The role of the visual arts in the resilience of people living with dementia in care homes

Newman, Andrew; Goulding, Anna; Davenport, Bruce; Windle, Gillian

doi:10.1017/s0144686x18000594

Cited by 14 publications

(36 citation statements)

References 47 publications

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“…This resulted in 53 studies being retained for full-text review, against the inclusion criteria. The final review included six papers that reported five interventions (27)(28)(29)(30)(31)(32). An overview of the studies and the interventions is provided below.…”

Section: Review Findingsmentioning

confidence: 99%

“…The second study included in this review was conducted between 2013 and 2017 in the UK (29). This study aimed to evaluate the impact of visual arts enrichment activities (VAEA) on opportunities for the resilience of people with dementia.…”

Section: Visual Arts Enrichment Activitiesmentioning

confidence: 99%

“…This study found that the resilience of people with moderate and advanced dementia can be supported through VAEA. Newman et al (29) found that VAEA provided a platform which facilitated creative expression; increased communication and self-esteem and that the intervention enhanced the relationships between participants with dementia, their carers and relatives. For example, collectively creating a poem relied upon participants expressing their emotional responses to their individual memories, of being at the sea.…”

Section: Visual Arts Enrichment Activitiesmentioning

confidence: 99%

“…The Cruel Sea Creating the poem was facilitated by participants being of similar age and possessing compatible attitudes. Newman et al (29) argue that in order to produce this adaptive response, participants drew on both personal and collective resources. These resources were cognitive, emotional, imaginative, and aspects of their social selves, including being able to perceive and interpret the thoughts and feelings of others in the group.…”

Section: Visual Arts Enrichment Activitiesmentioning

confidence: 99%

“…Participants were more resilient during the activity than they would have been without it. Newman et al (29) describes how one person with dementia who was usually solitary and uncommunicative, was poised and passionate when painting. And, as a result of group singing, her interactions with others were observed to increase and be more socially engaging.…”

Section: Visual Arts Enrichment Activitiesmentioning

confidence: 99%

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Fostering the Resilience of People With Dementia: A Narrative Literature Review

2020

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Background: Resilience is a process through which people use resources to adapt to adversity. Interventions aiming to support resilience in people with dementia have been developed. However, the optimal content, structure and impact of these interventions is unclear. This literature review explores the factors through which interventions foster resilience in people with dementia and examines their efficacy. Methods: Eight databases were searched systematically, for literature published from 2000 to 2019. Following the removal of duplicate articles, the titles and abstracts of 6,749 articles were screened. Articles were selected if they: reported empirical studies in English; focused on resilience; involved people with dementia and psychosocial interventions. The full text of 53 articles were examined and three studies, reported in six papers, were included in the final review. Data were systematically extracted, and two authors critiqued the studies using the Critical Appraisal Skills Programme check lists. The studies were examined to determine how resilience was defined and operationalized and their findings were synthesized using the theoretical resilience framework. Results: Five interventions aiming to foster resilience were identified: Dementia Advisors; Peer Support Network Services; Visual Arts Enrichment Activities; Memory Makers; and Early-Stage and Beyond Community Activities. All studies defined resilience as a process and most involved people with mild dementia who had family carers. The interventions impacted resilience by reducing the adversity of stigma and social isolation; increasing personal and social resources, providing stigma-free space and reciprocal support. Interventions empowered people with dementia, increasing their self-esteem and self-worth. Resilience can be fostered both during, and after interventions. However, the efficacy of interventions could not be determined because the research designs utilized did not measure efficacy. Conclusions: Interventions need facilitators to ensure they are strength-based, person-centered and they enable reciprocal social interactions. Future research needs to develop interventions that aim to foster the resilience of people with dementia who lack family carers and/or have more advanced dementia through meaningful activities that are identified by people with dementia as important to their resilience. Robust methodologies, including randomized controlled trials should be used to measure effectiveness and explore the impact of interventions regarding the: interplay between individual and community resources; the importance of reciprocity; and temporal aspects of resilience.

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Section: Review Findingsmentioning

confidence: 99%

Section: Visual Arts Enrichment Activitiesmentioning

confidence: 99%

Section: Visual Arts Enrichment Activitiesmentioning

confidence: 99%

Section: Visual Arts Enrichment Activitiesmentioning

confidence: 99%

Section: Visual Arts Enrichment Activitiesmentioning

confidence: 99%

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Fostering the Resilience of People With Dementia: A Narrative Literature Review

2020

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A longitudinal exploration of mental health resilience, cognitive impairment and loneliness

Windle

Hoare

Woods

et al. 2021

Int J Geriat Psychiatry

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Objective There is a growing interest in how people living with dementia may achieve good outcomes and be resilient despite their health challenges. Understanding what might be important for resilience in this population is largely untested theory. Methods The analysis draws a subsample with cognitive impairment (N = 579) from two waves of the Cognitive Function and Ageing Studies Wales study, a nationally representative study of community‐dwelling people aged 65+ in Wales. We constructed a measure of mental health resilience (MHR) defined as no depression, no anxiety and high well‐being. Drawing on a resilience framework, we tested univariate and cumulative effects models of the factors that enable MHR, and then examined whether MHR is important for reducing loneliness over time. Results Across both waves of data 22% (n = 121) met the criteria for MHR. The cumulative effects model found the odds of MHR were greater for male gender, higher self‐esteem, greater social resources and no subjective memory complaints. Controlling for these significant predictors, MHR significantly predicted lower total and sub‐scale scores for loneliness at wave 2. Sensitivity analysis shows these effects held at lower levels of cognitive function when the Mini‐Mental State Examination score was <25, but not at <23. Conclusions This paper addresses a gap in research regarding the conceptualisation and measurement of resilience when facing cognitive impairment. Understanding what aspects of a person's life might enable good mental health despite cognitive impairment—to be resilient—could inform effective strategies for friends and families, along with health, and social policy and practice.

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Resilience in Later Life: Responding to Criticisms and Applying New Knowledge to the Experience of Dementia

Windle

2020

Risk, Systems and Decisions

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The role of the visual arts in the resilience of people living with dementia in care homes

Cited by 14 publications

References 47 publications

Fostering the Resilience of People With Dementia: A Narrative Literature Review

Fostering the Resilience of People With Dementia: A Narrative Literature Review

A longitudinal exploration of mental health resilience, cognitive impairment and loneliness

Resilience in Later Life: Responding to Criticisms and Applying New Knowledge to the Experience of Dementia

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