Reminiscence and ageing

This paper questions assumptions about reminiscence and looks at definitions of it. Functions of different types of reminiscence are examined and distinctions are drawn between these and autobiographical memories. Methodologies of eliciting reminiscences are critically considered. Finally, types and amounts of reminiscence are related to life style and age group

Smart Conversational Agents for Reminiscence

In this paper we describe the requirements and early system design for a smart conversational agent that can assist older adults in the reminiscence process. The practice of reminiscence has well documented benefits for the mental, social and emotional well-being of older adults. However, the technology support, valuable in many different ways, is still limited in terms of need of co-located human presence, data collection capabilities, and ability to support sustained engagement, thus missing key opportunities to improve care practices, facilitate social interactions, and bring the reminiscence practice closer to those with less opportunities to engage in co-located sessions with a (trained) companion. We discuss conversational agents and cognitive services as the platform for building the next generation of reminiscence applications, and introduce the concept application of a smart reminiscence agent

Crowdsourcing for Reminiscence Chatbot Design

In this work-in-progress paper we discuss the challenges in identifying effective and scalable crowd-based strategies for designing content, conversation logic, and meaningful metrics for a reminiscence chatbot targeted at older adults. We formalize the problem and outline the main research questions that drive the research agenda in chatbot design for reminiscence and for relational agents for older adults in general

The experience of family carers attending a joint reminiscence group with people with dementia: A thematic analysis

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

Libraries of life: Using life history books with depressed care home residents

Depression is a common, and often undetected, psychiatric disorder in geriatric care home residents 1,2. Reminiscence, an independent nursing therapy used by a variety of health and social care professionals, can prevent or reduce depression 14. This practice development project explored the use of reminiscence life history books as an interpersonal therapeutic tool with three depressed care home residents living in residential care and skilled nursing facilities. The process of choosing to produce a book, assessment of capabilities, and methods of construction are described using three illustrative case studies. Three themes emerged: reviewing the past, accepting the present, and dreaming of an alternative future. This project demonstrated that life history books, tailored to individual needs and abilities, can facilitate reminiscence and reduce depression by increasing social interaction. The benefits to residents, their families and care staff are discussed and the relevance to nursing practice highlighted

A Proposal To Support Wellbeing in People With Borderline Personality Disorder: Applying Reminiscent Theory in a Mobile App

In this paper the research draws upon reminiscence therapy, which is used in treating dementia, as an applied theory to promote well being in people who experience low moods. The application proposed here aims to promote wellbeing for people suffering from mood disorders and dementia but could potentially be used to enhance wellbeing for many types of users. Use of the application is anticipated to improve mood in a group of users where severe emotional problems are prevalent. The research aims to evaluate the effectiveness of a reminiscence based application in promoting well being in people specifically with Borderline Personality Disorder (BPD). The long term objective of this research is to establish the effectiveness of reminiscence theory on user groups aside from dementia, particularly other mental illnesses. The research advocates involving end users within the design process both to inform and evaluate the development of a mobile and tablet application.Comment: Conference pape

REMCARE : pragmatic multi-centre randomised trial of reminiscence groups for people with dementia and their family carers : effectiveness and economic analysis

