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Living well with dementia groups: changes in participant and therapist verbal behaviour

Living well with dementia groups: changes in participant and therapist verbal behaviour
Living well with dementia groups: changes in participant and therapist verbal behaviour
Objectives: This paper reports two related analyses of verbal material from seven Living Well with Dementia groups: the first examines changes in the verbal behaviours of participants across the course of the sessions in all seven groups; while the second contrasts therapist behaviour in two groups.

Methods: In the first analysis, recordings of three sessions from each group were transcribed and participant descriptions of dementia were analysed using the Markers of Assimilation of Problematic Experiences of Dementia (MAPED) rating procedure. In the second analysis, therapist behaviour in weeks 2 and 8 from two groups (F and G) was analysed using the Hill Counsellor Verbal response rating scale. Inter-rater reliabilities for the two sets of ratings were ‘good’ and ‘very good’, respectively.

Results: For the MAPED ratings, a five by four contingency table was analysed using chi-squared, which indicated a highly significant change in assimilation. There were significant higher levels of level 1 and 2 markers in the first two sessions and level 4 for sessions 5 and 6. Facilitators used significantly more direct guidance and information giving behaviour in the second session at Location F compared to Location G.

Conclusions: The results suggest that important changes occurred in the way that dementia was described across the seven LivDem groups: this includes both reductions in the avoidance of direct references to dementia after the first two sessions, as well as an increase in ‘insight’ statements. Directive facilitator behaviour may be associated with poorer outcomes.
1360-7863
1-9
Cheston, R.
fe57d85e-9c08-4d09-93a9-ea50299b62b9
Marshall, A.
01d83f0c-55d3-439d-93ed-ee07950db3c4
Jones, A.
bcae84a4-4191-4a3e-b695-1b6e2b0681c7
Spreadbury, J.
a268ce9f-941e-465a-9a33-6cdcbb4958d9
Coleman, P.
1c55586e-c367-470c-b14b-832edb75c0ce
Cheston, R.
fe57d85e-9c08-4d09-93a9-ea50299b62b9
Marshall, A.
01d83f0c-55d3-439d-93ed-ee07950db3c4
Jones, A.
bcae84a4-4191-4a3e-b695-1b6e2b0681c7
Spreadbury, J.
a268ce9f-941e-465a-9a33-6cdcbb4958d9
Coleman, P.
1c55586e-c367-470c-b14b-832edb75c0ce

Cheston, R., Marshall, A., Jones, A., Spreadbury, J. and Coleman, P. (2016) Living well with dementia groups: changes in participant and therapist verbal behaviour. Aging & Mental Health, 1-9. (doi:10.1080/13607863.2016.1231171). (PMID:27673724)

Record type: Article

Abstract

Objectives: This paper reports two related analyses of verbal material from seven Living Well with Dementia groups: the first examines changes in the verbal behaviours of participants across the course of the sessions in all seven groups; while the second contrasts therapist behaviour in two groups.

Methods: In the first analysis, recordings of three sessions from each group were transcribed and participant descriptions of dementia were analysed using the Markers of Assimilation of Problematic Experiences of Dementia (MAPED) rating procedure. In the second analysis, therapist behaviour in weeks 2 and 8 from two groups (F and G) was analysed using the Hill Counsellor Verbal response rating scale. Inter-rater reliabilities for the two sets of ratings were ‘good’ and ‘very good’, respectively.

Results: For the MAPED ratings, a five by four contingency table was analysed using chi-squared, which indicated a highly significant change in assimilation. There were significant higher levels of level 1 and 2 markers in the first two sessions and level 4 for sessions 5 and 6. Facilitators used significantly more direct guidance and information giving behaviour in the second session at Location F compared to Location G.

Conclusions: The results suggest that important changes occurred in the way that dementia was described across the seven LivDem groups: this includes both reductions in the avoidance of direct references to dementia after the first two sessions, as well as an increase in ‘insight’ statements. Directive facilitator behaviour may be associated with poorer outcomes.

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Accepted/In Press date: 28 August 2016
e-pub ahead of print date: 27 September 2016
Organisations: Faculty of Medicine

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Local EPrints ID: 401109
URI: http://eprints.soton.ac.uk/id/eprint/401109
ISSN: 1360-7863
PURE UUID: 9df374b7-e52b-49c5-a7b4-6f02ef8a0fca

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Date deposited: 14 Oct 2016 15:53
Last modified: 07 Oct 2020 04:57

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Contributors

Author: R. Cheston
Author: A. Marshall
Author: A. Jones
Author: J. Spreadbury
Author: P. Coleman

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