A growing number of scholars are turning to dramatic performance as an innovative approach to disseminating the results of qualitative research. With an interest in this aesthetic practice, the authors transformed ethnographic research on personhood in Alzheimer's disease into a dramatic production, Expressions of Personhood in Alzheimer's , which was performed at the outset of focus group discussions with health practitioners. In this article, the authors report the results of an evaluation of health practitioners' perceptions of this theatrical adaptation as a pedagogical tool. Data from the focus group discussions and a self-administered postperformance survey suggest that there was a perceived relevance of the production to practitioners' practices, an increased understanding gained from attending the production, and a strong endorsement of the use of drama as an educational tool for disseminating information about dementia care.
Abma, T.A. (2002). Emerging narrative forms of knowledge representation in the health sciences: Two texts in a postmodern context . Qualitative Health Research, 12, 5-27 .
2.
Acuna, L.E. (2000). Don't cry for us Argentineans: Two decades of teaching medical humanities . Medical Humanities, 26, 66-70 .
3.
Allen-Burge, R. , Stevens, A.B. , & Burgio, I.D. (1999). Effective behavioral interventions for decreasing dementia-related challenging behavior in nursing homes . International Journal of Geriatric Psychiatry, 14, 213-232 .
4.
Bero, L.A. , Grimshaw, J.M. , Harvey, E. , Oxman, A.D. , & Thomson, M. (1998). Closing the gap between research and practice: An overview of systematic reviews of interventions to promote the implementation of research findings . British Medical Journal, 317(7156), 465-468 .
5.
Bourdieu, P. (1977). Outline of a theory of practice. Cambridge , UK: Cambridge University Press .
6.
Bourdieu, P. (1990). The logic of practice. Cambridge , UK: Polity .
7.
Brodaty, H. , Green, A. , & Koschera, A. (2003). Meta-analysis of psychosocial interventions for caregivers of people with dementia . Journal of the American Geriatrics Society, 51, 657-664 .
8.
Bronskill, S.E. , Anderson, G.M. , Sykora, K. , Wodchis, W.P. , Gill, S. , Shulman, K. , et al. (2004). Neuroleptic drug therapy in older adults newly admitted to nursing homes: Incidence, dose, and specialist contact . Journal of the American Geriatrics Society, 52(5), 749-755 .
9.
Canadian Institutes of Health Research Act. 2000, c. 6 C-18.1.
10.
Chan, P. , & Kenny, S.R. (2001). National consistency and provincial diversity in delivery of long-term care in Canada. Journal of Aging &Social Policy, 13(2/3), 83-99 .
11.
Charon, R. , Banks, J.T. , Connelly, J.E. , Hawkins, A.H. , Hunter, K.M. , Jones, A.H. , et al. (1995). Literature and medicine: Contributions to clinical practice . Annals of Internal Medicine, 122(8), 599-606 .
12.
Clifford, J. (1986). Introduction: Partial truths. In J. Clifford , & G. Marcus (Eds.), Writing culture: The poetics and politics of ethnography (pp. 1-26). Berkeley: University of California Press .
13.
Clifford, J. (1988). Predicament of culture. Cambridge, MA: Harvard University Press .
14.
Cohen-Mansfield, J. , & Mintzer, J.E. (2005). Time for change: The role of nonpharmacological interventions in treating behavior problems in nursing home residents with dementia . Alzheimer Disease and Associated Disorders, 19(1), 37-40 .
15.
Comer, S.K. (2005). Patient care simulations: Role playing to enhance clinical understanding. Nursing EducationPerspectives, 26(6), 357-361 .
16.
Conquergood, D. (1991). Rethinking ethnography: Towards a critical cultural politics . Communication Monographs, 58, 179-194 .
17.
Cooley, C.H. (1972). The looking glass self. In J. Manis & A. Meltzer (Eds.), Symbolic interaction (pp. 231-233). Boston: Allyn & Bacon .
18.
Davis, D. (2004). Dementia: Sociological and philosophical constructions . Social Science & Medicine, 58, 369-378 .
19.
