A Taxonomy of Arts Interventions for People With Dementia

Cousins, Emily; Tischler, Victoria; Garabedian, Claire; Dening, Tom

doi:10.1093/geront/gnz024

Cited by 20 publications

(39 citation statements)

References 39 publications

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“…Arts-based interventions have demonstrated psychosocial benefits, including improved wellbeing, sense of identity, and social connectedness [1,3], and have been shown to affect biomarkers in adults and PLWD. In adults, art-making was found to be relaxing and enjoyable, and acutely reduced salivary cortisol levels [17].…”

Section: Introductionmentioning

confidence: 99%

Psychophysiological Responses in People Living with Dementia after an Art Gallery Intervention: An Exploratory Study

D’Cunha

McKune

Isbel

et al. 2019

JAD

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The use of existing public spaces by people living with dementia, such as museums and art galleries, are becoming popular due to their ability to facilitate programs which promote social engagement and inclusion. However, few studies have investigated physiological outcomes of art gallery-based programs. Using a quasi-experimental design, the present study aimed to investigate the levels of salivary biomarkers of cortisol and interleukin-6, quality of life (QoL), depressive symptoms, cognition, and wellbeing, after attending the National Gallery of Australia (NGA) Art and Dementia program. Twenty-eight people living with dementia, each supported by a carer or family member, were recruited for a six-week program and were followed up at twelve weeks. In total, 25 participants (17 female; mean age 84.6 ± 7.27 years) completed the study, and 22 provided viable saliva samples. The waking to evening salivary cortisol ratio was higher post-intervention (p = 0.033), and returned to baseline levels at follow-up (p = 1.00), indicating a more dynamic salivary cortisol rhythm in response to the six-week program. Interleukin-6 levels remained unchanged (p = 0.664). No improvements in QoL (DEMQOL-Carer) were observed between baseline and post-intervention (p = 0.076). However, self-reported depressive symptoms decreased postintervention compared with baseline (p = 0.015), and memory (immediate recall) (p = 0.009) and verbal fluency (p = 0.027) improved between the same timepoints. The NGA Art and Dementia program appears to have quantifiable benefits, including improved hypothalamic-pituitary-adrenal axis function, justifying a need for longer controlled trial inclusive of physiological outcomes.

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Section: Introductionmentioning

confidence: 99%

Psychophysiological Responses in People Living with Dementia after an Art Gallery Intervention: An Exploratory Study

D’Cunha

McKune

Isbel

et al. 2019

JAD

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“…[72] However, due to the nuanced aspects of dementia care, the authors of the present review recommend that this area is explored separately to account for the practical considerations speci c to changes in cognitive functioning. [73][74][75] Similarly, dance programs for Parkinson's disease require highly nuanced practice and are well-structured and mapped in the literature. [76][77][78][79][80] Therefore, it is recommended that a research agenda is mapped for arts engagement for each patient population identi ed as having specialized needs to identify outcome measures best suited to assess bene ts and risks.…”

Section: Recommendations For Future Research and Practicementioning

confidence: 99%

Arts Engagement Facilitated by Artists With Individuals With Life-limiting Illness: An Integrative Review of the Literature

