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Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse

Emily Dodd Orcid Logo, Sanda Ismail Orcid Logo, Gary Christopher Orcid Logo, Tim Wildschut, Constantine Sedikides, Richard Cheston Orcid Logo

Dementia, Volume: 21, Issue: 2, Pages: 489 - 502

Swansea University Author: Gary Christopher Orcid Logo

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Abstract

ObjectivesNostalgic memories are more social than other forms of autobiographical recall, often refer to atypical events, express more positive affect and reflect life as meaningful. Recalling a nostalgic (compared to ordinary) memory increases self-esteem, self-growth, meaning in life and social co...

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Published in: Dementia
ISSN: 1471-3012 1741-2684
Published: SAGE Publications 2022
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URI: https://cronfa.swan.ac.uk/Record/cronfa62608
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Recalling a nostalgic (compared to ordinary) memory increases self-esteem, self-growth, meaning in life and social connectedness for people living with dementia. We set two objectives: to work with people living with dementia to develop an intervention based on nostalgia, and to assess whether couples could engage in nostalgic conversations.MethodOur research fell into three phases. Initially, we consulted with people living with dementia and with carers to identify the parameters for a nostalgic intervention. From this, we drafted a workbook that contained triggers for nostalgic conversations, which we then took back to the public contributors for refinement. Finally, we trialled the workbook over 5 weeks with six couples, each of which included a person living with dementia. We assessed pre- and post-intervention self-esteem, self-growth, meaning in life and social connectedness for participants with dementia and social connectedness for carers. We then calculated Reliable Change Index scores and established levels of clinically significant change. We also interviewed couples at the end of the intervention to explore its implementation and acceptability.ResultsAll six couples could identify nostalgic memories, with five couples successfully integrating the nostalgic conversations into their day-to-day lives. A sixth couple found it difficult to engage fully with the intervention, but still considered it useful. All six couples manifested a reliable change in at least one outcome, with one couple showing reliable change across three outcomes.ConclusionThe psychological benefits of nostalgia have been robustly demonstrated in laboratory-based studies. This co-production of an intervention that sets nostalgic recall into the context of a conversation has clinical potential but requires further investigation through a larger study.</abstract><type>Journal Article</type><journal>Dementia</journal><volume>21</volume><journalNumber>2</journalNumber><paginationStart>489</paginationStart><paginationEnd>502</paginationEnd><publisher>SAGE Publications</publisher><placeOfPublication/><isbnPrint/><isbnElectronic/><issnPrint>1471-3012</issnPrint><issnElectronic>1741-2684</issnElectronic><keywords>Alzheimer’s disease; nostalgia; self-esteem; self-growth; meaning in life; social connectedness</keywords><publishedDay>1</publishedDay><publishedMonth>2</publishedMonth><publishedYear>2022</publishedYear><publishedDate>2022-02-01</publishedDate><doi>10.1177/14713012211047350</doi><url/><notes/><college>COLLEGE NANME</college><department>Public Health</department><CollegeCode>COLLEGE CODE</CollegeCode><DepartmentCode>PHAC</DepartmentCode><institution>Swansea University</institution><apcterm/><funders/><projectreference/><lastEdited>2024-02-01T15:29:07.3159038</lastEdited><Created>2023-02-08T10:34:32.9956429</Created><path><level id="1">Faculty of Medicine, Health and Life Sciences</level><level id="2">School of Health and Social Care - Public Health</level></path><authors><author><firstname>Emily</firstname><surname>Dodd</surname><orcid>0000-0002-9505-257x</orcid><order>1</order></author><author><firstname>Sanda</firstname><surname>Ismail</surname><orcid>0000-0002-0514-1019</orcid><order>2</order></author><author><firstname>Gary</firstname><surname>Christopher</surname><orcid>0000-0002-7175-6644</orcid><order>3</order></author><author><firstname>Tim</firstname><surname>Wildschut</surname><order>4</order></author><author><firstname>Constantine</firstname><surname>Sedikides</surname><order>5</order></author><author><firstname>Richard</firstname><surname>Cheston</surname><orcid>0000-0002-7466-3777</orcid><order>6</order></author></authors><documents><document><filename>62608__26666__da1a6db2aaf54ff78ddc97cd3f7e409d.pdf</filename><originalFilename>62608_VoR.pdf</originalFilename><uploaded>2023-02-23T13:38:29.2604076</uploaded><type>Output</type><contentLength>561591</contentLength><contentType>application/pdf</contentType><version>Version of Record</version><cronfaStatus>true</cronfaStatus><documentNotes>© The Author(s) 2021. 