In April 2016 Manchester eScholar was replaced by the University of Manchester’s new Research Information Management System, Pure. In the autumn the University’s research outputs will be available to search and browse via a new Research Portal. Until then the University’s full publication record can be accessed via a temporary portal and the old eScholar content is available to search and browse via this archive.

Related resources

University researcher(s)

    Under One Roof; Intergenerational Care For People With Dementia In Singapore-Chinese Families - A Case Study Design

    Koo, May Yeok

    [Thesis]. Manchester, UK: The University of Manchester; 2018.

    Access to files

    Abstract

    Background: The family-centred cultural construct of filial responsibility forms the core foundation of the traditional mosaic of a typical intergenerational Singapore-Chinese family. Due to modernization, several generations co-habiting within the same household or living in separate households have shrunk to smaller-sized immediate and extended families residing in mostly high-rise apartments. This change has impacted on the social norm of traditional intergenerational Singapore-Chinese caregiving. Currently, there are gaps in understanding the intergenerational Singapore-Chinese families and caregiving in dementia. Only a few studies to date have discussed the intersection on intergenerational family care, but an in-depth exploration of intergenerational Singapore-Chinese familiesâ€Â™ cultural beliefs and values is an important consideration when attempting to understand the family and determine their support and maintenance of relational bonds. Aims: The aim of this longitudinal, case study research using a participatory approach was to better understand the everyday caregiving experience of intergenerational Singapore-Chinese families within the context of each family unit living together in Singapore â€Â˜under one roofâ€Â™. Family biographies were co-constructed with five intergenerational families living â€Â˜under one roofâ€Â™ during repeated and scheduled visits with each participating family over a period of between six to 15 months. The interviews included the completion of a 23-item structured questionnaire, co-construction of a genogram and ecomap with each family, drawings, audio recordings and digital photographs of the home environment, items and activities. Results: Narrative analysis of the five intergenerational cases resulted in the emergence of three themes that explained and explored the various dynamics in the data, namely: i) Family values, and its supporting sub-themes of culture; religion; and filial piety; ii) Family support, and its supporting sub-themes of timeliness; internal support network; and external support network; and iii) Family bonds, and its supporting sub-themes of relational; closeness and conflict; and challenges. Data analysis also generated a meta-theme â€Â˜Intergenerational Family Connectionsâ€Â™ which was supported by three properties: i) Strongly held beliefs and practices; ii) Shared space; and iii) Supporting family togetherness. Conclusion: This study has led to an in-depth understanding of the everyday experience of the intergenerational Singapore-Chinese families of a person with dementia, within the shared context of their family construction. This study makes an original and significant contribution to knowledge through the development of a new theoretical model on intergenerational family connections in dementia care. The findings will better inform formal and informal service providers and policy makers on how best to support and maintain the relational dynamics of intergenerational Singapore-Chinese families who provide care for the person with dementia at home.

    Bibliographic metadata

    Type of resource:
    Content type:
    Form of thesis:
    Type of submission:
    Degree type:
    Doctor of Philosophy
    Degree programme:
    PhD Nursing PT DL
    Publication date:
    Location:
    Manchester, UK
    Total pages:
    424
    Abstract:
    Background: The family-centred cultural construct of filial responsibility forms the core foundation of the traditional mosaic of a typical intergenerational Singapore-Chinese family. Due to modernization, several generations co-habiting within the same household or living in separate households have shrunk to smaller-sized immediate and extended families residing in mostly high-rise apartments. This change has impacted on the social norm of traditional intergenerational Singapore-Chinese caregiving. Currently, there are gaps in understanding the intergenerational Singapore-Chinese families and caregiving in dementia. Only a few studies to date have discussed the intersection on intergenerational family care, but an in-depth exploration of intergenerational Singapore-Chinese familiesâ€Â™ cultural beliefs and values is an important consideration when attempting to understand the family and determine their support and maintenance of relational bonds. Aims: The aim of this longitudinal, case study research using a participatory approach was to better understand the everyday caregiving experience of intergenerational Singapore-Chinese families within the context of each family unit living together in Singapore â€Â˜under one roofâ€Â™. Family biographies were co-constructed with five intergenerational families living â€Â˜under one roofâ€Â™ during repeated and scheduled visits with each participating family over a period of between six to 15 months. The interviews included the completion of a 23-item structured questionnaire, co-construction of a genogram and ecomap with each family, drawings, audio recordings and digital photographs of the home environment, items and activities. Results: Narrative analysis of the five intergenerational cases resulted in the emergence of three themes that explained and explored the various dynamics in the data, namely: i) Family values, and its supporting sub-themes of culture; religion; and filial piety; ii) Family support, and its supporting sub-themes of timeliness; internal support network; and external support network; and iii) Family bonds, and its supporting sub-themes of relational; closeness and conflict; and challenges. Data analysis also generated a meta-theme â€Â˜Intergenerational Family Connectionsâ€Â™ which was supported by three properties: i) Strongly held beliefs and practices; ii) Shared space; and iii) Supporting family togetherness. Conclusion: This study has led to an in-depth understanding of the everyday experience of the intergenerational Singapore-Chinese families of a person with dementia, within the shared context of their family construction. This study makes an original and significant contribution to knowledge through the development of a new theoretical model on intergenerational family connections in dementia care. The findings will better inform formal and informal service providers and policy makers on how best to support and maintain the relational dynamics of intergenerational Singapore-Chinese families who provide care for the person with dementia at home.
    Thesis main supervisor(s):
    Thesis co-supervisor(s):
    Funder(s):
    Language:
    en

    Institutional metadata

    University researcher(s):
    Academic department(s):

    Record metadata

    Manchester eScholar ID:
    uk-ac-man-scw:313761
    Created by:
    Koo, May Yeok
    Created:
    13th March, 2018, 04:17:04
    Last modified by:
    Koo, May Yeok
    Last modified:
    3rd April, 2018, 11:45:33

    Can we help?

    The library chat service will be available from 11am-3pm Monday to Friday (excluding Bank Holidays). You can also email your enquiry to us.