar
Orange, J. B., Lubinski, R. B. and Higginbotham, D. J. (1996). Conversational repair by individuals with dementia of the Alzheimer's type. Journal of Speech and Hearing Research, 39, 881–895.CrossRefGoogle ScholarPubMed
Orange, J. B., Lubinski, R., Johnson, A., Purves, B. and Small, J. V. (2009). Validity analysis of a measure of conversation in dementia. Clinical Aphasiology Conference (p. 15) Keystone Colorado: Conference Proceedings.Google Scholar
Perry, J., Galloway, S., Bottorff, J. L. and Nixon, S. (2005). Nurse-patient communication in dementia: improving the odds. Journal of Gerontological Nursing, 31, 43–52.CrossRefGoogle ScholarPubMed
Pinquart, M. and Sorensen, S. (2003). Associations of stressors and uplifts of caregiving with caregiver burden and depressive mood: a meta-analysis. Journal of Gerontology: Psychological Sciences, 58, P112–P128.CrossRefGoogle ScholarPubMed
Pinquart, M. and Sorensen, S. (2007). Correlates of physical health of informal caregivers: a meta-analysis. Journals of Gerontology: Psychological Sciences, 62, P126–P137.CrossRefGoogle ScholarPubMed
Potkins, D. et al. (2003). Language impairment in dementia: impact on symptoms and care needs in residential homes. International Journal of Geriatric Psychiatry, 18, 1002–1006.CrossRefGoogle ScholarPubMed
Ripich, D. N., Ziol, E. and Lee, M. M. (1998). Longitudinal effects of communication training on caregivers of persons with Alzheimer's disease. Clinical Gerontologist, 19, 37–55.CrossRefGoogle Scholar
Rochon, E., Waters, G. S. and Caplan, D. (1994). Sentence comprehension in patients with Alzheimer's disease. Brain and Language, 46, 329–349.CrossRefGoogle ScholarPubMed
Roth, D. L. et al. (2003). Psychometric analysis of the Revised Memory and Behavior Problems Checklist: factor structure of occurrence and reaction ratings. Psychology and Aging, 18, 906–915.CrossRefGoogle ScholarPubMed
Santo Pietro, M. J. and Ostuni, E. (2003). Successful Communication with Persons with Alzheimer's Disease: An Inservice Manual. St. Louis, MO: Butterworth Heinemann.Google Scholar
Savundranayagam, M. Y., Hummert, M. L. and Montgomery, R. J. V. (2005). Investigating the effects of communication problems on caregiver burden. Journal of Gerontology: Social Sciences, 60B, S48–S55.CrossRefGoogle Scholar
Savundranayagam, M. Y. and Montgomery, R. J. V. (2010). Impact of role discrepancies on caregiver burden among spouses. Research on Aging, 32, 175–199.CrossRefGoogle Scholar
Schulz, R. and Beach, S. R. (1999). Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. JAMA, 282, 2215–2219.CrossRefGoogle ScholarPubMed
Small, J. A. and Perry, J. (2005). Do you remember? How caregivers question their spouses who have Alzheimer's disease and the impact on communication. Journal of Speech, Language, and Hearing Research, 48, 125–136.CrossRefGoogle Scholar
Small, J. A., Kemper, S. and Lyons, K. (1997). Sentence comprehension in Alzheimer's disease: effects of grammatical complexity, speech rate, and repetition. Psychology and Aging, 12, 3–11.CrossRefGoogle ScholarPubMed
Small, J. A., Geldart, K. and Gutman, G. (2000). Communication between individuals with dementia and their caregivers during activities of daily living. American Journal of Alzheimer's Disease and Other Dementias, 15, 291–302.CrossRefGoogle Scholar
Small, J. A., Gutman, G., Makela, S. and Hillhouse, B. (2003). Effectiveness of communication strategies used by caregivers of persons with Alzheimer's disease during activities of daily living. Journal of Speech, Language, and Hearing Research, 46, 353–367.CrossRefGoogle ScholarPubMed
Smith, E. R. et al. (2011). Memory and communication support in dementia: research-based strategies for caregivers. International Psychogeriatrics, 23, 256–263.CrossRefGoogle ScholarPubMed
Talerico, K. A., Evans, L. K. and Strumpf, N. E. (2002). Mental health correlates of aggression in nursing home residents with dementia. The Gerontologist, 42, 169–177.CrossRefGoogle ScholarPubMed
Talley, R. C. and Crews, J. E. (2007). Framing the public health of caregiving. American Journal of Public Health, 97, 224–228.CrossRefGoogle ScholarPubMed
Tappen, R. M., Williams-Burgess, C., Edelstein, J., Touhy, T. and Fishman, S. (1997). Communicating with individuals with Alzheimer's disease: examination of recommended strategies. Archives of Psychiatric Nursing, 11, 249–256.CrossRefGoogle ScholarPubMed
Tomoeda, C. K., Bayles, K. A., Boone, D. R., Kaszniak, A. W. and Slauson, T. J. (1990). Speech rate and syntactic complexity effects on the auditory comprehension of Alzheimer patients. Journal of Communication Disorders, 23, 151–161.CrossRefGoogle ScholarPubMed
Vasse, E., Vernooij-Dassen, M., Spijker, A., Rikkert, M. O. and Koopmans, R. (2010). A systematic review of communication strategies for people with dementia in residential and nursing homes. International Psychogeriatrics, 22, 189–200.CrossRefGoogle ScholarPubMed
Volicer, L. and Bloom-Charette, L. (1999). Assessment of quality of life in advanced dementia. In Volicer, L. and Bloom-Charette, L. (eds.), Enhancing the Quality of Life in Advanced Dementia (pp. 3–20). Philadelphia: Taylor & Francis.Google Scholar