Interviewing people living with cognitive impairment: a conversation analysis of supportive interactional practices.

Effective qualitative interviews with individuals with cognitive impairment require careful conversational strategies to maintain dignity, support engagement, and enable meaningful narrative co-construction. Despite recognition of these challenges, practical guidance on interviewer talk in dementia...

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Publicado en:Gerontologist Vol. 66; no. 7; pp. 1 - 12
Autor principal: Halpin, Sean N
Formato: Artículo
Publicado: Oxford University Press / USA Jul2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
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      pub: Oxford University Press / USA
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        au: Halpin, Sean N
        affil: RTI Health Solutions, Patient-Centered Outcome Assessments, Research Triangle Park, North Carolina, United States
      su:
        Nurse-patient relationships
        Conversation
        Interprofessional relations
        Qualitative research
        Speech
        Dignity
        Interviewing
        Emotions
        Memory
        Health facilities
        Affect (Psychology)
        Social support
        Patient participation
        Wit & humor
        Mental orientation
        Alzheimer's disease
        Data analysis
        Prompts (Psychology)
        Questionnaires
        Physiological aspects of speech
        Psychiatric nurses
        Nurse practitioners
        Surveys
        Cognition disorders
        Nursing practice
        Research methodology
        Electronic health records
        Clinics
        Eye movements
      sug:
        subj:
          Nurse-patient relationships
          Conversation
          Interprofessional relations
          Qualitative research
          Speech
          Dignity
          Interviewing
          Emotions
          Memory
          Health facilities
          Affect (Psychology)
          Social support
          Patient participation
          All other out-patient care centres
          All Other Outpatient Care Centers
          Community health centres
          Offices of physicians
          Other Individual and Family Services
          Wit & humor
          Mental orientation
          Alzheimer's disease
          Data analysis
          Prompts (Psychology)
          Questionnaires
          Physiological aspects of speech
          Psychiatric nurses
          Nurse practitioners
          Surveys
          Cognition disorders
          Nursing practice
          Research methodology
          Electronic health records
          Clinics
          Eye movements
      keyword:
        caregivers
        cognitive impairment
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        dementia
        Dementia communication
        emotions
        https://dx.doi.org/10.1093/geront/gnag062
        inLanguage:en
        Interactional strategies
        memory
        narrative discourse
        personhood
        publisher:Oxford University Press
        Qualitative interviewing
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42057270/
        caregivers
        cognitive impairment
        copyrightHolder:The Gerontological Society of America
        copyrightYear:2026
        dementia
        Dementia communication
        emotions
        https://dx.doi.org/10.1093/geront/gnag062
        inLanguage:en
        Interactional strategies
        memory
        narrative discourse
        personhood
        publisher:Oxford University Press
        Qualitative interviewing
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42057270/
      ab: Effective qualitative interviews with individuals with cognitive impairment require careful conversational strategies to maintain dignity, support engagement, and enable meaningful narrative co-construction. Despite recognition of these challenges, practical guidance on interviewer talk in dementia research remains limited. This study applies conversation analysis (CA) to examine interviewer practices used in interviews with individuals with mild cognitive impairment or Alzheimer's disease. Analysis of 17 interviews identified five recurring practices: (1) scaffolding memory retrieval through subtle prompts, (2) normalizing cognitive lapses using humor and affiliative talk, (3) echoing and affirming responses to sustain narrative coherence, (4) managing caregiver co-participation to preserve participant voice, and (5) repairing emotional disclosures to support dignity. These practices shaped participants' experiences by validating emotions, affirming partial successes, and maintaining autonomy, thereby enhancing both ethical and empirical quality. This study addresses a key methodological gap by offering concrete, interactionally grounded strategies to improve qualitative interviews with cognitively impaired populations. Future research should examine these practices across more diverse populations and multimodal data sources.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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