Munk Stephanie, Toohey Rhiannon, Remtilla Aliaa, D'Cunha Nathan M, Gibson Diane, Isbel Stephen, Smyth Aisling, Bail Kasia
Centre for Ageing Research and Translation, Faculty of Health, University of Canberra, Bruce, ACT, Australia.
StoryTiling.
Dementia (London). 2025 May;24(4):666-696. doi: 10.1177/14713012251317761. Epub 2025 Jan 28.
Reminiscence is a meaningful activity for people with dementia, but research implementing digital reminiscence tools into environments with older people is not well developed. This project sought to understand the effectiveness of a digital reminiscence tool in aiding person-centred dementia care with people attending a day respite centre and a group residential home, in metropolitan eastern Australia. This study used semi-structured interviews and ethnographic observations using a qualitative reflexive thematic analysis with seventeen participants including people with dementia ( = 8), their loved ones ( = 5) and staff = 4) Themes identified were: 1. Remembering myself; 2. Reminiscing the person before and with dementia; 3. Enhanced relationships through self-expression; 4. Person-centred adaptation and the art of the interview; and 5. Future potential. Findings indicate that the StoryTiling app was user-friendly, supported reminiscence activities and enhanced person-centred care. The reminiscence activity enhanced relationships between participants, families, and carers, facilitating a deeper knowing of the person with dementia. The activities supported positive memories and emotions and helped reinforce the identity of the person with dementia in both their own mind, and their loved ones. The information captured in the StoryTiling process enabled person-centred care in improving the ability to know a person and being able to relate and respond to their individual needs, wants and goals. The process was dependent on the 'art of the question' and the 'art of the interview', particularly by people who know the person with dementia and are trauma-informed in order to effectively progress interviews and utilise them within the care environment. Enabling nudge activities that promote person-centred engagement such as reminiscence through digital storytelling may help foster person-centred care in the aged care sector.
回忆对患有痴呆症的人来说是一项有意义的活动,但在老年人环境中应用数字回忆工具的研究还不够完善。该项目旨在了解一种数字回忆工具在澳大利亚东部大都市的日间喘息护理中心和集体养老院中,对以患者为中心的痴呆症护理的辅助效果。本研究采用半结构化访谈和人种志观察,并运用定性反思主题分析法,对17名参与者进行了研究,其中包括痴呆症患者(n = 8)、他们的亲人(n = 5)和工作人员(n = 4)。确定的主题有:1. 记住我自己;2. 回忆痴呆症之前和患病时的那个人;3. 通过自我表达增进关系;4. 以患者为中心的调整和访谈技巧;5. 未来潜力。研究结果表明,StoryTiling应用程序用户友好,支持回忆活动并加强了以患者为中心的护理。回忆活动增进了参与者、家庭和护理人员之间的关系,有助于更深入地了解痴呆症患者。这些活动支持积极的记忆和情绪,并有助于在痴呆症患者及其亲人的心中强化其身份认同。StoryTiling过程中获取的信息有助于以患者为中心的护理,提高了解一个人的能力,并能够关联并回应他们的个人需求、愿望和目标。这个过程依赖于“提问的技巧”和“访谈的技巧”,特别是那些了解痴呆症患者且了解创伤情况的人,以便有效地推进访谈并在护理环境中加以利用。开展促进以患者为中心参与的推动活动,如通过数字故事讲述进行回忆,可能有助于在老年护理领域促进以患者为中心的护理。