Table 2.
Included studies.
| Study | Environment | Design | Sample | Intervention |
|---|---|---|---|---|
| Acton et al. (2007) [89] | Nursing home | Pretest posttest | 9 women, 1 man diagnosed with dementia, mean age 81 years (range: 76–88); MMSE range: 2–25 | Individualized communication prescriptions developed using Kitwood's strategies for enhancing social communication. |
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| Allen-Burge et al. (2001) [88] | Nursing home | Pretest posttest | 10 individuals enrolled, 8 completed; | Memory book plus training for nursing assistants (2 2-hour education session plus “hands-on” training, staff taught to monitor and record their use of communication skills. |
| 2 men, 6 women, mean age 76.9 (11.7) years, average MMSE 16.25 (5.39), 5 diagnosed with dementia, 3 with “questionable dementia” | ||||
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| Bourgeois (1990) [27] | Community | Multiple baseline single subject | 3 women, diagnosed with probable AD, aged 59–66, MMSE 12–18, | Memory book plus spouse trained to train the participant to converse using the memory book |
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| Bourgeois (1992) [90] | Community | Multiple baseline single subject | 3 women, 6 men, aged 67–93, MMSE 11–21 | Memory book with or without primary caregiver trained to train the participant to converse using the memory book. |
|
| ||||
| Bourgeois and Mason (1996) [24] | Daycare centre | Multiple baseline single subject | 2 women, 2 men, 2 diagnosed with AD, 1 with possible AD, 1 with senile dementia, aged 74–80, MMSE 7–21 | Memory wallets plus training for daycare volunteers |
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| Bourgeois et al. (2001) [25] Dijkstra et al. (2002) [87] | Nursing home | Lower-quality RCT | Intervention group: 4 men, 29 women, mean age 85.7 (5.2), mean MMSE 11.9 (6.9) | Memory book plus training for nursing assistants (both education sessions and training during care—average of 8 sessions overall) |
| Control group: 8 men, 25 women, mean age 84.3 (6.6), mean MMSE 13.1 (7.1) | ||||
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| ||||
| Burgio et al. (2001) [30] | Nursing home | Lower-quality | Intervention group: 9 men, 25 women, mean age 81.8 (8.9), 52.9% had a diagnosis of dementia in chart, mean MMSE 13.5 (6.7) | Memory book plus training (use of memory book plus general communication skills and hands-on training). |
| Control group: 8 men, 25 women, mean age 82.4 (7.1), 72.7% had a diagnosis of dementia in chart, mean MMSE 12.9 (6.0) | ||||
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| Cott et al. (2002) [91] | Nursing home | High-quality RCT | Talk only group: 10 men, 15 women, mean age 81.7 (7.34), mean MMSE 5.4 (6.0) | Talk only: conversation while sitting with another resident and an RA, 30 min/day, 5 days/week × 16 weeks |
| Walk and talk group: 14 men, 16 women, mean age 83.2 (8.3), mean MMSE 6.2 (6.2) | Walk and talk: Supervised walking and conversation with another resident (prompts from RA) 30-min/day, 5 days/week × 16 weeks. | |||
| Control group: 11 men, 8 women, mean age 79.8 (8.3), mean MMSE 6.3 (7.5) | Control group: neither intervention. | |||
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| Gentry and Fisher (2007) [92] | Community-dwelling | Pretest posttest | 3 men, diagnosed with Alzheimer's disease, MMSE 24, 20 and 8 | Direct versus indirect listener communication repair. |
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| Hoerster et al. (2001) [93] | Nursing home | Multiple baseline single subject | 4 women aged 83–90, 2 diagnosed with AD, 1 with multi-infarct dementia, 1 with organic brain syndrome | Memory book plus investigator training of participant and instructions to caregiver. |
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| McCallion et al., (1999) [94] | Nursing home | Lower-quality RCT | Intervention group: 2 men, 30 women, mean age 86.4 (6.6), mean MMSE 5.8 (6.3) | Family visit intervention program: 4 90-minute group education sessions plus personalized feedback to family members on their interactions with participant. |
| Control group: 12 men, 22 women, mean age 85.5 (6.7), mean MMSE 8.0 (7.1) | ||||
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| Pietro and Boczko (1998) [95] | Nursing home | Nonrandomized controlled trial | Intervention group: 20 participants, mean age 84.6 years (4.7), mean MMSE 15.6 (4.0) range 8–21 | Breakfast club (breakfast-related activity plus structured conversation 5× /week over 12 weeks) versus conversation group. |
| Control group: 20 participants, mean age 86.2 years (6.0), mean MMSE 13.8 (4.8) range 5–24 | ||||
| Spilkin and Bethlehem (2003) [96] | Nursing home | Case study | 1 man, 85 years of age, AD for 7 years, CDR rating of 3 | Memory book, handout on basic strategies of communication given to daughter, 1-hour instructional workshop developed from conversational analysis of 2 10-minute interactions with his daughter. |