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Johnson JK, Stewart AL, Acree M, Nápoles AM, Flatt JD, Max WB, Gregorich SE. A Community Choir Intervention to Promote Well-Being Among Diverse Older Adults: Results From the Community of Voices Trial. J Gerontol B Psychol Sci Soc Sci 2020; 75:549-559. [PMID: 30412233 PMCID: PMC7328053 DOI: 10.1093/geronb/gby132] [Citation(s) in RCA: 41] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2018] [Indexed: 01/17/2023] Open
Abstract
OBJECTIVES To test effects of the Community of Voices choir intervention on the health, well-being, and health care costs of racial/ethnically diverse older adults. METHOD Twelve Administration-on-Aging-supported senior centers were cluster randomized into two groups: the intervention group started the choir immediately and a wait-list control group began the choir 6 months later. The choir program was designed for community-dwelling adults aged 60 years and older. The multimodal intervention comprises activities that engage participants cognitively, physically, and socially. Outcome measures assessed these three domains as well as health care utilization and costs. The intention-to-treat comparison was at 6 months. RESULTS The sample (N = 390) had a mean age of 71.3 years (SD = 7.2); 65% were nonwhite. Six-month retention was 92%. Compared to controls, intervention group members experienced significantly greater improvements in loneliness (p = .02; standardized effect size [ES = 0.34] and interest in life (p = .008, ES = 0.39). No significant group differences were observed for cognitive or physical outcomes or for health care costs. DISCUSSION Findings support adoption of community choirs for reducing loneliness and increasing interest in life among diverse older adults. Further efforts need to examine the mechanisms by which engagement in choirs improves aspects of well-being and reduces health disparities among older adults, including potential longer-term effects. CLINICALTRIALS.GOV REGISTRATION NCT01869179 registered January 9, 2013.
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Affiliation(s)
- Julene K Johnson
- Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland
- Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland
| | - Anita L Stewart
- Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland
- Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland
| | - Michael Acree
- Osher Center for Integrative Medicine, University of California San Francisco, Bethesda, Maryland
| | - Anna M Nápoles
- Intramural Research Program, National Institute of Minority Health and Health Disparities, National Institutes of Health, Bethesda, Maryland
| | - Jason D Flatt
- Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland
| | - Wendy B Max
- Institute for Health & Aging, University of California San Francisco, Bethesda, Maryland
| | - Steven E Gregorich
- Center for Aging in Diverse Communities, University of California San Francisco, Bethesda, Maryland
- Division of General Internal Medicine, Department of Medicine, University of California San Francisco
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Brown CJ, Chirino AFC, Cortez CM, Gearhart C, Urizar GG. Conceptual Art for the Aging Brain: Piloting an Art-Based Cognitive Health Intervention. ACTIVITIES, ADAPTATION & AGING 2020. [DOI: 10.1080/01924788.2020.1719584] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
- Colette J. Brown
- Department of Psychology, California State University, Long Beach, CA, USA
- School of Art, California State University, Long Beach, CA, USA
| | | | | | - Cassandra Gearhart
- Department of Psychology, California State University, Long Beach, CA, USA
| | - Guido G. Urizar
- Department of Psychology, California State University, Long Beach, CA, USA
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Coloring Activities for Anxiety Reduction and Mood Improvement in Taiwanese Community-Dwelling Older Adults: A Randomized Controlled Study. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2020; 2020:6964737. [PMID: 32063986 PMCID: PMC6996682 DOI: 10.1155/2020/6964737] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/21/2019] [Revised: 12/16/2019] [Accepted: 12/27/2019] [Indexed: 11/18/2022]
Abstract
To investigate the effect of mandala coloring, plaid pattern coloring, and free-form drawing activities on anxiety and mood in older Taiwanese adults. A total of 120 older adults aged 55 years to 75 years were recruited from 18 community-based learning centers for older adults in southern Taiwan. They were randomly assigned to engage in one of the following four activities for 20 minutes: (1) mandala coloring group, (2) plaid pattern coloring group, (3) free-form drawing group, and (4) reading group (control). Information on sociodemographic, lifestyle, and perceived health status was collected at the baseline. In addition, anxiety levels, measured using the 20-item State-Trait Anxiety Inventory–State Anxiety Scale (STAI-S), were ascertained at the baseline (T1), after a brief anxiety induction (T2), and at the end of the assigned activity (T3). The mean anxiety levels among the four groups at T3 were analyzed using analysis of covariance, followed by Šidák multiple comparison test, as appropriate. The mean age of the 120 study participants was 65.1 years and 73.3% were females. A significantly lower anxiety level was observed only in the mandala coloring group (least square mean = 28.2; 95% confidence interval = 24.7–31.7) compared with the control group (least square mean = 36.0; 95% confidence interval = 32.9–39.2) (P=0.004, partial eta-squared = 0.113). Furthermore, when the STAI-S was analyzed at the item level, the mandala coloring group was significantly different from the control group in the following six feelings: calmed down, safe, at ease, rested, satisfied, and I feel good. In conclusion, short-term mandala coloring activity could significantly alleviate self-induced anxiety in community-dwelling older adults. Further studies on the long-term effects of mandala coloring activity in improving the emotional well-being of older adults are warranted.
