Table 3.

Coding Schema, Frequency of Codes, and Interrater Reliability in the Meal and Suffering Accounts

Codes	Description	Frequency in the meal account	Frequency in the suffering account	Fleiss’ Kappa
Meal-Ordinary	A meal that is described as a normal daily activity. It can take place at home, in a long term care facility, or a restaurant (if it is clear that dining at that restaurant is a habitual activity rather than a special occasion).	40	0	0.83
Setting and environment	Descriptions of the setting and surrounding environment, including descriptions of the weather.	24	10	0.40
Enjoyment	Enjoyment in a shared experience with their spouse.	32	0	0.65
Secondary/leisure activity	Reference to a secondary activity such as watching TV, listening to the radio, or listening to music, etc.	24	1	0.89
Family and friends	Discussion of the couple’s family or friends.	33	17	0.81
Medical/health issues	Reference to any type of health problems (excluding chronic pain related problems), medical procedures (e.g., surgery), or interactions with health care professionals (e.g., physicians).	8	39	0.77
Physical pain	Physical pain other than arthritis or lower back pain.	6	35	0.72
Partner’s emotional pain	References to pain that are not physical in nature or more generally to psychological issues especially stress, anxiety, or even depression.	4	37	0.78
Caregiver’s emotional pain	Emotional response by the caregiver to the physical or emotional pain experienced by their spouse.	4	46	0.77
Values/meaning and purpose in life	Discussion of the shared values of the couple, especially in regards to references to finding meaning and purpose in life as motivational (or de-motivating) factors.	2	24	0.80