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The Gerontologist 43:242-247 (2003)
© 2003 The Gerontological Society of America

Improving Nursing Home Communication: An Intervention to Reduce Elderspeak

Kristine Williams1,, Susan Kemper2 and Mary Lee Hummert2

Correspondence: Address correspondence to Kristine Williams, Assistant Professor, University of Kansas School of Nursing, 3901 Rainbow Blvd., Kansas City, KS 66160. E-mail: kwilliams1{at}kumc.edu

Purpose: Opportunities for social interaction are lacking within today's nursing homes and staff frequently communicate messages of dependence, incompetence, and control to residents. This study evaluated a brief educational program designed to increase staff awareness of intergenerational speech modifications such as elderspeak and strategies to enhance communication. Design and Methods: A communication-training program was provided to Certified Nursing Assistants (CNAs; n = 20) in five nursing homes. Audio recordings of staff interacting with residents before and after training were transcribed, coded, and compared on features of elderspeak. Results: After the training, CNAs reduced their use of elderspeak including terms of endearment, inappropriate collective pronouns, and shortened sentence length. In addition, the emotional tone of staff speech with residents was rated as less controlling and more respectful after the training while caring qualities were maintained. Speech rate did not change significantly. Implications: Teaching CNAs to reduce elderspeak holds promise as an approach to improving the social environment in nursing homes.

Key Words: Communication and aging • Staff training




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