{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T18:44:27Z","timestamp":1767897867432,"version":"3.49.0"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T00:00:00Z","timestamp":1668643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Lang &amp; Comm Disor"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Communication difficulties are common in people with dementia, and often present from an early stage. However, direct treatment options for people with dementia that positively influence their daily communication are scarce.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To evaluate the potential impact and feasibility of a personalized logopaedic intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods &amp; Procedures<\/jats:title><jats:p>A total of 40 community\u2010dwelling persons with dementia and their caregivers were recruited. Five experienced speech and language therapists (SLTs) delivered the six\u2010session Com\u2010mens intervention at home. Com\u2010mens aims to improve positive communication between people with dementia and their primary caregivers and comprises five elements: interactive history\u2010taking, dynamic observational assessment, education about the consequences of dementia on communication, development and use of personalized communication tools, use motivational, and person\u2010centred strategies by the SLT. We conducted a single\u2010group mixed\u2010methods pilot study with five measurements: baseline, directly after intervention, and at 3, 6 and 9 months follow\u2010up. Semi\u2010structured interviews and questionnaires for Experienced Communication in Dementia, quality of life, psychological well\u2010being and caregiver burden were conducted. Process evaluation was performed by interviewing participants, drop\u2010outs, SLTs and other stakeholders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Outcomes &amp; Results<\/jats:title><jats:p>A total of 32 dyads completed the intervention. Repeated measures analyses revealed no significant changes over time. In the interviews, participants reported a positive impact on their feelings, increased communication skills and better coping with the diagnosis. Participants would recommend the intervention to others. Facilitators were timely delivery, personalized content and adequate reimbursement. Barriers were unfamiliarity with Com\u2010mens among referrers, an overburdened caregiver or disrupted family relationships.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions &amp; Implications<\/jats:title><jats:p>This newly developed logopaedic intervention is feasible and has a perceived positive impact on both people with dementia and their caregivers, which is confirmed by a stable pattern over a period of 1 year. Future comparative studies are needed to test the effectiveness of personalized interventions in this patient population.<\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds<\/jats:title><jats:sec><jats:title>What is already known on the subject?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>SLTs are experts in the field of communication, but even though communication problems are common between people with dementia and their caregivers, there is a lack of logopaedic guidelines and materials for the direct treatment for this population. Interventions that are available either focus on (professional) caregivers only or aim to enhance cognitive functioning and do not target on joined communication.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What this paper adds to the existing knowledge?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>A newly developed intervention called Com\u2010mens can be provided by trained SLTs and takes an average of six 1\u2010h sessions. The intervention is perceived to be valuable and feasible for people with dementia and their caregivers, by the participants themselves, as well as by healthcare professionals and other stakeholders.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><jats:sec><jats:title>What are the potential or actual clinical implications of this work?<\/jats:title><jats:p><jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>Dissemination of this intervention will give SLTs skills, tools and materials to provide meaningful care to home\u2010dwelling persons with dementia and their caregivers. Also, persons with dementia and their caregivers will receive education and materials that can help them increase their understanding of communication problems, enhance their communication skills and better cope with the communication problems that result from dementia. We consider the Com\u2010mens intervention to be a valuable addition to the field of speech language therapy and dementia.<\/jats:p><\/jats:list-item><\/jats:list><\/jats:p><\/jats:sec><\/jats:sec>","DOI":"10.1111\/1460-6984.12811","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T12:46:33Z","timestamp":1668689193000},"page":"704-722","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Com\u2010mens: a home\u2010based logopaedic intervention program for communication problems between people with dementia and their caregivers \u2014 a single\u2010group mixed\u2010methods pilot study"],"prefix":"10.1111","volume":"58","author":[{"given":"Maria W. L. 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