Conversation Barriers and Strategies Used by People with Parkinson's and Their Partners to Support Conversation

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Title: Conversation Barriers and Strategies Used by People with Parkinson's and Their Partners to Support Conversation
Language: English
Authors: Ramishka Thilakaratne (ORCID 0000-0002-5720-8246), Karen Wylie, Andrea M. Loftus, Naomi Cocks (ORCID 0000-0002-1744-6979)
Source: International Journal of Language & Communication Disorders. 2026 61(2).
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 14
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Descriptors: Neurological Impairments, Communication Disorders, Interpersonal Communication, Barriers, Coping, Intervention, Older Adults
DOI: 10.1111/1460-6984.70202
ISSN: 1368-2822
1460-6984
Abstract: Background: People with Parkinson's experience a range of communication difficulties impacting their conversations. As conversations are a two-way or more interaction, communication partners play an important role in conversational success. Aims: This qualitative exploratory study sought to capture the lived experience of people with Parkinson's and their communication partners regarding (i) their perceptions of barriers to successful conversations and (ii) strategies perceived as helpful to support their conversations. Methods and Procedures: Data were collected from 45 participants (25 people with Parkinson's and 20 communication partners) across five focus groups and analysed using qualitative content analysis. Outcomes and Results: Participants discussed five categories of barriers to conversation. These related to the person with Parkinson's, communication partner, conversation dynamic, background noise, and limited information and services. Participants described six categories of strategies used to support conversations. These included strategies used to prepare for conversations, during conversations, for phone use, acceptance and awareness, services and information, and engagement in activities. Conclusions and Implications: People with Parkinson's face unique challenges in conversation and may benefit from a range of strategies to support conversational success. Through their lived experience of Parkinson's, they have developed strategies that support conversational success. Both the person with Parkinson's and their partner contribute to the success of a conversation. New findings revealed the impact of cognitive load on conversations. These findings warrant careful consideration in the development of future communication-focused therapeutic approaches for individuals with Parkinson's and their families.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1500557
Database: ERIC
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  Data: Conversation Barriers and Strategies Used by People with Parkinson's and Their Partners to Support Conversation
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  Data: <searchLink fieldCode="AR" term="%22Ramishka+Thilakaratne%22">Ramishka Thilakaratne</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-5720-8246">0000-0002-5720-8246</externalLink>)<br /><searchLink fieldCode="AR" term="%22Karen+Wylie%22">Karen Wylie</searchLink><br /><searchLink fieldCode="AR" term="%22Andrea+M%2E+Loftus%22">Andrea M. Loftus</searchLink><br /><searchLink fieldCode="AR" term="%22Naomi+Cocks%22">Naomi Cocks</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-1744-6979">0000-0002-1744-6979</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22International+Journal+of+Language+%26+Communication+Disorders%22"><i>International Journal of Language & Communication Disorders</i></searchLink>. 2026 61(2).
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: Y
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  Data: 14
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  Data: 2026
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  Data: <searchLink fieldCode="DE" term="%22Neurological+Impairments%22">Neurological Impairments</searchLink><br /><searchLink fieldCode="DE" term="%22Communication+Disorders%22">Communication Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Interpersonal+Communication%22">Interpersonal Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Barriers%22">Barriers</searchLink><br /><searchLink fieldCode="DE" term="%22Coping%22">Coping</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Older+Adults%22">Older Adults</searchLink>
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  Data: 10.1111/1460-6984.70202
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  Data: 1368-2822<br />1460-6984
– Name: Abstract
  Label: Abstract
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  Data: Background: People with Parkinson's experience a range of communication difficulties impacting their conversations. As conversations are a two-way or more interaction, communication partners play an important role in conversational success. Aims: This qualitative exploratory study sought to capture the lived experience of people with Parkinson's and their communication partners regarding (i) their perceptions of barriers to successful conversations and (ii) strategies perceived as helpful to support their conversations. Methods and Procedures: Data were collected from 45 participants (25 people with Parkinson's and 20 communication partners) across five focus groups and analysed using qualitative content analysis. Outcomes and Results: Participants discussed five categories of barriers to conversation. These related to the person with Parkinson's, communication partner, conversation dynamic, background noise, and limited information and services. Participants described six categories of strategies used to support conversations. These included strategies used to prepare for conversations, during conversations, for phone use, acceptance and awareness, services and information, and engagement in activities. Conclusions and Implications: People with Parkinson's face unique challenges in conversation and may benefit from a range of strategies to support conversational success. Through their lived experience of Parkinson's, they have developed strategies that support conversational success. Both the person with Parkinson's and their partner contribute to the success of a conversation. New findings revealed the impact of cognitive load on conversations. These findings warrant careful consideration in the development of future communication-focused therapeutic approaches for individuals with Parkinson's and their families.
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  Data: 2026
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