Investigating the effects of impairment in non-verbal communication on neuropsychiatric symptoms and quality of life of people living with dementia.

Abstract

IntroductionPeople living with dementia in nursing homes have complex needs; impairments in cognition, communication, and daily function; neuropsychiatric symptoms (NPS); and poor quality of life (QoL). The current study examines impairments in non‐verbal communication as a potential driver of NPS and QoL.MethodsOne hundred nursing home residents with dementia were assessed using the Emory Dyssemia Index (EDI), Neuropsychiatric Inventory Nursing Home version (NPI‐NH), Quality of Life in Alzheimer's Disease (QoL‐AD) at baseline, 12‐, and 24‐week follow‐up.ResultsThe quantile regression (0.5) model indicated that impairment of non‐verbal communication was independently associated with the severity of NPS (P = .001) and proxy reported QoL (P < .05), levels of agitation (P < .05), and professional caregiver burden (P < .05).DiscussionThese results highlight a novel potential approach to improve NPS and QoL using retained elements of non‐verbal communication, particularly for people with severe dementia.