The Dutch version of the Dignity Therapy Question Protocol for individual Dutch nursing home residents without cognitive impairments (during COVID-19): a pilot study

Abstract Background Dignity therapy is a brief, structured psychotherapeutic intervention originally designed to help last-stage cancer patients maintain their dignity. It consists of a semi-structured interview encouraging patients to talk about their lives. The recorded session are transcribed and...

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Main Authors: Herman van Dammen, Kris Vissers, Gert-Jan van der Putten, Yvonne Engels
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-024-05632-8
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author Herman van Dammen
Kris Vissers
Gert-Jan van der Putten
Yvonne Engels
author_facet Herman van Dammen
Kris Vissers
Gert-Jan van der Putten
Yvonne Engels
author_sort Herman van Dammen
collection DOAJ
description Abstract Background Dignity therapy is a brief, structured psychotherapeutic intervention originally designed to help last-stage cancer patients maintain their dignity. It consists of a semi-structured interview encouraging patients to talk about their lives. The recorded session are transcribed and edited, after which the patient has the opportunity to make further changes to the final document. It can be shared with whom the patient likes. We cross-culturally translated dignity therapy into Dutch and explored its feasibility of applying it to Dutch cognitively capable nursing home residents. Method Beaton’s Guidelines for Good Clinical Practice were used to cross-culturally translate dignity therapy. Next, a pilot study was conducted with 12 nursing home residents in which the original English-language questionnaire was transculturally translated according to the method of Beaton. After the interviews were completed, feasibility was examined by open-ended questions and a five-point Likert scale questionnaire. Results We translated the questionnaire. The translated questions were well understood and resulted in an appropriate Dutch version of the English-language dignity therapy questions. However, the words ‘dignity’ and ‘therapy’ caused confusion. The mean number of words in the legacy document was 1078 words, which appeared shorter than in a community-based hospice setting or patients with metastatic cancer or terminally ill people. The reading aloud was much appreciated and was an emotional experience for some. Conclusion We successfully translated the DTQP into the Dutch language and tested it in 12 nursing home residents. The questions posed by this therapy appeared suitable and acceptable. Furthermore, participants all accepted the therapy and gave no suggestions to adapt the procedure. Follow-up research in the form of an impact study is needed to show whether and how this therapy can strengthen the sense of dignity of Dutch nursing home residents.
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spelling doaj-art-b47215eb3af74f86b2ba6d1240f4ea7d2025-01-12T12:38:38ZengBMCBMC Geriatrics1471-23182025-01-012511710.1186/s12877-024-05632-8The Dutch version of the Dignity Therapy Question Protocol for individual Dutch nursing home residents without cognitive impairments (during COVID-19): a pilot studyHerman van Dammen0Kris Vissers1Gert-Jan van der Putten2Yvonne Engels3¹Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center¹Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center²Dental Department, Radboud University Medical Center¹Department of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical CenterAbstract Background Dignity therapy is a brief, structured psychotherapeutic intervention originally designed to help last-stage cancer patients maintain their dignity. It consists of a semi-structured interview encouraging patients to talk about their lives. The recorded session are transcribed and edited, after which the patient has the opportunity to make further changes to the final document. It can be shared with whom the patient likes. We cross-culturally translated dignity therapy into Dutch and explored its feasibility of applying it to Dutch cognitively capable nursing home residents. Method Beaton’s Guidelines for Good Clinical Practice were used to cross-culturally translate dignity therapy. Next, a pilot study was conducted with 12 nursing home residents in which the original English-language questionnaire was transculturally translated according to the method of Beaton. After the interviews were completed, feasibility was examined by open-ended questions and a five-point Likert scale questionnaire. Results We translated the questionnaire. The translated questions were well understood and resulted in an appropriate Dutch version of the English-language dignity therapy questions. However, the words ‘dignity’ and ‘therapy’ caused confusion. The mean number of words in the legacy document was 1078 words, which appeared shorter than in a community-based hospice setting or patients with metastatic cancer or terminally ill people. The reading aloud was much appreciated and was an emotional experience for some. Conclusion We successfully translated the DTQP into the Dutch language and tested it in 12 nursing home residents. The questions posed by this therapy appeared suitable and acceptable. Furthermore, participants all accepted the therapy and gave no suggestions to adapt the procedure. Follow-up research in the form of an impact study is needed to show whether and how this therapy can strengthen the sense of dignity of Dutch nursing home residents.https://doi.org/10.1186/s12877-024-05632-8Nursing home residentsDignity therapy question protocolDTQPD-DTQPTranslationFeasibility
spellingShingle Herman van Dammen
Kris Vissers
Gert-Jan van der Putten
Yvonne Engels
The Dutch version of the Dignity Therapy Question Protocol for individual Dutch nursing home residents without cognitive impairments (during COVID-19): a pilot study
BMC Geriatrics
Nursing home residents
Dignity therapy question protocol
DTQP
D-DTQP
Translation
Feasibility
title The Dutch version of the Dignity Therapy Question Protocol for individual Dutch nursing home residents without cognitive impairments (during COVID-19): a pilot study
title_full The Dutch version of the Dignity Therapy Question Protocol for individual Dutch nursing home residents without cognitive impairments (during COVID-19): a pilot study
title_fullStr The Dutch version of the Dignity Therapy Question Protocol for individual Dutch nursing home residents without cognitive impairments (during COVID-19): a pilot study
title_full_unstemmed The Dutch version of the Dignity Therapy Question Protocol for individual Dutch nursing home residents without cognitive impairments (during COVID-19): a pilot study
title_short The Dutch version of the Dignity Therapy Question Protocol for individual Dutch nursing home residents without cognitive impairments (during COVID-19): a pilot study
title_sort dutch version of the dignity therapy question protocol for individual dutch nursing home residents without cognitive impairments during covid 19 a pilot study
topic Nursing home residents
Dignity therapy question protocol
DTQP
D-DTQP
Translation
Feasibility
url https://doi.org/10.1186/s12877-024-05632-8
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