Maud Hevink

| 112 Researcher Reflections After the interviews and focus group, researcher(s) in each country reflected and wrote notes on their experiences of using the projective and enabling techniques with people with dementia (see Appendix C for Research Reflections template). This consisted of: • General information (e.g., description of the interviewer and any major deviations or modifications made to the interview structure) • Analytic questions (i.e., concerns related to participant responses such as emotional disturbances or other topics that emerged) • Evaluation of the projective techniques (i.e., manageability, meaningfulness, and comprehensibility; see Table 1 for descriptions of these concepts). Table 1. Definitions of Three Dimensions of Research Cohesion (Adapted from Phillipson, Smith (38). Comprehensible ‘Comprehensibility’ refers to whether the research approach is understandable. In this study, do the participants understand the intention of the inquiries and the techniques being used (e.g., the intention to project their thoughts, feelings, and insights onto the hypothetical couple and their doctor)? Manageable ‘Manageability’ refers to how the approach supports and assists people to manage the essential steps involved in taking part in the planned research process. Considerations included: the supportiveness of the script, the appropriateness of the photos, the use of four time points for reflection. Also, the length, complexity and number of instructions and the ability of people with dementia to manage the tasks. Meaningful ‘Meaningfulness’ is found in the intensity of personal connections with the pictures, the questions, and the extent to which participants engage with concepts and ideas which are the intended focus of the exploration. Recruitment and eligibility All data collection occurred between November 2019 and February 2021. Recruitment was challenging as, for the most part, it took place during the COVID-19 pandemic. To overcome challenges, each country tailored strategies to maximise reach. Sample strategies included use of social media (Twitter and Facebook) in Australia, recruitment via dementia and community care services in Canada, and a day program in Poland. In the Netherlands and Poland recruitment also took place through hospitals (e.g., memory clinics and psychogeriatric wards). Finally, some participants indicated willingness to participate in an interview or focus group following completion of a baseline survey conducted

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