Background Joint reminiscence groups, involving people with dementia and family carers together, are popular, but the evidence-base is limited. This study aimed to assess the effectiveness and cost-effectiveness of joint reminiscence groups as compared to usual care. Methods This multi-centre, pragmatic randomised controlled trial had two parallel arms: intervention group and usual-care control group. A restricted dynamic method of randomisation was used, with an overall allocation ratio of 1:1, restricted to ensure viable sized intervention groups. Assessments, blind to treatment allocation, were carried out at baseline, three months and ten months (primary end-point), usually in the person's home. Participants were recruited in eight centres, mainly through NHS Memory Clinics and NHS community mental health teams. Included participants were community resident people with mild to moderate dementia (DSM-IV), who had a relative or other care-giver in regular contact, to act as informant and willing and able to participate in intervention. 71% carers were spouses. 488 people with dementia (mean age 77.5) were randomised: 268 intervention, 220 control; 350 dyads completed the study (206 intervention, 144 control). The intervention evaluated was joint reminiscence groups (with up to 12 dyads) weekly for twelve weeks; monthly maintenance sessions for further seven months. Sessions followed a published treatment manual and were held in a variety of community settings. Two trained facilitators in each centre were supported by volunteers. Primary outcome measures were self-reported quality of life for the person with dementia (QoL-AD), psychological distress for the carer (General Health Questionnaire, GHQ-28). Secondary outcome measures included: autobiographical memory and activities of daily living for the person with dementia; carer stress for the carer; mood, relationship quality and service use and costs for both. Results The intention to treat analysis (ANCOVA) identified no differences in outcome between the intervention and control conditions on primary or secondary outcomes (self-reported QoL-AD mean difference 0.07 (-1.21 to 1.35), F = 0.48, p = 0.53). Carers of people with dementia allocated to the reminiscence intervention reported a significant increase in anxiety on a General Health Questionnaire-28 sub-scale at the ten month end-point (mean difference 1.25 (0.25 to 2.26), F = 8.28, p = 0.04). Compliance analyses suggested improved autobiographical memory, quality of life and relationship quality for people with dementia attending more reminiscence sessions, however carers attending more groups showed increased care-giving stress. Economic analyses from a public sector perspective indicated that joint reminiscence groups are unlikely to be cost-effective. There were no significant adverse effects attributed to the intervention. Potential limitations of the study include less than optimal attendance at the group sessions—only 57% of participants attended at least half of the intervention sessions over the 10 month period, and a higher rate of study withdrawal in the control group. Conclusions This trial does not support the clinical effectiveness or cost-effectiveness of joint reminiscence groups. Possible beneficial effects for people with dementia who attend sessions as planned are offset by raised anxiety and stress in their carers. The reasons for these discrepant outcomes need to be explored further, and may necessitate reappraisal of the movement towards joint interventions

Towards an increased understanding of reminiscence therapy for people with dementia: A narrative analysis

Aim Reminiscence therapy is a popular therapeutic intervention for people with dementia. This review set out to provide a better understanding of reminiscence therapy through a deeper analysis of its contents and delivery. Method This review examined 22 studies from the most recent Cochrane review (Woods, B., O’Philbin, L., Farrell, E. M., Spector, A. E., & Orrell, M. (2018). Reminiscence therapy for dementia. Cochrane Database of Systematic Reviews, 3, Article 001120) and addressed the following research questions: (1) What are the components of reminiscence therapy? (2) Who delivers reminiscence therapy? (3) How is reminiscence therapy delivered? (4) Is reminiscence therapy underpinned by a theoretical framework? (5) Is reminiscence therapy delivered according to a programme/model? (6) Are there commonalities in the reminiscence therapy components utilised? Multiple and layered narrative analyses were completed. Findings Thirteen reminiscence therapy components were identified. ‘Memory triggers’ and ‘themes’ were identified as the most common but were found not to be consistently beneficial. Reminiscence therapy was typically delivered in a care setting using a group approach; however, there was no consistency in session composition, intervention duration, as well as the training and supervision provided to facilitators. Operationalisation of theory within reminiscence therapy was not identified. Reminiscence therapy was not consistently delivered according to a programme/model. Lastly, as a result of a small number of studies, the components ‘life stages’, ‘activities’ and ‘family-only sessions’, showed beneficial promise. In summary, this review highlights that reminiscence therapy needs more consistency in content and delivery, in addition to a clear theoretical framework

Transformative Reminiscence Training For Older Adults: Increasing Self-Positive Reminiscence During Self-Directed Life Reviews

For this dissertation, I tested whether Transformative Reminiscence Training is a viable alternative to facilitated life reviews for older adults. Facilitated life reviews involve structured reminiscence, which is designed to enhance the self-positive functions of identity consolidation, problem solving, and meaning-making death preparation (Korte, 2012). Transformative Reminiscence Training combines life review methods with consciousness raising. It is based on Paulo Freire’s critical theory (2000) and includes psychosocial, perspective transformation, and narrative identity life review education. Using a pre-posttest, randomized experimental design, I explored whether Transformative Reminiscence Training would result in (a) the completion of a self-directed life review, (b) increased self-positive reminiscence, and (c) reduced self-negative reminiscence over a two-week period, in comparison to a control group. The study involved 52 non-vulnerable community dwelling adults who were placed in either an intervention or control group using stratified random assignment. All participants completed pretests and posttests of the reliable and valid Reminiscence Functions Scale (Webster, 1993; 1997). The results of the Fisher’s Exact Test showed that there was no significant difference between the intervention and control group in the completing two-week self-directed life reviews. The results of the Paired T-Test showed significant differences between groups, with increases in self-positive reminiscence. The results of the alternative non-parametric Exact Sign Test showed a significant difference between intervention and control groups, in terms of decreases in self-negative reminiscence. These results imply an association between Transformative Reminiscence Training and increased use of self-positive reminiscence