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Tan YY, Raman NA. Advancing Digital and Social Inclusion: Developing Intergenerational Learning Through Digital Creativity Program—A Pilot Case Study. LEARNING ENVIRONMENT AND DESIGN 2020:195-212. [DOI: 10.1007/978-981-15-8167-0_12] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
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Ho AHY, Ma SHX, Ho MHR, Pang JSM, Ortega E, Bajpai R. Arts for ageing well: a propensity score matching analysis of the effects of arts engagements on holistic well-being among older Asian adults above 50 years of age. BMJ Open 2019; 9:e029555. [PMID: 31753869 PMCID: PMC6887024 DOI: 10.1136/bmjopen-2019-029555] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVE To assess the frequency and intensity of arts engagement inclusive of active and passive engagements in arts, culture and heritage activities among Singaporean adults aged 50 and above, and examine the relationships between participatory art and holistic well-being. DESIGN Cross-sectional stratified household survey. SETTING All residential areas across Singapore's Central, East, North, North-East and West Regions. PARTICIPANTS 1067 community-dwelling, Singaporean older adults between the ages of 50 and 95 years were recruited. PRIMARY AND SECONDARY OUTCOME MEASURES Respondents completed a self-reported questionnaire, consisting of standardised ad hoc items assessing the frequencies and durations of active and passive participatory arts engagement, as well as validated psychometric assessments on psychosociospiritual health including the primary outcome measure on quality of life, and the secondary outcome measures on physical, psychological, emotional, spiritual, and social well-being. sociodemographic information, as well as frequency and intensity of physical activity were also collected. RESULTS Passive engagement (60%) and active engagement (17%) in the arts were associated with better holistic wellness and social support. Specifically, findings from the propensity score matching and independent t-test analyses revealed that adults aged 50 and above who passively engaged in arts and culture-related events experienced higher quality of life (t(728)=3.35, p=0.0008, d=0.25), perceived health (t(728)=2.21, p=0.0277, d=0.16) and sense of belonging (t(728)=2.17, p=0.03, d=0.16), as compared with those who did not. Moreover, those who actively engaged in participatory arts experienced greater quality of life (t(442)=3.68, p=0.0003, d=0.36), self-rated health (t(442)=2.59, p=0.0099, d=0.25), spiritual well-being (t(442)=3.75, p=0.0002, d=0.37), meaning in life (t(442)=5.03, p<0.0001, d=0.50) and sense of peace (t(442)=3.72, p=0.0002, d=0.36), as compared with those who did not actively engaged in the arts. CONCLUSION This study provided robust evidence to support a significant causal relationship between arts engagements and holistic well-being. Recommendations for art-based public health and elderly care research, practice and policy are discussed.
