To support older patients’ engagement in their healthcare trajectories, professionals have to “help people help themselves”. We are developing “Health Dialogues”, a new practice that recognizes the complexity of an individual’s life history as well as their specific everyday needs and priorities.
The central research questions are:
How do older people experience ‘patient involvement’ and ‘shared decision-making’ in the Danish healthcare sector, and how does integrating autonomy-compatible help via Health Dialogues affect (i.e., change, disrupt, improve) older people’s engagement?
With inspiration from philosopher David Ellerman’s theory of autonomy-compatible help (2006/2009), this project investigates how a framework of “helping people help themselves” enables health professionals to better support older patients’ intrinsic motivation, which is expressed in their narrative communication during a healthcare encounter.
- Phase I: Ethnographic study of hospital-based healthcare encounters
- Phase II: Shaping the Health Dialogues
- Phase III: Training professionals; a pilot intervention
The focus is on examining forms of relational communication in a range of settings in the Danish hospital sector; e.g., healthcare consultations and feedback meetings held at clinics and hospitals.
Clotworthy A. 2020. Empowering the elderly? How ‘help to self-help’ interventions shape ageing and eldercare in Denmark. Bielefeld, Germany: Transcript Verlag, 262 p. (Aging Studies). https://doi.org/10.14361/9783839452110.
Clotworthy, A & Westendorp, RGJ 2023, How can we help? Promoting autonomy-compatible help to reable older adults. in T Rostgaard, J Parsons & H Tuntland (eds), Reablement in Long-Term Care for Older People: International perspectives on current knowledge and future directions. 1 edn, Policy Press.
Clotworthy, A 2022, How should we care for the elderly? in D Souleles, J Gersel & MS Thanning (eds), People Before Markets. 1 edn, Cambridge University Press. https://doi.org/10.1017/9781009165846