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spelling v2 62608 2023-02-08 Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse 8092562c67809dfda89f7bb8582874d3 0000-0002-7175-6644 Gary Christopher Gary Christopher true false 2023-02-08 PHAC ObjectivesNostalgic memories are more social than other forms of autobiographical recall, often refer to atypical events, express more positive affect and reflect life as meaningful. Recalling a nostalgic (compared to ordinary) memory increases self-esteem, self-growth, meaning in life and social connectedness for people living with dementia. We set two objectives: to work with people living with dementia to develop an intervention based on nostalgia, and to assess whether couples could engage in nostalgic conversations.MethodOur research fell into three phases. Initially, we consulted with people living with dementia and with carers to identify the parameters for a nostalgic intervention. From this, we drafted a workbook that contained triggers for nostalgic conversations, which we then took back to the public contributors for refinement. Finally, we trialled the workbook over 5 weeks with six couples, each of which included a person living with dementia. We assessed pre- and post-intervention self-esteem, self-growth, meaning in life and social connectedness for participants with dementia and social connectedness for carers. We then calculated Reliable Change Index scores and established levels of clinically significant change. We also interviewed couples at the end of the intervention to explore its implementation and acceptability.ResultsAll six couples could identify nostalgic memories, with five couples successfully integrating the nostalgic conversations into their day-to-day lives. A sixth couple found it difficult to engage fully with the intervention, but still considered it useful. All six couples manifested a reliable change in at least one outcome, with one couple showing reliable change across three outcomes.ConclusionThe psychological benefits of nostalgia have been robustly demonstrated in laboratory-based studies. This co-production of an intervention that sets nostalgic recall into the context of a conversation has clinical potential but requires further investigation through a larger study. Journal Article Dementia 21 2 489 502 SAGE Publications 1471-3012 1741-2684 Alzheimer’s disease; nostalgia; self-esteem; self-growth; meaning in life; social connectedness 1 2 2022 2022-02-01 10.1177/14713012211047350 COLLEGE NANME Public Health COLLEGE CODE PHAC Swansea University 2024-02-01T15:29:07.3159038 2023-02-08T10:34:32.9956429 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health Emily Dodd 0000-0002-9505-257x 1 Sanda Ismail 0000-0002-0514-1019 2 Gary Christopher 0000-0002-7175-6644 3 Tim Wildschut 4 Constantine Sedikides 5 Richard Cheston 0000-0002-7466-3777 6 62608__26666__da1a6db2aaf54ff78ddc97cd3f7e409d.pdf 62608_VoR.pdf 2023-02-23T13:38:29.2604076 Output 561591 application/pdf Version of Record true © The Author(s) 2021. This article is distributed under the terms of the Creative Commons Attribution 4.0 License true eng https://creativecommons.org/licenses/by/4.0/
title Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse
spellingShingle Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse
Gary Christopher
title_short Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse
title_full Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse
title_fullStr Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse
title_full_unstemmed Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse
title_sort Nostalgic conversations: The co-production of an intervention package for people living with dementia and their spouse
author_id_str_mv 8092562c67809dfda89f7bb8582874d3
author_id_fullname_str_mv 8092562c67809dfda89f7bb8582874d3_***_Gary Christopher
author Gary Christopher
author2 Emily Dodd
Sanda Ismail
Gary Christopher
Tim Wildschut
Constantine Sedikides
Richard Cheston
format Journal article
container_title Dementia
container_volume 21
container_issue 2
container_start_page 489
publishDate 2022
institution Swansea University
issn 1471-3012
1741-2684
doi_str_mv 10.1177/14713012211047350
publisher SAGE Publications
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description ObjectivesNostalgic memories are more social than other forms of autobiographical recall, often refer to atypical events, express more positive affect and reflect life as meaningful. Recalling a nostalgic (compared to ordinary) memory increases self-esteem, self-growth, meaning in life and social connectedness for people living with dementia. We set two objectives: to work with people living with dementia to develop an intervention based on nostalgia, and to assess whether couples could engage in nostalgic conversations.MethodOur research fell into three phases. Initially, we consulted with people living with dementia and with carers to identify the parameters for a nostalgic intervention. From this, we drafted a workbook that contained triggers for nostalgic conversations, which we then took back to the public contributors for refinement. Finally, we trialled the workbook over 5 weeks with six couples, each of which included a person living with dementia. We assessed pre- and post-intervention self-esteem, self-growth, meaning in life and social connectedness for participants with dementia and social connectedness for carers. We then calculated Reliable Change Index scores and established levels of clinically significant change. We also interviewed couples at the end of the intervention to explore its implementation and acceptability.ResultsAll six couples could identify nostalgic memories, with five couples successfully integrating the nostalgic conversations into their day-to-day lives. A sixth couple found it difficult to engage fully with the intervention, but still considered it useful. All six couples manifested a reliable change in at least one outcome, with one couple showing reliable change across three outcomes.ConclusionThe psychological benefits of nostalgia have been robustly demonstrated in laboratory-based studies. This co-production of an intervention that sets nostalgic recall into the context of a conversation has clinical potential but requires further investigation through a larger study.
published_date 2022-02-01T15:29:07Z
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