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Affiliation(s)
- Andy Hau Yan Ho
- Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
- Centre for Population Health Sciences (CePHaS), Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
- Palliative Care Centre for Excellence in Research and Education (PalC), Singapore, Singapore
| | - Stephanie Hilary Xinyi Ma
- Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Moon-Ho Ringo Ho
- Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Joyce Shu Min Pang
- Psychology Programme, School of Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Emily Ortega
- Psychology Programme, School of Humanities and Behavioral Sciences, Singapore University of Social Sciences, Singapore, Singapore
| | - Ram Bajpai
- Centre for Population Health Sciences (CePHaS), Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
- School of Primary, Community and Social Care, Keele University, Staffordshire, UK
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Wang N, Chen J, Xiao H, Wu L, Jiang H, Zhou Y. Application of artificial neural network model in diagnosis of Alzheimer's disease. BMC Neurol 2019; 19:154. [PMID: 31286894 PMCID: PMC6613238 DOI: 10.1186/s12883-019-1377-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 06/25/2019] [Indexed: 02/07/2023] Open
Abstract
Background Alzheimer’s disease has become a public health crisis globally due to its increasing incidence. The purpose of this study was to establish an early warning model using artificial neural network (ANN) for early diagnosis of AD and to explore early sensitive markers for AD. Methods A population based nested case-control study design was used. 89 new AD cases with good compliance who were willing to provide urine and blood specimen were selected from the cohort of 2482 community-dwelling elderly aged 60 years and over from 2013 to 2016. For each case, two controls living nearby were identified. Biomarkers for AD in urine and blood, neuropsychological functions and epidemiological parameters were included to analyze potential risk factors of AD. Compared with logistic regression, k-Nearest Neighbor (kNN) and support vector machine (SVM) model, back-propagation neural network of three-layer topology structures was applied to develop the early warning model. The performance of all models were measured by sensitivity, specificity, accuracy, positive prognostic value (PPV), negative prognostic value (NPV), the area under curve (AUC), and were validated using bootstrap resampling. Results The average age of AD group was about 5 years older than the non-AD controls (P < 0.001). Patients with AD included a significantly larger proportion of subjects with family history of dementia, compared with non-AD group. After adjusting for age and gender, the concentrations of urinary AD7c-NTP and aluminum in blood were significantly higher in AD group than non-AD group (2.01 ± 1.06 vs 1.03 ± 0.43, 1.74 ± 0.62 vs 1.24 ± 0.41 respectively), but the concentration of Selenium in AD group (2.26 ± 0.59) was significantly lower than that in non-AD group (2.61 ± 1.07). All the models were established using 18 variables that were significantly different between AD patients and controls as independent variables. The ANN model outperformed the other classifiers. The AUC for this ANN was 0.897 and the model obtained the accuracy of 92.13%, the sensitivity of 87.28% and the specificity of 94.74% on the average. Conclusions Increased risk of AD may be associated with higher age among senior citizens in urban communities. Urinary AD7c-NTP is clinically valuable for the early diagnosis. The established ANN model obtained a high accuracy and diagnostic efficiency, which could be a low-cost practicable tool for the screening and diagnosis of AD for citizens.
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Affiliation(s)
- Naibo Wang
- Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang, 330006, People's Republic of China.,Jiangxi Centre for Health Education and Promotion, Nanchang, China
| | - Jinghua Chen
- Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang, 330006, People's Republic of China
| | - Hui Xiao
- Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang, 330006, People's Republic of China
| | - Lei Wu
- Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang, 330006, People's Republic of China.
| | - Han Jiang
- Second Affiliated Hospital, Nanchang University, Nanchang, China.
| | - Yueping Zhou
- Jiangxi Province Key Laboratory of Preventive Medicine, Nanchang University, Nanchang, 330006, People's Republic of China
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The impact of behavioral interventions on cognitive function in healthy older adults: A systematic review. Ageing Res Rev 2019; 52:32-52. [PMID: 31002885 DOI: 10.1016/j.arr.2019.04.002] [Citation(s) in RCA: 28] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Revised: 04/06/2019] [Accepted: 04/08/2019] [Indexed: 11/22/2022]
Abstract
Behavioral interventions to improve cognitive function in older adults are widespread and can vary from theater classes to cognitive training programs. However, the effectiveness in maintaining different cognitive domains varies greatly both across and within intervention types. To date, no systematic reviews have synthesized findings across more than a few types of interventions (e.g., cognitive vs. exercise). This systematic review examined 11 types of behavioral interventions and the respective transfer to 19 cognitive domains, as well as transfer to everyday function. Study inclusion criteria were: peer-reviewed articles in English, samples of healthy adults aged 65 and older, and randomized controlled trials of behavioral interventions with reported cognitive outcomes. The 2017 search yielded 75 eligible articles comprising cognitive training, exercise training, combination interventions, cognitively-stimulating activities, and action video games. In general, process- (n = 26) and strategy-based (n = 16) cognitive training improved the trained domains but had weak transfer to non-trained domains. Aerobic training (n = 13) most consistently improved executive function, and strength/resistance (n = 8) and aerobic/resistance combination training (n = 6) most consistently improved cognitive inhibition and visual working memory. Combination interventions (n = 15 nonfactorial, n = 3 factorial) showed promise in improving verbal delayed recall and executive function. Few studies examined cognitively-stimulating activities or action video games, leaving inconclusive results about their effect on cognitive function. Few studies examined everyday function (n = 9), however, process- and strategy-based training demonstrated notable long-term transfer. Recommendations for future research and practice are highlighted.
