ArticleDementia & neuropsychologia2026
A pilot study on factors linked to healthcare providers' communication with older adults.
Article in Dementia & neuropsychologia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Effective communication between caregivers and older adults is a key element of optimal care, both therapeutically and psychologically. However, it can be hampered by a variety of factors relating to the older adults, the caregiver, and the working environment. Objective: The aim of this study was to assess the communication skills of caregivers with older adults and to identify the factors likely to influence them in the Marrakech-Safi region. Methods: A cross-sectional survey was conducted between April and October 2024 among 731 caregivers working in healthcare facilities in the Marrakech-Safi region. Caregivers' communication was assessed using the Kalamazoo Essential Elements Communication Checklist-Adapted (KEECC-A). Multiple linear regression was used to determine potential factors influencing the KEECC-A score. Results: The mean overall KEECC-A score was 3.19±0.70. The lowest mean subscale scores were associated with reaching agreement (3.00±0.95), understanding the patient's perspective (3.07±0.95), gathering information (3.13±0.94), and closing the interview (3.17±0.97). Multivariate analysis revealed that stress (B=-0.181±0.065; p=0.006) and illiteracy among older adults (B=0.147±0.057; p=0.010) were the main factors influencing caregivers' communication skills. Conclusion: Although caregivers interact positively with illiterate older adults, stress has a negative impact on communication, highlighting the need for a holistic approach that considers both patient's needs and caregivers' work environment.
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