NDLI: Exploration of verbal repetition in people with dementia using an online symptom-tracking tool.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Reeve, Emily Molin, Pierre Hui, Amaris Rockwood, Kenneth
Description	Country affiliation: Canada Author Affiliation: Reeve E ( Geriatric Medicine Research Unit,Dalhousie University and Capital Health,Halifax,Nova Scotia,Canada.); Molin P ( Division of Geriatric Medicine,Dalhousie University,Halifax,Nova Scotia,Canada.); Hui A ( Geriatric Medicine Research Unit,Dalhousie University and Capital Health,Halifax,Nova Scotia,Canada.); Rockwood K ( Geriatric Medicine Research Unit,Dalhousie University and Capital Health,Halifax,Nova Scotia,Canada.)
Abstract	BACKGROUND: Online tools can be used by people with dementia and their caregivers to self-identify and track troubling symptoms, such as verbal repetition. We aimed to explore verbal repetition behaviors in people with dementia. METHODS: Participants were recruited via an online resource for people with dementia and their caregivers. Respondents were instructed to complete information about symptoms that are most important to them for tracking over time. In this cross-sectional study, we analyzed data pertaining to individuals with dementia who had at least three symptoms selected for tracking. RESULTS: Of the 3,573 participants who began a user profile, 1,707 fulfilled criteria for analysis. Verbal repetition was identified as a treatment target in 807 respondents (47.3%). Verbal repetition was more frequent in individuals with mild dementia compared to those with moderate and severe dementia (57.2% vs. 36.0% and 39.9%, p < 0.01) and in those with Alzheimer's disease versus other dementias (65.2% vs. 29.7%, p < 0.001). Repetitive questioning was the most frequent type of verbal repetition (90.5% of individuals with verbal repetition). Verbal repetition was most strongly associated with difficulties operating gadgets/appliances (OR 3.65, 95%CI: 2.82-4.72), lack of interest and/or initiative (3.52: 2.84-4.36), misplacing or losing objects (3.25: 2.64-4.01), and lack of attention and/or concentration (2.62: 2.12-3.26). CONCLUSIONS: Verbal repetition is a common symptom in people at all stages of dementia but is most commonly targeted for monitoring and treatment effects in its mild stage. Much research is required to further elucidate the underlying mechanisms and the effect of different treatment strategies.
File Format	HTM / HTML
ISSN	10416102
Journal	International Psychogeriatrics
e-ISSN	1741203X
Language	English
Publisher	Cambridge University Press
Publisher Date	2017-03-09
Publisher Place	Great Britain (UK)
Access Restriction	Subscribed
Subject Keyword	Discipline Psychiatry Discipline Geriatrics
Content Type	Text
Resource Type	Article
Subject	Gerontology Clinical Psychology Geriatrics and Gerontology Psychiatry and Mental Health

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