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A critical discourse analysis of person-centred dialogues in a remote intervention with and for older persons living with frailty [PCC197]

Tuesday May 5, 2026 12:00 - 17:00 Poster Arena

Presenter: Zahra Ebrahimi

Track: Poster session, Digitalisation & eHealth

Keywords: remote person-centred care, person-centred conversations, critical discourse analysis, older persons living with frailty Background: Person-centred care is increasingly recognized as essential in healthcare. Person-centred dialogues are central to this approach, yet little is known about how these discourses are constructed in practice. Aim: To critically analyse how person-centred conversations are constructed and negotiated in remote dialogues between healthcare professionals and older persons living with frailty. Method: A total of 18 person-centred dialogues between healthcare professionals and four older persons living with frailty, who had participated in the IHOPe randomised controlled trial were selected [1]. The intervention was a remote person-centred intervention via telephone conversations and a digital platform. A critical discourse analysis was conducted on approximately 10 hours transcribed dialogues using Fairclough’s three-dimensional model [2]. Results: Three themes were formulated: (1) Patient-driven narratives of constant struggle with bodily limitations and inaccessible care; (2) Healthcare professionals’ strategies to apply person-centred ethics through active listening, affirmation, and co-creation; (3) Tensions and structural barriers that hinder full realization of person-centred ethics, including digital exclusion and responsibility shifts. Conclusion: Person-centred dialogues are necessary but insufficient without organizational and policy-level reforms to ensure equity and continuity in care for older persons living with frailty. Points for discussion: How is person-centred care constructed and negotiated in remote dialogues with older persons living with frailty? What opportunities and barriers arise in the application of person-centred ethics in these dialogues? In what way does societal structures influence person-centred dialogues? References Ebrahimi Z, et.al: Integrating Health Promotion with and for Older People - eHealth (IHOPe) – Evaluating remote integrated person-centred care - Protocol of a randomised controlled trial with effectiveness, health economic, and process evaluation. BMC Geriatrics, 2023, Vol 23, Iss 174 2023, 23(174). Fairclough N: Doing Discourse Analysis. In: Discourse and social change Cambridge: Polity Press; 1992.
Language

English

Conference

GCPCC

GCPCC Code

PCC197

Lecturers

Zahra Ebrahimi Presenter

Zahra Ebrahimi, Nina Ekman, Mahboubeh Goudarzi, Inger Ekman