Lee

McIlfatrick

Fitzpatrick

2021

Preprint

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BackgroundLiving with life-limiting illness significantly impacts quality of life. A growing body of evidence suggests that arts engagement, facilitated by artists, promotes a sense of well-being and connection with others. However, much of the evidence is drawn from the use of the arts in broad health contexts or from creative arts therapies’ literature. This review aimed to systematically identify and synthesize existing evidence in order to reveal key knowledge gaps and to inform future research and practice. MethodsAn integrative review of the literature was conducted using a pre-defined, comprehensive search strategy. Databases searched included: PubMed inclusive of MEDLINE, CINAHL, PsycINFO, Scopus, Web of Science, and Embase. Search terms included variations on visual arts, literary arts, and performing arts; service users or patients; and palliative care or end-of-life care. The quality and rigor of articles were scored using Hawker and colleagues’ tool designed to systematically appraise disparate studies. Synthesis was conducted using a constant comparison method as outlined in the integrative review framework.ResultsEight reviewed studies explored literary, performing, and visual arts engagement in residential hospice, day hospice, and hospitals in England, the United States, France, and Canada. Seven of eight studies used qualitative methods and one study engaged in mixed methods. Patient perspectives were most commonly represented followed by health care professionals and family members. Creative writing, music, and visual art were predominant modalities whilst dance and theatre were underrepresented. Themes identified across studies associated arts engagement with 1) a sense of well-being, 2) a newly discovered, or re-framed, sense of self, 3) connection with others, 4) challenges associated with practice. ConclusionThis review synthesized current evidence and key knowledge gaps regarding artists' facilitation of arts engagement in palliative and end-of-life (EOL) care. It serves as a starting point in the consideration of next steps in standardizing professional practice and preparation for artists working in palliative and EOL care settings specifically. Recommendations for future research include exploring the value of collaboration between artists and palliative care teams when engaging with individuals living with life-limiting illness.

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“…Given the positive outcomes resulting from interventions including these different components, it is important to consider how interventions that combine multiple elements might produce positive outcomes for caregivers and those with ADRD. These multidimensional interventions include combining multiple elements like social support, community engagement, participation in the arts, and enrolling in the intervention with the person who has ADRD [ 36 ]. Evidence from a 2003 meta-analysis suggests that caregiver interventions were most effective when social support was combined with additional intervention tasks (e.g., art activities) [ 37 ].…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, this research found that caregivers were more likely to persist in interventions that included the person with ADRD, ultimately producing greater and longer-lasting benefits for caregivers [ 37 ]. Cousins et al proposed a taxonomy of arts interventions, exploring eight unique principles (connection, engagement, expression, humanity, involvement, possibility, selfhood, and transformation), which are the elements that produce an effect for people with dementia or their caregivers [ 36 ]. When thinking about programming to address caregivers’ needs, bringing together multiple dimensions or principles can create more pronounced positive effects.…”

Section: Introductionmentioning

confidence: 99%

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Surviving and Thriving: Qualitative Results from a Multi-Year, Multidimensional Intervention to Promote Well-Being among Caregivers of Adults with Dementia

Faw

Luxton

Cross

et al. 2021

IJERPH

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(1) Introduction: Caring for an adult with dementia is both challenging and rewarding. Research indicates that community-based, social support, and/or arts engagement interventions can play a key role in ameliorating the negative outcomes associated with caregiving while enhancing its more positive attributes. This study explores the psychosocial outcomes experienced by dementia caregivers who participated in a multi-year, multidimensional intervention aimed at promoting caregiver and care recipient well-being. This intervention included bringing caregivers and people with Alzheimer’s disease or related dementias (ADRD) to local symphony performances, hosting a social reception prior to the performance, and assessing the outcomes of participation for both caregiver and the care recipient. (2) Materials, Methods, and Analysis: Qualitative data from participant phone interviews (n = 55) as well as focus groups are analyzed using thematic analysis from a phenomenological perspective. (3) Results: Across three years of participation, caregivers reported three main program benefits: relationship building (both with other participants as well as within the broader community); restored humanity (experiencing a greater sense of personal dignity and momentary return to normalcy), and positivity (experiencing positive emotions during the program). (4) Discussion: These findings point to the value of creating caregiver programming that brings together multiple dimensions of successful interventions in order to enhance caregiver experiences and positive intervention outcomes.

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A Taxonomy of Arts Interventions for People With Dementia

Cited by 20 publications

References 39 publications

Psychophysiological Responses in People Living with Dementia after an Art Gallery Intervention: An Exploratory Study

Psychophysiological Responses in People Living with Dementia after an Art Gallery Intervention: An Exploratory Study

Arts Engagement Facilitated by Artists With Individuals With Life-limiting Illness: An Integrative Review of the Literature

Surviving and Thriving: Qualitative Results from a Multi-Year, Multidimensional Intervention to Promote Well-Being among Caregivers of Adults with Dementia

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