DiGiacomo Michelle, Roberts Sara-Jane, Luckett Tim, Symons David, Ellis Georgia, Kochovska Slavica, Warner Tony, Currow David C, Parker Deborah, Payne Karey, Agar Meera R
Faculty of Health, Improving Palliative, Aged and Chronic Care through Clinical Research and Translation (IMPACCT), University of Technology Sydney, Sydney, New South Wales, Australia.
The Humour Foundation, Chatswood, New South Wales, Australia.
Australas J Ageing. 2025 Jun;44(2):e70002. doi: 10.1111/ajag.70002.
This study aimed to describe the techniques that Laughter Care Specialists (LCSs) use to promote engagement of people living with dementia in long-term care.
Semi-structured interviews were conducted with LCSs (n = 8) and analysed inductively using thematic analysis.
The overarching theme was that techniques used to promote engagement reflected ways of valuing personhood. Sub-themes reflect the distillation of techniques according to ways LCSs approach and connect with people and ways that they then engage. When willingness to interact is indicated, LCSs assess environments to individualise their approach. Ways of engaging include creating opportunities to contribute, identity appreciation, reminiscence, enacting generational norms, presence and play. Engagement techniques were described as supporting identity and personhood through techniques that are individualised, supportive, empathetic and gentle.
Techniques reflect person-centred, strengths-based approaches that attempt to meet psychosocial needs of persons living with dementia and highlight ways of valuing people living in long-term care.
本研究旨在描述欢笑护理专家（LCSs）用于促进长期护理中痴呆症患者参与度的技巧。
对8名欢笑护理专家进行了半结构化访谈，并采用主题分析法进行归纳分析。
总体主题是，用于促进参与的技巧反映了重视人格的方式。子主题反映了根据欢笑护理专家接近和与人们建立联系的方式以及随后他们参与的方式对技巧的提炼。当表明有互动意愿时，欢笑护理专家会评估环境以使其方法个性化。参与方式包括创造贡献机会、身份认同、回忆、践行代际规范、陪伴和玩耍。参与技巧被描述为通过个性化、支持性、同理心和温和的技巧来支持身份认同和人格。
技巧反映了以个人为中心、基于优势的方法，试图满足痴呆症患者的心理社会需求，并突出了重视长期护理患者的方式。
