Roach which involved presenting and discussing communication tips at the beginning of each weekly session. These tips provided some education about memory loss, theDementia (London). Author manuscript; available in PMC 2016 July 01.Ingersoll-Dayton et al.PageHIV-1 integrase inhibitor 2 site importance of stories, and suggestions for good communication. Perhaps more importantly, they often provided the impetus for a discussion about how to handle difficult moments in communicating and also offered couples the opportunity to affirm each other. The Japanese team decided not to incorporate the use of communication tips in a direct way but instead incorporated them indirectly by modeling how to include the person with memory loss into the conversation. This decision was BAY 11-7083 site motivated, in part, by the feelings of some interventionists that lecturing older people about their communication was disrespectful. As we move forward in the process of cross-fertilization, the American team is incorporating more indirect ways (e.g. modeling) of addressing communication and the Japanese team is considering more direct ways of teaching communication skills that will assist couples in the telling of their story. Disseminating the narrativeAuthor Manuscript Author Manuscript Author Manuscript Author ManuscriptThe Life Story Book that resulted from this approach has had a similar positive impact on the American and Japanese couples in that it allows them to relive their story together and to share it with others. The book itself becomes a legacy to be handed down rather than a pile of photographs to sort through. It provides coherence to their story for others to understand and admire. Our expectation is that this book will extend the impact of the Couples Life Story Approach by encouraging couples to continue to reflect on their lives together as they review the book with each other and with others over time. By including several blank pages at the end of each book, we are indicating that they have a future, that the present is not the end of their story. We have been experimenting with different ways of constructing the Life Story Book. The American team has constructed it as a traditional photo album. Within the album are photos and other mementoes with large font captions as well as stories about events that were significant for the couple. The Japanese team has developed an electronic version so that they can make multiple copies of each couple’s book. We originally thought that this method of disseminating couples’ stories was particularly relevant to the Japanese couples because extended family relationships as well as relationships with day care staff were of central importance in their lives. However, we have discovered that the American couples are also very interested in sharing their stories with family, friends, and professionals; thus, the American team is also considering constructing the Life Story Books electronically to facilitate their ability to make multiple copies. Cross-cultural applicability of intervention Although conducted somewhat differently in the United States and Japan, the Couples Life Story Approach had a number of common benefits for couples in both countries. As we analyzed their experiences, we were struck by the similar themes that emerged across couples in the two countries. In particular, in both countries the approach highlighted the couple’s partnership, affirmed their strengths, enhanced their engagement with each other and their networks, and helped.Roach which involved presenting and discussing communication tips at the beginning of each weekly session. These tips provided some education about memory loss, theDementia (London). Author manuscript; available in PMC 2016 July 01.Ingersoll-Dayton et al.Pageimportance of stories, and suggestions for good communication. Perhaps more importantly, they often provided the impetus for a discussion about how to handle difficult moments in communicating and also offered couples the opportunity to affirm each other. The Japanese team decided not to incorporate the use of communication tips in a direct way but instead incorporated them indirectly by modeling how to include the person with memory loss into the conversation. This decision was motivated, in part, by the feelings of some interventionists that lecturing older people about their communication was disrespectful. As we move forward in the process of cross-fertilization, the American team is incorporating more indirect ways (e.g. modeling) of addressing communication and the Japanese team is considering more direct ways of teaching communication skills that will assist couples in the telling of their story. Disseminating the narrativeAuthor Manuscript Author Manuscript Author Manuscript Author ManuscriptThe Life Story Book that resulted from this approach has had a similar positive impact on the American and Japanese couples in that it allows them to relive their story together and to share it with others. The book itself becomes a legacy to be handed down rather than a pile of photographs to sort through. It provides coherence to their story for others to understand and admire. Our expectation is that this book will extend the impact of the Couples Life Story Approach by encouraging couples to continue to reflect on their lives together as they review the book with each other and with others over time. By including several blank pages at the end of each book, we are indicating that they have a future, that the present is not the end of their story. We have been experimenting with different ways of constructing the Life Story Book. The American team has constructed it as a traditional photo album. Within the album are photos and other mementoes with large font captions as well as stories about events that were significant for the couple. The Japanese team has developed an electronic version so that they can make multiple copies of each couple’s book. We originally thought that this method of disseminating couples’ stories was particularly relevant to the Japanese couples because extended family relationships as well as relationships with day care staff were of central importance in their lives. However, we have discovered that the American couples are also very interested in sharing their stories with family, friends, and professionals; thus, the American team is also considering constructing the Life Story Books electronically to facilitate their ability to make multiple copies. Cross-cultural applicability of intervention Although conducted somewhat differently in the United States and Japan, the Couples Life Story Approach had a number of common benefits for couples in both countries. As we analyzed their experiences, we were struck by the similar themes that emerged across couples in the two countries. In particular, in both countries the approach highlighted the couple’s partnership, affirmed their strengths, enhanced their engagement with each other and their networks, and helped.
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