Performance-based reinforcement of skills is effective in achieving greater immediate implementation and long-term maintenance of new skills use in practice. Recognizing the delay and incomplete adoption and application of evidence-based skills in practice, the PI and colleagues believe additional strategies to optimize CHATO skills implementation are indicated. To facilitate dissemination, interactive online CHAT modules have been developed (CHATO) which provides the same CHAT classroom content with the advantage of flexible access via the internet for busy NH staff, including those in rural areas and small, independent NHs. The subsequent CHAT R01 trial verified that staff reduced their use of elderspeak after attending the three-session Changing Talk (CHAT) communication training program, and that this reduced RTC. The R03 study established that residents with dementia are more than twice as likely to exhibit BPSD (measured by coding RTC behavior in videos) when staff use elderspeak instead of normal adult communication. Elderspeak conveys a message of disrespect and incompetence to residents who react with withdrawal or BPSD. The PI and other researchers have empirically verified that RTC occurs when NH staff use elderspeak (speech similar to baby talk) that features inappropriately intimate terms of endearment (diminutives such as "honey"), belittling pronoun substitutions that imply dependence ("the investigators" need a bath), and harsh task-oriented commands ("sit down"). Although Center for Medicare and Medicaid Services (CMS) mandates and penalties have reduced antipsychotic medication use slightly, contraindicated use in NH residents remains a pervasive problem, causing harmful side effects and reducing the quality of life for PWD. BPSD present to NH staff as resistiveness to care (RTC) that increases staff stress and costly time to complete care, often leading to staff turnover, injury, and inappropriate use of psychotropic medications to control BPSD. Care of PWD in NHs is complicated by behavioral and psychological symptoms of dementia (BPSD) such as aggression, vocal outbursts, wandering, and withdrawal that occur as PWD lose cognitive and communication abilities and cannot express their unmet physical and psychosocial needs. Why Should I Register and Submit Results?Ī new person is diagnosed with Alzheimer's disease or other dementia every 66 seconds, and most persons with dementia (PWD) spend the late stages of dementia in nursing homes (NHs) where lack of dementia care skills and staff shortages limit quality of care.Keep up the good work to the people that developed Speeko and keep on adding new content. It’s definitely an investment that will help you in life. I will continue using Speeko everyday to improve. Everyone that heard me came up to me and said they loved the speech and that I looked and sounded so calm and natural, little do they know, I was extremely nervous but we can keep that a secret. Needless to say, when the day came for my speech, I absolutely crushed it. I love how you can also practice and record your speech within Speeko and get feedback. I downloaded another app as well but I ended up sticking with this app as it was superior in every way.įor a full month before the day of my speech, I was using Speeko. Not only will it improve your public speaking skills, but it addresses other areas such as fear, anxiety and nervousness. My public speaking skills was definitely my weakest skill set. I downloaded Speeko as I had to make a speech. Hands down the best public speaking app in the market. Kudos to the developers and their hard work! The exercises are fun and silly in themselves and the graphics are incredibly cute. I hope more people can discover Speeko and use it as a tool for speaking authentically during those important moments in our lives. It's about speaking in our authentic voice to connect with the people around us. If I know I'm about to have a difficult conversation about a patient's diagnosis or the death of a loved one, this app helps me warm up and coaches me away from my anxiety and into a voice that is authentic, genuine, and human-centered. I work in healthcare and speak with patients and their loved ones every day. I'm incredibly impressed by Speeko and the variety of exercises it offers! While I consider myself to be a decent public speaker and I don't use Speeko daily, it has still helped me build confidence and discover and fine-tune my own voice when communicating with others.
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