DeDeyn, P.P. , Rabheru, K. , Rasmussen, A. , Bocksberger, J.P. , Dautzenberg, P.L. , Eriksson, S. , et al. (1999). A randomized trial of risperidone, placebo and haloperidol for behavioral symptoms of dementia . Neurology , 53, 946-955 .
20.
Deloney, L.A. , & Graham, C.J. (2003). Wit: Using drama to teach first-year medical students about empathy and compassion. Teaching and Learning in Medicine , 15(4), 247-251 .
21.
Denzin, N. (1997). Interpretive ethnography: Ethnographic practices for the 21st century . Thousand Oaks, CA: Sage . Denzin, N. (2000). Aesthetics and the practices of qualitative inquiry . Qualitative Inquiry, 6(2), 256-265 .
Dewing, J. (2004). Concerns relating to the application of frameworks to promote person-centredness in nursing with older people . Journal of Clinical Nursing, 13(S1), 39-44 .
24.
Douglas, S. , James, I. , & Ballard, C. (2004). Non-pharmacological interventions in dementia . Advances in Psychiatric Treatment, 10, 171-179 .
25.
Easton, K. (1999). Using focus groups in rehabilitation nursing. RehabilitationNursing, 24(5), 212-215 .
26.
Emerson, E. (1998). Working with people with challenging behaviour . In E. Emerson , C. Hatton , J. Bromley , & A. Caine (Eds.), Clinical psychology and people with intellectual disabilities (pp. 127-153). Chichester , UK: John Wiley .
27.
Finnema, E. , Dröes, R. , Ribbe, M.W. , & Tilburg, W. (2000). The effects of emotion-oriented approaches in the care for persons suffering from dementia: A review of the literature . International Journal of Geriatric Psychiatry, 15, 141-161 .
28.
Fontana, A. , & Smith, R.W. (1989). Alzheimer's disease victims: The “unbecoming” of self and the normalization of competence . Sociological Perspectives, 32(1), 35-46 .
29.
Goffman, E. (1963). Stigma: Notes on the management of spoiled identity . Englewood Cliffs, NJ: Prentice Hall .
30.
Golander, H. , & Raz, A.E. (1996). The mask of dementia: Images of “demented residents” in a nursing ward . Ageing and Society, 16, 269-285 .
31.
Gray, R. , Fitch, M. , Labrecque, M. , & Greenberg, M. (2003). Reactions of health professionals to a research-based theatre production. Journal ofCancer Education, 18(4), 223-229 .
32.
Gray, R. , Sinding, C. , & Fitch, M. (2001). Navigating the social context of metastatic breast cancer: Reflections on a project linking research to drama . Health, 5(2), 233-248 .
33.
Gray, R. , Sinding, C. , Ivonoffski, V. , Fitch, M. , Hampson, A. , & Greenberg, M. (2000). The use of research-based theatre in a project related to metastatic breast cancer . Health Expectations, 3, 137-144 .
34.
Grimshaw, J.M. , McAuley, L. , Bero, L.A. , Grilli, R. , Oxman, A.D. , Ramsay, C. , et al. (2003). Systematic reviews of the effectiveness of quality improvement strategies and programmes. Quality Safety in Health Care, 12, 298-303 .
35.
Grol, R. (1997). Beliefs and evidence in changing clinical practice . British Medical Journal, 315(7105), 418-421 .
36.
Hamers, J. , Gulpers, M. , & Strick, W. (2004). Use of physical restraints with cognitively impaired nursing home residents . Journal of Advanced Nursing, 45, 246-251 .
37.
Henderson, J.A. , & Vesperi, M.D. (1995). The culture of long term care: Nursing home ethnography . New York: Bergin and Garvey .
38.
Jonas-Simpson, C. (2001). From silence to voice: Knowledge, values, and beliefs guiding healthcare practices with persons living with dementia . Nursing Science Quarterly, 14(4), 304-310 .
39.
Kitwood, T. (1990). The dialectics of dementia: With particular reference to Alzheimer's disease . Ageing and Society, 10, 177-196 .
40.
Kitwood, T. (1993). Towards the reconstruction of an organic mental disorder. In A. Radley (Ed.), Worlds of illness: Biographical and cultural perspectives on health and disease (pp. 143-160). London: Routledge .
41.
