The Life Story Book Experience With Residents With Neurocognitive Disorders in Long-Term Care and Their Caregivers: A Mixed-Methods Study
Background Residents with neurocognitive disorders in long-term care facilities experience behavioral and psychological symptoms that affect well-being and relationships. Life story books, personalized compilations of memories, may enhance communication and emotional connection through reminiscence. Objectives To examine observed changes in the effects and acceptability of the life story books intervention among residents with neurocognitive disorders and their informal caregivers. Methods A convergent mixed-methods design was conducted in three long-term care facilities with sixteen resident–caregiver dyads. Quantitative data were collected before and after a six-month intervention, complemented by qualitative interviews and observations. Results Fifteen residents and eleven caregivers completed the study. Quantitative findings revealed changes in positive affect and pleasure, as well as reduced agitated behaviors and an increase in irritability. Qualitative findings highlighted enhanced engagement, communication, and emotional connection. Caregivers reported high acceptability and confidence in using the books, despite occasional emotional ambivalence. Conclusion Life Story Book is a feasible and person-centred intervention that shows promise in promoting emotional well-being and meaningful connections in the context of dementia care.