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Centre for Policy on Ageing | |
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Relationship between speaking English as a second language and agitation in people with dementia living in care homes
— results from the MARQUE (Managing Agitation and Raising Quality of life) English national care home survey | | Author(s) | C Cooper, R Rapaport, S Robertson |
| Journal title | International Journal of Geriatric Psychiatry, vol 33, no 3, March 2018 |
| Publisher | Wiley, March 2018 |
| Pages | pp 504-509 |
| Source | http://www.orangejournal.org |
| Keywords | Dementia ; Aggression ; Care homes ; Ethnic groups [elderly] ; Languages. |
| Annotation | Not speaking English as a first language may lead to increased difficulties in communication with staff and other residents. In this study the authors tested the primary hypothesis that care home residents with dementia speaking English as a second language experience more agitation and overall neuropsychiatric symptoms. A secondary aim of the study was to explore qualitatively how staff consider that residents' language, ethnicity and culture might impact on how they manage agitation. Between 2014 and 2015 staff, residents with dementia themselves and their family carers from 86 care homes were interviewed about residents' neuropsychiatric symptoms, agitation, life quality and dementia severity. 25 staff were also qualitatively interviewed. 71 out of 1,420 (5%) of care home residents with dementia interviewed spoke English as a second language. After controlling for dementia severity, age and sex, and accounting for care home and staff proxy clustering, speaking English as a second language compared with as a first language was associated with significantly higher Cohen-Mansfield Agitation Inventory and Neuropsychiatric inventory scores. Staff narratives described how linguistic and culturally isolating being in a care home where no residents or staff share one's culture or language could be for people with dementia, and how this sometimes caused or worsened agitation. Considering a person with dementia's need to be understood when selecting a care home and developing technology resources to enable dementia-friendly translation services could be important strategies for reducing distress of people with dementia from minority ethnic groups who live in care homes. (JL). |
| Accession Number | CPA-180323231 A |
| Classmark | EA: EPB: KW: F:TK: 6W |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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