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Archibald MM, Kitson AL. Using the arts for awareness, communication and knowledge translation in older adulthood: a scoping review. Arts Health 2019; 12:99-115. [DOI: 10.1080/17533015.2019.1608567] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Mandy M. Archibald
- Flinders University College of Nursing & Health Sciences, Adelaide, South Australia
| | - Alison L. Kitson
- Flinders University College of Nursing & Health Sciences, Adelaide, South Australia
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Katigbak C, Maglalang DD, Nguyen T, Wang M, Lo CL. Older Chinese Americans' Perspectives on Physical Activity: A Mixed Methods Study. J Appl Gerontol 2019; 39:472-480. [PMID: 30907216 DOI: 10.1177/0733464819835443] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
The benefits of physical activity for successful aging are well established. Few interventions however, target older Asian Americans who may have distinct needs for cultural and linguistic tailoring. The heterogeneity among Asian Americans underscores the need to elucidate specific physical activity preferences by ethnic subgroup. To better understand older Chinese Americans' perceptions about physical activity, we conducted a community-engaged, mixed methods study with 60 participants. Through survey and focus groups, four emerging themes characterized perceptions of physical activity: (a) physical activities benefit the body and mind, (b) traditional Chinese culture influences perceptions and preferences for physical activity, (c) physical activity presents opportunities for social engagement, and (d) physical activity facilitates family harmony. Design recommendations includes encouraging mind-body approaches, incorporating culturally specific practices, highlighting opportunities for social engagement, and emphasizing the potential for improved harmony.
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Wiseman R, Watt C. Achieving the impossible: a review of magic-based interventions and their effects on wellbeing. PeerJ 2018; 6:e6081. [PMID: 30564527 PMCID: PMC6286798 DOI: 10.7717/peerj.6081] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 11/07/2018] [Indexed: 11/24/2022] Open
Abstract
Research has demonstrated that involvement with mainstream performing arts, such as music and dance, can boost wellbeing. This article extends this work by reviewing little-known research on whether learning magic tricks can have an equally beneficial effect. We first present an historic overview of several magic-based interventions created by magicians, psychologists and occupational therapists. We then identify the potential benefits of such interventions, and review studies that have attempted to systematically assess these interventions. The studies have mostly revealed beneficial outcomes, but much of the work is of poor methodological quality (involving small numbers of participants and no control group), and has tended to focus on clinical populations. Finally, we present guidelines for future research in the area, emphasizing the need for more systematic and better-controlled studies.
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Affiliation(s)
- Richard Wiseman
- Psychology, University of Hertfordshire, Hatfield, United Kingdom
| | - Caroline Watt
- Psychology, University of Edinburgh, Edinburgh, United Kingdom
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Abstract
AbstractThis paper seeks to understand the engagement of people with dementia in creative and arts-based activities by applying a relational model of citizenship and incorporating concepts of contextual and embodied learning from adult learning theory. A theoretically driven secondary analysis of observational and interview data focuses on the engagement of staff, volunteers and people with dementia during an arts-based intervention in a day centre and care home. The processes through which learning is co-constructed between the person with dementia, staff/volunteer facilitators and peers in the group to co-produce a creative engaged experience involves: increasing confidence for learning, facilitating social and physical connections, and affirming creative self-expression. The role of facilitator is central to the process of creative engagement to reinforce a sense of agency amongst participants and recognise people's prior experiences of learning and engagement in creative activities. People with dementia continue to learn and grow through engagement in creative activities to produce positive outcomes for the individual participants and for the care staff who observe and participate in this creativity. Facilitating creativity requires attention to lifelong experiences of learning in addition to the immediate interactional context to integrate arts-based interventions in dementia care successfully.
