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dc.contributor.authorDanivas, Vijay*
dc.contributor.authorBharmal, Mufaddal*
dc.contributor.authorKeenan, Paul*
dc.contributor.authorJones, Steven*
dc.contributor.authorKarat, Samuel C.*
dc.contributor.authorKalyanaraman, Kumaran*
dc.contributor.authorPrince, Martin*
dc.contributor.authorFall, Caroline H. D.*
dc.contributor.authorKrishna, Murali*
dc.date.accessioned2019-05-07T14:22:15Z
dc.date.available2019-05-07T14:22:15Z
dc.date.issued29/09/2016
dc.identifier.citationDanivas, V., Bharmal, M., Keenan, P., Jones, S., Karat, S. C., Kalyanaraman, K., Prince, M., Fall, C, H. D. & Krishna, M. (2016). An Interpretive Phenomenological Analysis (IPA) of coercion towards community dwelling older adults with dementia: Findings from MYsore studies of Natal effects on Ageing and Health (MYNAH). Social Psychiatry and Psychiatric Epidemiology, 51(12), 1659–1664
dc.identifier.issn0933-7954
dc.identifier.doi10.1007/s00127-016-1286-4
dc.identifier.urihttp://hdl.handle.net/10034/622205
dc.descriptionThe final publication is available at Springer via http://dx.doi.org/10.1007/s00127-016-1286-4
dc.description.abstractPurpose Limited availability of specialist services places a considerable burden on caregivers of Persons with Dementia (PwD) in Low- and Middle-Income Countries (LMICs). There are limited qualitative data on coercive behavior towards PwD in an LMIC setting. Aim The aim of this study was to find relevant themes of the lived experience of relatives as caregivers for PwD in view of their use of coercive measures in community setting in South India. Method Primary caregivers (n = 13) of PwDs from the Mysore study of Natal effects on Ageing and Health (MYNAH) in South India were interviewed to explore the nature and impact of coercion towards community dwelling older adults with dementia. The narrative data were coded using an Interpretative Phenomenological Analysis (IPA) approach for thematic analysis and theory formation. Results Caregivers reported feeling physical and emotional burn-out, a lack of respite care, an absence of shared caregiving arrangements, limited knowledge of dementia, and a complete lack of community support services. They reported restrictions on their lives through not being able take employment, a poor social life, reduced income and job opportunities, and restricted movement that impacted on their physical and emotional well-being. Inappropriate use of sedatives, seclusion and environmental restraint, and restricted dietary intake, access to finances and participation in social events, was commonly reported methods of coercion used by caregivers towards PwD. Reasons given by caregivers for employing these coercive measures included safeguarding of the PwD and for the management of behavioral problems and physical health. Conclusion There is an urgent need for training health and social care professionals to better understand the use of coercive measures and their impact on persons with dementia in India. It is feasible to conduct qualitative research using IPA in South India.
dc.language.isoenen
dc.publisherSpringeren_US
dc.relation.urlhttps://link.springer.com/article/10.1007%2Fs00127-016-1286-4en_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.titleAn Interpretive Phenomenological Analysis (IPA) of coercion towards community dwelling older adults with dementia: Findings from MYsore studies of Natal effects on Ageing and Health (MYNAH)en_US
dc.typeArticleen_US
dc.identifier.eissn1433-9285
dc.contributor.departmentUniversity of Chester
dc.identifier.journalSocial Psychiatry and Psychiatric Epidemiologyen_US
dc.date.accepted2016-09-10
or.grant.openaccessYesen_US
rioxxterms.fundernoen_US
rioxxterms.identifier.projectnoen_US
rioxxterms.versionVoRen_US
rioxxterms.licenseref.startdate2016-09-29
refterms.dateFCD2019-04-08T14:03:09Z
refterms.versionFCDAM
refterms.dateFOA2019-05-07T14:22:15Z


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