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Res Involv Engagem. 2019 Jun 10;5:19. doi: 10.1186/s40900-019-0154-2. eCollection 2019.

Co-producing a shared understanding and definition of empowerment with people with dementia.

Author information

1
1School of Social Science, Education and Social Work, Queen's University Belfast, Belfast, Northern Ireland, UK.
2
2School of Natural and Built Environment, Queen's University Belfast, Belfast, Northern Ireland, UK.
3
NI Statistics & Research Agency, Belfast, Northern Ireland, UK.
4
4Centre for Excellence for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, Belfast, Northern Ireland, UK.
5
5School of Applied Social and Policy Sciences, Ulster University, Belfast, Northern Ireland, UK.
6
6Centre for Evidence and Social Innovation, School of Social Science, Education and Social Work, Queen's University Belfast, Belfast, Northern Ireland, UK.

Abstract

Background:

Empowerment for people with dementia (PWD) is not well defined within the research literature and we feel that this is an important area for development. It is important to seek, consult, and co-produce such a definition with PWD who are more actively involved in their communities post diagnosis (e.g. no longer the 'long goodbye'). This study seeks to combine academic literature review methods with participatory/co-production methods in order to address this gap. We feel this approach also adds to developing methodologies in the field of co-production and user involvement.

Methods:

We use a unique approach toward a definition of empowerment for PWD. Phase 1 - A scoping review of medical/health, social care and social policy-based databases to identify any previous literature that may have defined empowerment exclusively for PWD. Based on this literature, we collected a list of terms relating to empowerment for PWD. Phase 2 - Using empowerment key terms set on cards formulated from Phase 1 across three co-production workshops, academic team members, and nine members of Dementia NI (an organisation founded and led by people with dementia) we reviewed the findings of this search and co-produced an agreed definition they felt best described empowerment for them.

Results:

Phase 1 and 2 led to a definition of empowerment relevant to PWD. This shared understanding of empowerment was defined by PWD as 'A confidence building process whereby PWD are respected, have a voice and are heard, are involved in making decisions about their lives and have the opportunity to create change through access to appropriate resources'.

Conclusions:

The strength of this research lies in addressing the current confusion and arbitrariness of empowerment within the context of dementia. This coproduced work also provides evidence for not only the possibility, but also the added value of involving PWD in research in terms of unique insights afforded by their lived experiences.

KEYWORDS:

Co-production; Dementia; Empowerment; Narrative summary; Participation and empowerment; Scoping review

Conflict of interest statement

Competing interestsThe authors declare that there is no competing interests.

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