GRAVEDAD ESPECÍFICA DE LAS BRIQUETAS

It is your choice whether to take part or not. If you decide to take part you will be asked to sign a consent form to indicate that you have read and understood this participant information sheet and agree to take part in the study. You can still change your mind and withdraw from the study at any time, within one month from the date the consent form is signed.

127 What will happen if I agree to take part?

Phase 1 of the study involves participating in a focus group of four people (all from Year 3 Coventry/Warwick clinical psychology doctorate), as well as the researcher. You will be asked to discuss your experiences of working with older people during training. If you would like to take part, you can contact me via email or leave a telephone message with the clinical psychology office (details below). You will then be contacted to arrange a mutually convenient interview date, time and venue.

The focus group will last approximately 30-40 minutes and will be voice recorded for the purpose of data analysis and transcribed. Before the recording begins you will have an opportunity to ask questions about the study and be asked to sign the consent form. The focus group comprises phase 1 of the research study, and it will be used to devise interview questions for phase 2 of the study: individual semi-structured interviews. You will not be asked to participate in phase 2 of the study.

What are the possible risks or benefits of taking part?

The research is about your experiences and you will be asked to say as much as you feel comfortable with. It is possible that talking about your experiences may evoke some emotional distress. Should this happen I will have copies of the West Midlands Therapy Network Register available for you to take away or you can contact your GP. If you do find it difficult to answer the questions please remember that we can stop the interview at any time. I am not able to offer participants any direct rewards for taking part in the study.

Will my information be kept confidential?

Participants in the focus group will be asked to respect each other’s confidentiality and anonymity. The focus group recording will be transferred onto a password protected file on the researcher’s personal computer and the recording will then be deleted from the digital audio recording device. The recording will be transcribed by the researcher and anonymised in a password protected file. A paper copy of the anonymous transcript will be used for analysis by the researcher, which may be viewed by her supervisors and other members of the clinical psychology team. Following study completion, your information will be stored securely by Coventry University for five years before being destroyed, in line with British Psychological Society (BPS) guidelines. Study findings, including anonymous quotes and

128

extracts, may be included in the final paper, for the doctoral thesis submission and any further dissemination, such as journal articles and conference presentations.

What if there is a problem? If you are concerned about any aspect of this study, please

contact the researcher or one of her supervisors (see contact details below).

What will happen to the results of this study? The results of this study may be put

forward for publication in psychology and/or mental health journals. If you would like to receive a summary of the findings please contact the researcher (see contact details below).

Thank you for taking time to read this information.

Researcher:

Tanagh Williams, Trainee Clinical Psychologist. Clinical Psychology Doctorate, Faculty of

Health and Life Sciences, Coventry University, James Starley Building, Priory Street, Coventry, CV1 5FB. Tel: 024 7688 8328 Email: [email protected]

Clinical Supervisor:

Jane Muers, Clinical Psychologist. Clinical Psychology Doctorate, Faculty of Health and Life

Sciences, Coventry University, James Starley Building, Priory Street, Coventry, CV1 5FB. Tel: 024 7688 8328

Academic Supervisor:

Dr Tom Patterson, Clinical Psychologist. Academic Director - Clinical Psychology

Doctorate, Faculty of Health and Life Sciences, Coventry University, James Starley Building, Priory Street, Coventry, CV1 5FB. Tel: 024 7688 8328

129 Appendix J

130 Appendix K

Focus Group Interview Schedule

I am interested in trainees’ experiences of working with older people. I want to hear about your personal experiences. Please give as much detail as you can, as long as you feel comfortable. Please also respect each other’s confidentiality and anonymity and ensure that information discussed today is not shared with anyone else.

Let me know if any of you need take a break at any point. As you know, I am recording the focus group, so please do tell me if you want me to stop the recording at any time. I’m interested in all of your own experiences whatever these may be.

Question 1

Could you tell me about your experience(s) of working with older people both prior to commencing clinical training and during clinical training?

Question 2

Looking back over your placement experience, can you comment on the interactions you had with older clients / service users?

Question 3

Can you tell me about what it was like to work clinically with older people?

Question 4

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Main themes Subthemes

Differences between working with older people and other areas

Less understanding of psychological ideas/ talking about feelings Longer history, poignancy of going further back

Wide variety of work

Dementia diagnosis process Adapting to contexts in which assessments took place Challenges of giving feedback

Facilitating psychological adjustment to life changing diagnosis Relationships with older people and

their carers / family

Boundaries blurred Resistance

Finding common ground Enjoyable aspects of the work Group work

Informality, social aspect Dementia work

What is brought to therapy Multiple losses

Changes to home life / environment

Precipitated by loss of physical abilities / previous coping strategies How I feel as the therapist Want to help versus can’t help

Diagnostic process as overwhelming

Reminders of older people and losses in own life Frustrations about unsuitable working environments

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132 Appendix M

Interview Schedule for Interviews

Interview Schedule

Opening question:

Can you tell me about your placement(s) where you worked with older people?

- Service

- Location

Questions to be covered (with suggested prompts if the participant is having difficulty answering the question):

1. Can you say a little about your experience of working with older clients on placement?

2. What knowledge, skills or experience did you draw upon or find helpful in your therapeutic -work with older people?

- E.g. Psychological Theories; Therapeutic models or modalities; Personal experience

3. Can you tell me about your experience of conducting cognitive assessments, including giving feedback to clients (if this formed a part of your role)?

4. Were there aspects of the work that you enjoyed or that you found particularly difficult?

- Any examples? (e.g. particular interactions you remember liking or finding difficult or feelings evoked by working with certain clients)

5. Did your clinical work with older clients have a personal impact on you?

- In what ways?

- (If yes), how did you manage any personal impact while you were on placement?

6. If your placement experience included work with families or carers could you tell me about what that was like?

133 7. Was your experience of working clinically with older people similar to or

different from your experience of working with other groups?

- In what ways?

Potential follow up questions / additional prompts:

- You said X, can you give me an example of that / can you say a bit more about that?

- I’d be interested to hear a little more of your thoughts about that. - What was it like?

134 Appendix N