Using drama to improve person‐centred dementia care

Kontos, Pia; Mitchell, Gail J.; Mistry, Bhavnita; Ballon, Bruce

doi:10.1111/j.1748-3743.2010.00221.x

Cited by 69 publications

(97 citation statements)

References 59 publications

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“…Compared to doctors and nurses, this workforce has received relatively little attention in relation to the use of applied theatre. An exception is the work of Pia Kontos and colleagues in Canada (Kontos, Mitchell, Mistry, & Ballon, 2010) who have included health care aides, nursing home staff and informal carers in their evaluations of the impact of drama as an educational tool. In an earlier paper we argued that ethno-drama could be accessible to this nontraditional audience.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the impact on audiences of Inside Out of Mind, research-based theatre for dementia carers

Schneider

2016

Arts & Health

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Section: Introductionmentioning

confidence: 99%

Evaluation of the impact on audiences of Inside Out of Mind, research-based theatre for dementia carers

Schneider

2016

Arts & Health

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“…Because of its strength in communicating best practices in an emotive and embodied manner , theatre holds particular potential for educational interventions in the health field. Dramatic performances have successfully increased practitioners' empathy in specialties such as schizophrenia (Mienczakowski, 1992), substance abuse (Mienczakowski & Morgan, 1993), prostate cancer (Gray, Fitch, Labrecque, & Greenberg, 2003), and Alzheimer's disease (Jonas-Simpson et al, 2012;Kontos, Mitchell, Mistry, & Ballon, 2010). To date, drama as a pedagogical strategy is largely neglected in neurorehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Grief, Anger, and Relationality

et al. 2014

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Background: Therapeutic emotion work is performed by health care providers as they manage their own feelings as well as those of colleagues and patients as part of efforts to improve the physical and psychosocial health outcomes of patients. It has yet to be examined within the context of traumatic brain injury rehabilitation. Objective: To evaluate the impact of a research-based theater intervention on emotion work practices of neurorehabilitation staff. Research Design: Data were collected at baseline and at 3 and 12 months postintervention in the inpatient neurorehabilitation units of two rehabilitation hospitals in central urban Canada. Subjects: Participants (N = 33) were recruited from nursing, psychology, allied health, recreational therapy, and chaplaincy. Measures: Naturalistic observations (N = 204.5 hr) of a range of structured and unstructured activities in public and private areas, and semistructured interviews (N = 87) were conducted. Results: Preintervention analysis indicated emotion work practices were characterized by stringent self-management of empathy, suppression of client grief, adeptness with client anger, and discomfort with reactions of family and spouses. Postintervention analysis indicated significant staff changes in a relationality orientation, specifically improvements in outreach to homosexual and heterosexual family care partners, and support for sexual orientation and intimacy expression. No improvements were demonstrated in grief support. Conclusion: Emotion work has yet to be the focus of initiatives to improve neurorehabilitative care. Our findings suggest the dramatic arts are well positioned to improve therapeutic emotion work and effect cultures of best practice. Recommendations are made for interprofessional educational initiatives to improve responses to client grief and potential intimate partner violence.

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“…By "doubling back" on the original data, such performances recover the textures, sounds, gestures, and movements of the lived world (Kontos & Naglie, 2006). Research-based drama has proven effective in learning about health, illness, and quality of care in TBI as well as in other clinical specialties such as cancer (Gray et al, 2003;Gray, Sinding, & Fitch, 2001;Shapiro & Hunt, 2003) and Alzheimer's disease Kontos et al, 2010;Kontos & Naglie, 2007;. However, little is known about whether the immediate impact of research-based drama has a long-term effect on the attitudes and behavior of clinicians .…”

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confidence: 99%

“…A growing number of scholars advocate the use of the arts such as drama or music in educational interventions for health care practitioners (Gray, Fitch, Labrecque, & Greenberg, 2003;Jonas-Simpson et al, 2011;Knowles & Cole, 2008;Kontos & Naglie, 2006Lorenz, Steckart, & Rosenfeld, 2004;Rossiter & Godderis, 2011;. The use of arts-based interventions promotes self-reflection by encouraging practitioners to examine the ways in which their own practice styles signal underlying assumptions regarding the client and the client's role within the therapeutic relationship (Kontos, Mitchell, Mistry, & Ballon, 2010).…”

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confidence: 99%

Improving Client-Centered Brain Injury Rehabilitation Through Research-Based Theater

et al. 2012

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Traumatic brain injury often results in physical, behavioral, and cognitive impairments perceived by health care practitioners to limit or exclude clients' full participation in treatment decision making. We used qualitative methods to evaluate the short-and long-term impact of "After the Crash: A Play About Brain Injury", a research-based drama designed to teach client-centered care principles to brain injury rehabilitation staff. We conducted interviews and observations with staff of two inpatient neurorehabilitation units in Ontario, Canada. Findings demonstrate the effectiveness of the play in influencing practice through the avoidance of medical jargon to improve clients' understanding and participation in treatment; newfound appreciation for clients' needs for emotional expression and sexual intimacy; increased involvement of family caregivers; and avoidance of staff discussions as if clients were unaware. These findings suggest that researchbased drama can effect reflexivity, empathy, and practice change to facilitate a client-centered culture of practice in brain injury rehabilitation.

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Using drama to improve person‐centred dementia care

Cited by 69 publications

References 59 publications

Evaluation of the impact on audiences of Inside Out of Mind, research-based theatre for dementia carers

Evaluation of the impact on audiences of Inside Out of Mind, research-based theatre for dementia carers

Grief, Anger, and Relationality

Improving Client-Centered Brain Injury Rehabilitation Through Research-Based Theater

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