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Increasing conversations between older adults with dementia using textual stimuli

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Abstract

Dementia often leads to behavior changes such as deficits in communication and social interaction; one effective antecedent strategy for improving communication involves rearranged or supplemental stimuli. In the present study, researchers placed individualized textual prompts on the dinner table of three women at an assisted-living facility. Textual stimuli included prompts such as "Debbie, ask Pat where she liked to travel," and led to increases in conversation duration. The results suggest that antecedent interventions can improve social interactions for individuals with dementia with minimal involvement of caregivers.

  • Textual prompts may improve social communication between individuals with dementia.

  • Salient stimuli, such as participants' names, may be necessary to facilitate conversation.

  • The textual intervention requires minimal training and response effort from caregivers and care staff.

  • Improvements in conversation duration maintained at 6 months post-study.

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Acknowledgements

The authors thank Trisha Mitra for her help with data collection. The authors thank Kenn Stamp for creating the mockup of the display shown in Fig. 2.

Availability of data and material

Data collected and analyzed during this study are included in this article. Our raw data and study materials are available from the corresponding author upon reasonable request.

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Correspondence to Celeste Harvey.

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The authors declare that they have no conflicts of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Florida Tech, #17-022) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from caregivers of the individual participants included in this study. This article does not contain identifying information about any of the participants.

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Rajagopal, S., Carlos, D., Gokey, K. et al. Increasing conversations between older adults with dementia using textual stimuli. Behav Analysis Practice 15, 1326–1336 (2022). https://doi.org/10.1007/s40617-022-00697-6

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  • DOI: https://doi.org/10.1007/s40617-022-00697-6

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