Kitwood, T. (1997). Dementia reconsidered: The person comes first . Buckingham , UK: Open University Press .
42.
Kitwood, T. (1998). Toward a theory of dementia care: Ethics and interaction . Journal of Clinical Ethics, 9(1), 23-34 . Kitwood , T. , & Benson, S. (1995). The new culture of dementia care . London: Hawker .
43.
Kitwood, T. , & Bredin, K. (1992). Towards a theory of dementia care: Personhood and well-being . Ageing and Society, 12, 269-287 .
44.
Kitzinger, J. (1995). Qualitative research: Introducing focus groups . British Medical Journal, 311(7000), 299-302 .
45.
Kontos, P. (2003). “ The painterly hand”: Embodied consciousness and Alzheimer's disease . Journal of Aging Studies, 17, 151-170 .
46.
Kontos, P. (2004). Ethnographic reflections on selfhood, embodiment and Alzheimer's disease . Ageing and Society, 24, 829-849 .
47.
Kontos, P. (2005). Embodied selfhood in Alzheimer's disease: Rethinking person-centred care . Dementia: The International Journal of Social Research and Practice, 4(4), 553-570 .
48.
Kontos, P. (2006a). Embodied selfhood: An ethnographic exploration of Alzheimer's disease. In L. Cohen , & A. Leibing (Eds.), Thinking about dementia: Culture, loss, and the anthropology of senility (pp. 195-217). Cambridge , UK: Cambridge University Press .
49.
Kontos, P. (2006b). Habitus: An incomplete account of human agency . American Journal of Semiotics, 22, 67-83 .
50.
Kontos, P. , & Naglie, G. (2006). Expressions of personhood in Alzheimer's: Moving from ethnographic text to performing ethnography . Qualitative Research, 6(3), 301-317 .
51.
Krueger, R.A. , & Casey, M.A. (2000). Focus groups: A practical guide for applied research . Thousand Oaks, CA: Sage .
52.
Kuckartz, U. (1995). Case-oriented quantification. In U. Kelle (Ed.), Computer-aided qualitative data analysis (pp. 158-166). London: Sage .
53.
Lorenz, K.A. , Steckart, J.J. , & Rosenfeld, K.E. (2004). End-of-life education using the dramatic arts: The Wit educational initiative . Academic Medicine, 79(5), 481-486 .
54.
Lyman, K. (1989). Bringing the social back in: A critique of the biomedicalization of dementia . The Gerontologist, 29(5), 597-605 .
55.
Lyman, K. (1998). Living with Alzheimer's disease: The creation of meaning among persons with dementia. Journal of ClinicalEthics, 9(1), 49-57 .
56.
Margallo-Lana, M. , Swann, A. , O'Brien, J. , Fairbairn, A. , Reichelt, K. , Potkins, D. , et al. (2001). Prevalence and pharmacological management of behavioural and psychological symptoms amongst dementia sufferers living in care environments . International Journal of Geriatric Psychiatry , 16, 39-44 .
57.
McCormack, B. (2004). Person-centredness in gerontological nursing: An overview of the literature . International Journal of Older People Nursing, 13(3a), 31-38 .
58.
Mead, G.H. (1970). Development of self through play and games. In G. P. Stone , & H. A. Farberman (Eds.), Social psychology through symbolic interaction (pp. 537-545). London: Ginn - Blaisdell .
59.
Merleau-Ponty, M. (1962). Phenomenology of perception. London: Routledge Kegan Paul .
60.
Mienczakowski, J. (1992). Syncing out loud: A journey into illness. Brisbane , Australia: Griffith University Reprographics .
61.
Mienczakowski, J. , & Morgan, S. (1993). Busting: The challenge of the drought spirit. Brisbane , Australia: Griffith University Reprographics .
62.
Mienczakowski, J. , Smith, L. , & Morgan, S. (2002). Seeing words—Hearing feelings: Ethnodrama and the performance of data. In C. Bagley , & M. Cancienne (Eds.), Dancing the data (pp. 34-52). New York: Peter Lang .
63.
Miles, M. , & Huberman, A. (1984). Qualitative data analysis. London: Sage .
64.
Morton, I. (1999). Person-centred approaches to dementia care. Bicester , UK: Winslow .
