{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T20:47:01Z","timestamp":1788900421116,"version":"build-2803163510"},"reference-count":59,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,10,24]],"date-time":"2013-10-24T00:00:00Z","timestamp":1382572800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Communication problems stemming from Alzheimer's disease (AD) often result in misunderstandings that can be linked with problem behaviours and increased caregiver stress. Moreover, these communication breakdowns also can result either from caregivers\u2019 use of ineffective communication strategies, which paradoxically are perceived as helpful, or can occur as a result of not using effective communication strategies that are perceived as unhelpful.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>The two primary aims were to determine the effectiveness of strategies used to resolve communication breakdowns and to examine whether caregivers\u2019 ratings of strategy effectiveness were consistent with evidence from video\u2010recorded conversations and with effective communication strategies documented in the literature.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>Twenty\u2010eight mealtime conversations were recorded using a sample of 15 dyads consisting of individuals with early, middle and late clinical\u2010stage AD and their family caregivers. Conversations were analysed using the trouble\u2010source repair paradigm to identify the communication strategies used by caregivers to resolve breakdowns. Family caregivers also rated the helpfulness of communication strategies used to resolve breakdowns. Analyses were conducted to assess the overlap or match between the use and appraisals of the helpfulness of communication strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>Matched and mismatched appraisals of communication strategies varied across stages of AD. Matched appraisals by caregivers of persons with early\u2010stage AD were observed for 68% of 22 communication strategies, whereas caregivers of persons with middle\u2010 and late\u2010stage AD had matched appraisals for 45% and 55% of the strategies, respectively. Moreover, caregivers of persons with early\u2010stage AD had matched appraisals over and above making matched appraisals by chance alone, compared with caregivers of persons in middle\u2010 and late\u2010stage AD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>Mismatches illustrate the need for communication education and training, particularly to establish empirically derived evidence\u2010based communication strategies over the clinical course of AD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1460-6984.12043","type":"journal-article","created":{"date-parts":[[2013,10,24]],"date-time":"2013-10-24T11:11:39Z","timestamp":1382613099000},"page":"49-59","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Matched and mismatched appraisals of the effectiveness of communication strategies by family caregivers of persons with Alzheimer's disease"],"prefix":"10.1111","volume":"49","author":[{"given":"Marie Y.","family":"Savundranayagam","sequence":"first","affiliation":[{"name":"School of Health Studies Western University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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