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Developing Education to Confront Challenges with Dyadic Communication While Wearing Facemasks in Long-Term Care
Journal article   Open access   Peer reviewed

Developing Education to Confront Challenges with Dyadic Communication While Wearing Facemasks in Long-Term Care

Clarissa A. Shaw, Lynn Nakad, Melissa Richlen, Paige Wilson, Carissa Coleman and Kristine N. Williams
Geriatric nursing (New York), Vol.65, 103499
09/2025
DOI: 10.1016/j.gerinurse.2025.103499
PMCID: PMC12302366
PMID: 40669131

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Abstract

•Facemask use during the pandemic created communication challenges in nursing homes•CHATO-PPE education was created to promote successful communication with facemasks•Fundamental communication skills and person-centered communication were emphasized The purpose of this study was to develop and pilot test the web-based “CHATO-PPE” educational module that promotes successful communication with long-term care residents while wearing facemasks. A mixed-methods three phase approach was used that (1) identified best practices, needs, and preferences related to communication while wearing facemasks, (2) developed the CHATO-PPE module, and (3) evaluated the module using a one-group, pre-post design. Nineteen long-term care residents, long-term care staff, and family members of long-term care residents completed interviews or focus groups on needs and preferences of communication while wearing facemasks. Three themes were identified that were integrated into best-practices for communication with facemasks identified from a scoping review, which guided development of the module. Thirty-two long-term care staff completed CHATO-PPE and demonstrated a significant increase in confidence and identification of effective and appropriate verbal communication. Participants reported high satisfaction with CHATO-PPE, which equips nursing home staff with strategies that maintain person-centered communication while wearing facemasks.
Personal protective equipment Masks Online learning Person-centered care Nursing homes

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