65.
Nolan, M.R. , Booth, A. , & Nolan, J. (1997). New directions in rehabilitation: Exploring the nursing contribution. London: English National Board for Nursing, Midwifery and Health Visiting .
66.
Norris, S. , & Madore, O. (2000). Bill C-13: The Canadian Institutes of Health Research Act. Retrieved April 27, 2006, from http://www.parl.gc.ca/common/bills_ls.asp?lang=E&ls=c13&source=library_prb&Parl=36&Ses=2
67.
Nussbaum, M. (1997). Cultivating humanity: A classical defense of reform in liberal education. Cambridge, MA: Harvard University Press .
68.
Nussbaum, M. (2004). Liberal education and global community . Liberal Education, 90(1), 42-46 .
69.
O'Brien, M.A. , Freemantle, N. , Oxman, A.D. , Wolf, F. , Davis, D.A. , & Herrin, J. (2001). Continuing education meetings and work-shops: Effects on professional practice and health care outcomes . The Cochrane Database of Systematic Reviews, 3, 1-35 .
70.
Pope, C. , Ziebland, S. , & Mays, N. (2000). Qualitative research in health care: Analysing qualitative data . British Medical Journal, 320(7227), 114-116 .
71.
Rosenbaum, M.E. , Ferguson, K.J. , & Herwaldt, L.A. (2005). In their own words: Presenting the patient's perspective using research-based theatre . Medical Education, 39, 622-631 .
72.
Sabat, S. , & Harré, R. (1992). The construction and deconstruction of self in Alzheimer's disease . Ageing and Society, 12, 443-461 .
73.
Sandelowski, M. , Trimble, F. , Woodard, E.K. , & Barroso, J. (2006). From synthesis to script: Transforming qualitative research findings for use in practice . Qualitative Health Research, 16, 1350-1370 .
74.
Shapiro, J. , & Hunt, L. (2003). All the world's a stage: Theatrical performance in medical education . Medical Education, 37(10), 922-927 .
75.
Sinding, C. , Gray, R. , Fitch, M. , & Greenberg, M. (2002). Staging breast cancer, rehearsing metastatic disease . Qualitative Health Research, 12, 61-73 .
76.
Sink, K.M. , Holden, K.F. , & Yaffe, K. (2005). Pharmacological treatment of neuropsychiatric symptoms of dementia: A review of evidence . JAMA, 293, 596-608 .
77.
Sloane, P.D. , Hoeffer, B. , Mitchell, M. , McKenzie, D.A. , Barrick, A.L. , Rader, J. , et al. (2004). Effect of person-centered showering and the towel bath on bathing-associated aggression, agitation, and discomfort in nursing home residents with dementia: A randomized controlled trial . Journal of the American Geriatrics Society, 52, 1795-1804 .
78.
Street, J.S. , Clark, W.S. , Gannon, K.S. , Cummings, J.L. , Bymaster, F.P. , Tamura, R.N. , et al. (2000). Olanzapine treatment of psychotic and behavioural symptoms in patients with Alzheimer's disease in nursing care facilities: A double-blind randomised, placebo-controlled trial . Archives of General Psychiatry,57, 968-976 .
79.
Tappen, R.M. , Williams, C. , Fishman, S. , & Touhy, T. (1999). Persistence of self in advanced Alzheimer's disease . Image: Journal of Nursing Scholarship, 31(2), 121-125 .
80.
Twigg, J. (2000). Bathing: The body and community care. London: Routledge .
81.
Tyler, S. (1987). The unspeakable: Discourse, dialogue and rhetoric in the postmodern world. Madison: University of Wisconsin Press .
82.
Viau, P.A. (1994). Collaborative teaching-learning: A potential framework for staff development educators . Journal of Nursing Staff Development, 10(4), 195-201 .
83.
Williams, B. , & Grant, G. (1998). Defining “people-centredness”: Making the implicit explicit . Health and Social Care in the Community , 6, 84-94 .
84.
Williams, K. , Kemper, S. , & Hummert, M.L. (2003). Improving nursing home communication: An intervention to reduce elderspeak . The Gerontologist, 43(2), 242-247 .
