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Abstract
Little attention has been given to sociable/unsociable communication in persons with
dementia despite the importance of these behaviors in maintaining engagement in marital
relationships. An observational measure of verbal and nonverbal communication in persons
with dementia (Verbal and Nonverbal Interaction Scale-CR) who were engaged in conversations
with spouses was tested for reliability and validity. Married persons with dementia
were video-recorded at home conversing with spouses over 10 weeks (N = 118 recordings).
Reliability [inter-coder (.92), test-retest (r =.61-.77), internal consistency (α
=.65 -.79)] were adequate. Following an intervention, the Verbal and Nonverbal Interaction
Scale-CR predicted improved communication over 10 weeks. The ratio of sociable to
unsociable communication improved by 4.46 points per session [β = 4.46, t(10) = 1.96,
p =.039]. VNVIS-CR is recommended to describe sociable and unsociable communication
in persons with dementia as they engage in conversations with spouses.