Psychometric Analysis of the Emotional Tone Rating Scale: A Measure of Person-Centered Communication.

Psychometric analysis of the Emotional Tone Rating Scale (ETRS) was completed using ratings of naïve listeners who evaluated staff-resident communication in three nursing homes. Interrater consistency was high with ICC (2, 1) for agreement = 0.95 and consistency = 0.95. Factor analysis revealed two factors-person-centered communication and controlling communication-that explained 84.8% of the variance. Person-centered communication included seven descriptors (items) with loadings ranging from 0.84 to 0.98 and a coefficient alpha of 0.98. Controlling communication included five items that loaded from -0.63 to .99 with a coefficient alpha of 0.94. These factors were negatively correlated p = -.64 and demonstrated good ranges, standard deviations, and high item-total correlations. Person-centered communication correlated with higher resident engagement in conversation in contrast to controlling communication. The ETRS provides a measure of person-centered communication that can be used to evaluate interactions between nursing staff and older adults who reside in long term care settings.

Older adults in prime-time television dramas in Taiwan: prevalence, portrayal, and communication interaction.

A content and thematic analysis of 109 episodes (94.9 h) of prime-time dramas examined the portrayals of aging and the nature of intergenerational interaction involving older adults on Taiwanese television. The content analysis revealed that older characters, regardless of sex, appeared less frequently and in less prominent roles than other adult characters, but not in comparison to adolescents and children. The older characters who did appear, however, were predominantly portrayed as cognitively sound and physically healthy. The thematic analysis provided a different picture, showing that older characters talked about age explicitly, strategically linking it to death and despondence, to influence younger characters. Communication behavior themes identified included supporting, superiority, and controlling for older characters, and reverence/respect for younger characters. Findings are compared to those from similar studies of U.S. media and discussed from a Cultivation Theory perspective in terms of their reinforcement of Chinese age stereotypes and the traditional values of filial piety and age hierarchy in the context of globalization and culture change.

College students' multiple stereotypes of lesbians: A cognitive perspective.

This paper examines stereotypes of lesbians held by college students. Multiple stereotypes are elicited from a free response trait listing task, followed by a sorting task. The results of the sorting task are submitted to cluster analysis and multidimensional scaling to reveal the complexity of cognitive representations of this group. Eight types are described, reflecting underlying distinctions between positive perceptions (e.g., lipstick lesbian, career-oriented feminist) and negative perceptions (e.g., sexually deviant, angry butch) and also between relative strength and weakness. The research is discussed in terms of cognitive perspectives on stereotyping and gender inversion theory. Suggestions for future research are provided.

Enhancing communication with older adults: overcoming elderspeak.

Because communication behaviors are difficult to change, practicing speech without elderspeak is helpful in preparing for actual clinical situations. The Communication Enhancement Model describes potential benefits of eliminating elderspeak in speech to older adults. Minimizing the use of elderspeak is hypothesized to reduce stereotype-based messages that older adults are incompetent and dependent. An improved communication environment promotes the cognitive and functional abilities of older adults. Achieving optimal communication environments may contribute to higher levels of well-being for older adults and to increased quality of life. Young adult care providers also may benefit from increased job satisfaction if they relate closely with care recipients.

Investigating the effects of communication problems on caregiver burden.

OBJECTIVE: The goal of this study was to explore the relationship between communication problems associated with dementia and caregiver burden, within the context of problem behaviors and cognitive and functional abilities of the care recipient. METHODS: A scale on communication problems associated with dementia was developed and administered to 89 family caregivers. Participants also completed measures of care-recipient cognitive and functional status, problem behavior, and caregiver burden (demand, stress, and objective burden). RESULT: Analyses using structural equation modeling showed that care-recipient cognitive and functional status indirectly predicted problem behaviors via communication problems. The status indicators also directly predicted demand burden. In addition, problem behaviors mediated the relationship between communication problems and all forms of burden. DISCUSSION: The study findings not only lend further support to the existing literature that has documented problem behaviors as strong predictors of burden but also emphasize the importance of communication problems in the caregiving process.

Enhancing communication with older adults: overcoming elderspeak.

Gerontological nurses promote health and successful aging for a growing population of older adults. Care providers unknowingly may communicate messages of dependence, incompetence, and control to older adults by using elderspeak, a speech style similar to baby talk, that fails to communicate appropriate respect. This article describes a communication training program that significantly reduced the use of elderspeak by nursing assistants and led t more respectful, less controlling, and equally as caring communication between nursing assistants and nursing home residents. Strategies to use in evaluating and enhancing interpersonal communication with older clients are provided. Therapeutic communication is a critical tool for nurses who provide health care to the growing populati of older adults.

How young and older adults differ in their responses to perceived age discrimination.

The authors examined the consequences of perceived age discrimination for well-being and group identification. The rejection-identification model suggests that perceived discrimination harms psychological well-being in low status groups but that group identification partially alleviates this effect. The authors hypothesized that this process model would be confirmed among older adults because their low status group membership is permanent but not confirmed among young adults whose low status is temporary. Using structural equation modeling, the authors found support for the hypothesized direct negative link between perceived age discrimination and well-being among older adults, with increased age group identification partially attenuating this effect. For young adults, these relationships were absent. Differences in responses to discrimination appear to be based on opportunities for leaving a low status group.

Improving nursing home communication: an intervention to reduce elderspeak.

PURPOSE: Opportunities for social interaction are lacking within today's nursing homes and staff frequently communicate messages of dependence, incompetence, and control to residents. This study evaluated a brief educational program designed to increase staff awareness of intergenerational speech modifications such as elderspeak and strategies to enhance communication. DESIGN AND METHODS: A communication-training program was provided to Certified Nursing Assistants (CNAs; n = 20) in five nursing homes. Audio recordings of staff interacting with residents before and after training were transcribed, coded, and compared on features of elderspeak. RESULTS: After the training, CNAs reduced their use of elderspeak including terms of endearment, inappropriate collective pronouns, and shortened sentence length. In addition, the emotional tone of staff speech with residents was rated as less controlling and more respectful after the training while caring qualities were maintained. Speech rate did not change significantly. IMPLICATIONS: Teaching CNAs to reduce elderspeak holds promise as an approach to improving the social environment in nursing homes.

Using the implicit association test to measure age differences in implicit social cognitions.

Two studies investigated the use of the Implicit Association Test (IAT; A. G. Greenwald, D. E. McGhee, & J. L. K. Schwartz, 1998) to study age differences in implicit social cognitions. Study I collected IAT (implicit) and explicit (self-report) measures of age attitudes, age identity, and self-esteem from young, young-old, and old-old participants. Study 2 collected IAT and explicit measures of attitudes toward flowers versus insects from young and old participants. Results show that the IAT provided theoretically meaningful insights into age differences in social cognitions that the explicit measures did not, supporting the value of the IAT in aging research. Results also illustrate that age-related slowing must be considered in analysis and interpretation of IAT measures.