Lookup NU author(s): Dr Tony Young,
Dr Ellen Tullo,
Dr Alina Schartner
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Person-Centred communication and the care of people with dementia: exploring the perspectives of medical students in the UK and Malaysia. Tony Johnstone YoungEllen St Clair TulloAlina SchartnerNewcastle University, UK. AbstractBackground: Person-centred communication (PCC) is the approach to interaction most favoured in health policy and educational guidance over recent years in the care of people living with dementia (PWD), particularly in the global ‘west’. It is, however, under-theorised, and the extent to which it is applicable to care in different contexts is underexplored. This international study investigated the views of medical students regarding the applicability of a new author-developed PCC model – the Dementia Model of Effective Communication - to the care of PWD. Our specific aim was to provide internationally and transculturally relevant information comparing the views of undergraduates in different year groups, and in two culturally-contrastive national locations, and so test aspects of PCC theory. Methods: The study had a mixed methods design, triangulating quantitative survey data with qualitative interview data. Students in the UK and Malaysia (N = 618), following the same undergraduate medical education curriculum, completed a Dementia Communication Questionnaire: subgroups of students then took part in focus groups (N = 39) or in individual interviews (N = 10) in each location to discuss issues arising. Results: Findings indicated a general acceptance, across the year groups and locations, of the appropriateness and effectiveness of most aspects of PCC, but also highlighted awareness of some of the challenges of applying this approach to real-life, real-time care. Complexities were identified by students regarding certain issues, including the acceptability of deception and the value and ethics of speaking to family members first. Differences emerged between participants in the two locations about these two issues, as well as on appropriate terminology to designate PWD. Conclusions: Findings, while generally supportive of the applicability and relevance of a PCC model, also point up some of the possible difficulties of its application in different cultural environments. We detail possible reasons for medical students’ uncertainties, and the implications of these findings for medical education and care practice internationally, and for interaction theory related to communication and appropriate care for PWD.
Author(s): Young TJ, Tullo ET, Schartner A
Publication type: Conference Proceedings (inc. Abstract)
Publication status: Published
Conference Name: 17th Alzheimer's Association International Conference
Year of Conference: 2017
Online publication date: 14/07/2017
Acceptance date: 07/06/2017
Series Title: Alzheimer's & Dementia: The Journal of the Alzheimer's Association