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dc.contributor.supervisorKENT, BRIDIE
dc.contributor.authorBURROWS, LISA
dc.contributor.otherFaculty of Healthen_US
dc.date.accessioned2020-06-20T10:47:19Z
dc.date.available2020-06-20T10:47:19Z
dc.date.issued2020
dc.identifier600517en_US
dc.identifier.urihttp://hdl.handle.net/10026.1/15785
dc.description.abstract

Background: Memory cafés are a growing community based response to supporting people living with dementia and their carers. They are now well established in the UK and elsewhere; with over forty cafés in Cornwall. Despite their growth, there has been little research into their structure, aims and impact. Aims: The aim of this research was to explore how and why memory cafés work for people living with dementia and their carers. Methodology: Realist methodology is a theory driven approach that seeks to explain why a programme works, for whom and in what circumstances. The research consisted of three stages. Firstly, the development of initial programme theories through a realist review. Secondly, the testing and refinement of those theories, and the development of new theories through a realist evaluation. Thirdly, the formulation of a conceptual platform from the programme theories of how and why memory cafés work. The realist evaluation used ethnographic approaches of observation and in-situ interviews in four memory cafés, to enable a greater understanding of the café structures, processes and reported benefits. Results: A conceptual platform comprising twelve core processes of how and why memory cafés work was developed from nine programme theories. Cafés generally adopted a volunteer-led, more structured approach or a guest-led, unstructured approach. Memory cafes are multi-faceted; providing a safe place where people with dementia and their carers can meet with others in a similar situation, and engage in a range of activities. Furthermore, they provide a place of continuity for a carer once their loved one has passed away. They create opportunities for humour and laughter, outside of normal routines and can be a source of information on other services. Most importantly they enable the development of relationships. Conclusions: Memory cafés provide a valuable community based service to people living with and affected by dementia.  

en_US
dc.description.sponsorshipThe National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) South West Peninsula (PenCLAHRC)en_US
dc.language.isoen
dc.publisherUniversity of Plymouth
dc.subjectMemory Cafe
dc.subjectRealist
dc.subjectCommunity Support
dc.subjectCornwall
dc.subjectDementiaen_US
dc.subject.classificationPhDen_US
dc.titleMORE THAN TEA AND CAKE: A REALIST EVALUATION OF MEMORY CAFÉS IN CORNWALLen_US
dc.typeThesis
plymouth.versionpublishableen_US
dc.identifier.doihttp://dx.doi.org/10.24382/542
dc.rights.embargoperiodNo embargoen_US
dc.type.qualificationDoctorateen_US
rioxxterms.versionNA
plymouth.orcid.idhttp://orcid.org/0000-0001-5596-9247en_US


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