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OBJECTIVE To enhance verbal communication between patients and caregivers

Enhancing verbal communication between Alzheimer’s disease patients and caregivers: linguistic and social strategies Alegria, RP¹’² , Santana, CM², Gallo, CP²; Bolso, MG²; Bottino, CMC²; Nogueira, MI¹

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OBJECTIVE To enhance verbal communication between patients and caregivers

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  1. Enhancing verbal communication between Alzheimer’s disease patients and caregivers: linguistic and social strategies Alegria, RP¹’² , Santana, CM², Gallo, CP²; Bolso, MG²; Bottino, CMC²; Nogueira, MI¹ ²School of Medicine, University of São Paulo, ¹Neuroscience and Behavior, Institute of Psychology, University of São Paulo, São Paulo, Brazil

  2. OBJECTIVE To enhance verbal communication between patients and caregivers

  3. METHODS N = 46 total; 23 with AD 13 F e 10 M. 12 mild and 11 moderate. 72 to 86 years old. PROTER’ Old Age Group, Hospital das Cinicas, Instittute of Psychiatry, School of Medicine, University of São Paulo. 23 controls, 15 Female 8 Male. Age 65 to 89 years old. DSM-IV- American Psychiatry Association Committee on Nomenclature and Statistics. Diagnostic and Statistical Manual of Mental Disorders -IV e do NINCDS-ADRDA. Ethic Commitee of the School of Medicine USP. , September, .2010

  4. Exclusion Criteria Patients: - Mini Mental State Exam < 12 - Associated brain illness to AD - Presençe of significant sensorial alteration: visual and auditive - History of alcohol and drug abuse Controls: - Presence of brain illness - Mini Mental State Exam < 21 - 6 or more in the Self-Reporting Questionnaire 20 (SRQ-20) - History of alcohol and drug abuse

  5. Stablex Méthod of lexical, textual and discursive analysis- It is statistical, parametric and inductive method. For this study it was used the 2004 version, Camlong and Beltram. Stablex creates vocabularies: preferential, basic and differential. the most important is the preferntial. It selects the most valued lexical items, it organizes the lexical itens by their values. Stablex has several tools for analysing the lexical itens by means of parametric statistical calculation. To conclude from the values.

  6. General Procedure Interview Themes: city, education, family, health, food and religion Length: 20 minutes Venue Outpatient Ambulatory of Dementia of the PROTER- Old Age Program – Institute of Psychiatry, Hospital das Clínicas, Schoo of Medicine of the University of São Paulo,. Controls, caregivers, relatives of the patients were interviewed at the ambulatory and at their houses.

  7. Table 1. Demográfic and clinic data of patients. 12 lmild, 11 moderadte, mean age 81.67 moderate and 77.67 mild, Schooling. 8.36 moderate and 10.33 mild , 4 university degree, 2 M and. MEEM, 24.33 mild and 16.91 moderate

  8. Table 2. Demographic and clinical of controls. n= 23 (M= 8,F= 13).Mean age 76,57, scooling , 8.78, MMSE 28.17*Self Reporting Questionnaire 20 ,

  9. Analysis of the interviews of the groups The second stage, the results from Stablex were analized with Chi Square , Mann Whitney and Kruskal-Wallis tests. Analysis of the values given by Stablex Words from 1.96 and above are prefferentials, Between 1.96 and - 1.96 baasic . Values below -1.96 differentials. Particular words are part of the prefferential vocabulary.

  10. Grphic 1:. Percentage prefferential lexicon

  11. Graphic 2: Percentage of basic lexicon

  12. Graphic 3: Percentage of differential lexicon

  13. Graphic 4: Percentage of particular lexicon

  14. Selection of words and nouns from the lexicons The analysis of TVL Table of Lexical Values of patients were approximately 8.750 lines of words in the EXCEL, while controls lines were 14.250, 5.500 lines of words more than the controls. The tem grammar classes and some subclasses of Brazilian Portuguese were selected and categorized according to some contemporary authors.

  15. Table 3: Results of variablless. Groupo 1 = controls; groupo 2 = patients mild groupo 3 = patients x moderate

  16. Table: 4 Multiple Comparison (Teste Mann-Whitney)

  17. Table 4. General Linear Model (influence of sociodemographiy in the variables)

  18. Tabela 5. Modelo Linear Geral (influência de dados sociodemográficos nas variáveis)

  19. Discussion Kruskas-Willis test for the hapax shows. p<0.000, Mild and moderate patients preserve the words of cultural and sociolinguistic use and what they used more, while they lose the basic and common words . Verbs and Nouns Nouns for living are lost before the non living and they are consistent with the international literature. Verbs are lost before the nouns, possibly because they are adquired after nouns and because they are in frointal areas of the brain, but that does n ot explain the deficit, because the temporal areas are first affected in AD.

  20. THANK YOU VERY MUCH • realegrias@usp.br

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