Abstract
Reminiscence therapy has the potential to improve quality of life for people with dementia. In recent years reminiscence groups have extended to include family members, but carers’ experience of attending joint sessions is undocumented. This qualitative study explored the experience of 18 family carers attending ‘Remembering Yesterday Caring Today’ groups. Semi-structured interviews were transcribed and subjected to thematic analysis. Five themes were identified: experiencing carer support; shared experience; expectations (met and unmet), carer perspectives of the person with dementia’s experience; and learning and comparing. Family carers’ experiences varied, with some experiencing the intervention as entirely positive whereas others had more mixed feelings. Negative aspects included the lack of respite from their relative, the lack of emphasis on their own needs, and experiencing additional stress and guilt through not being able to implement newly acquired skills. These findings may explain the failure of a recent trial of joint reminiscence groups to replicate previous findings of positive benefit. More targeted research within subgroups of carers is required to justify the continued use of joint reminiscence groups in dementia care.
Highlights
In 2012, an estimated 670,000 people in the UK acted as primary carers for people with dementia (Alzheimer’s Society, 2012)
The Remembering Yesterday Caring Today’ (RYCT) intervention is a structured psychosocial intervention for individuals with dementia and their family carers over 10 months (12 weekly sessions followed by seven monthly sessions)
Expectations discussed by carers included meeting others in similar situations, developing a wider support network and learning new ways to cope with their relative
Summary
In 2012, an estimated 670,000 people in the UK acted as primary carers for people with dementia (Alzheimer’s Society, 2012). Whilst the vital role of carers has been acknowledged by the NICE-SCIE guidelines (2006), carer-reported quality of life is still varied (Alzheimer’s Society, 2012). Over half (52%) carers report they do not receive sufficient support to enable them to carry out their caring role (Alzheimer’s Society, 2011). 49) and recommended the development of peer support networks for people with dementia and carers (objective 5). It is not yet clear which model(s) of peer working should be adopted It is not yet clear which model(s) of peer working should be adopted (DoH, 2009, p. 42), nor whether psychosocial interventions are most effective when person-centred or relationship-focussed
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