Speech-Language Pathologist’s Practice-Patterns in Using Cognitive-Communication Interventions with Individuals Living with Moderate to Severe Dementia in Care Community Settings

Date of Submission

Spring 2026

Document Type

Closed Research Project

Degree Name

Master of Science in Speech-Language Pathology

Department

Speech-Language Pathology

First Advisor

Malathy Venkatesh, PhD, CCC-SLP

Abstract

Purpose: The purpose of this research study was to understand the practice patterns of Speech-Language Pathologists (SLPs) in using cognitive-communication interventions for individuals living with moderate to severe dementia in care community settings, such as skilled nursing facilities, long-term care, and memory care centers/units. Methods: This cross-sectional study used an online survey completed by 50 SLPs via Qualtrics. Participant inclusion criteria included experience working with individuals living with dementia and currently employed in care community settings (Skilled Nursing Facilities, Long-term Care centers, memory care centers/units.) Results: Reminiscence therapy and spaced retrieval were reported to be the frequently used direct intervention technique, whereas, environmental modification and caregiver education were the frequently used indirect intervention technique. Individual treatment sessions were reported to be more commonly used than group treatment sessions. Barriers to providing cognitive-communication interventions in these settings included limited buy-ins, high productivity demands, and limited time with each patient. Conclusion: SLPs in care community settings are implementing patient-centered approaches and using materials that are meaningful and functional to patients' daily lives, however, the constraints reported in prior literature continue to remain prevalent. These findings will inform future research and clinical training needs

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