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From Culture 1.0 to Culture 3.0: Three Socio-Technical Regimes of Social and Economic Value Creation through Culture, and Their Impact on European Cohesion Policies. SUSTAINABILITY 2018. [DOI: 10.3390/su10113923] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
We develop a new conceptual framework to analyze the evolution of the relationship between cultural production and different forms of economic and social value creation in terms of three alternative socio-technical regimes that have emerged over time. We show how, with the emergence of the Culture 3.0 regime characterized by novel forms of active cultural participation, where the distinction between producers and users of cultural and creative contents is increasingly blurred, new channels of social and economic value creation through cultural participation acquire increasing importance. We characterize them through an eight-tier classification, and argue on this basis why cultural policy is going to acquire a central role in the policy design approaches of the future. Whether Europe will play the role of a strategic leader in this scenario in the context of future cohesion policies is an open question.
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Predovan D, Julien A, Esmail A, Bherer L. Effects of Dancing on Cognition in Healthy Older Adults: a Systematic Review. JOURNAL OF COGNITIVE ENHANCEMENT 2018; 3:161-167. [PMID: 32215357 PMCID: PMC7061925 DOI: 10.1007/s41465-018-0103-2] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2018] [Accepted: 10/02/2018] [Indexed: 11/29/2022]
Abstract
A growing body of research emphasizes the benefits of physical activity and exercise over the lifespan and especially in elderly populations. However, few studies have evaluated the impact of dance as a physical activity or exercise on cognition in healthy older adults. This review investigated if dance could be used as a promising alternative intervention to address physical inactivity and to cognitively stimulate older adults. This systematic review reports the effects of dancing in a healthy older adult population based on intervention studies using the EMBASE, Web of Science, and Ovid Medline databases. The Cochrane collaboration's tool for assessing risk of bias was used to assess each article quality. Seven out of 99 articles met the inclusion criteria, representing a total of 429 older adults (70% women), with a mean age of 73.17 years old. Dance interventions, lasting between 10 weeks and 18 months, were related to either the maintenance or improvement of cognitive performance. This systematic review suggests that dance as an intervention in the elderly could help improve or maintain cognition. This review outlines some of the possible mechanisms by which dance could positively impact cognition in older adults, addresses shortcomings in the existing literature, and proposes future research avenues.
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Affiliation(s)
- David Predovan
- Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, 4565 Chemin Queen-Mary, Montreal, Québec H3W 1W5 Canada
- Département de Psychologie, Université du Québec à Montréal, Montreal, QC Canada
- Centre de Recherche, Institut de Cardiologie de Montréal, Montreal, QC Canada
| | - Anne Julien
- Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, 4565 Chemin Queen-Mary, Montreal, Québec H3W 1W5 Canada
- PERFORM Centre and Department of Psychology, Concordia University, Montreal, QC Canada
| | - Alida Esmail
- École de réadaptation, Faculté de Médecine, Université de Montréal, Montreal, QC Canada
| | - Louis Bherer
- Centre de Recherche, Institut Universitaire de Gériatrie de Montréal, 4565 Chemin Queen-Mary, Montreal, Québec H3W 1W5 Canada
- Centre de Recherche, Institut de Cardiologie de Montréal, Montreal, QC Canada
- PERFORM Centre and Department of Psychology, Concordia University, Montreal, QC Canada
- Département de Médecine, Université de Montréal, Montreal, QC Canada
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Abstract
OBJECTIVES This article describes the program evaluation of a group intervention combining reminiscence with literary creative writing instruction. METHOD This 10-week, 1-hour group was completed seven times in an outpatient geriatric mental health clinic. Each session introduced a different reminiscence theme and creative writing practice. Feasibility and acceptability were assessed through group monitoring and qualitative feedback. Effectiveness was assessed with pre- and post-test depression screening (PHQ-9) and qualitative feedback. RESULTS A total of 34 veterans participated in the groups, with a mean group size of 4.86 (SD = .69). Participants were 85% male (n = 29) and 15% female (n = 5) with a mean age of 70.89 (SD = 8.30). To increase accessibility, several adaptations were made. There were statistically significant reductions in PHQ-9 depression scores (p = .005). Veterans reported qualitative improvements including increased motivation and self-expression. CONCLUSIONS This intervention was feasible and acceptable to the veterans being served. Randomized controlled research is needed to better understand efficacy. CLINICAL IMPLICATIONS Clinicians may consider ways to augment or adapt reminiscence interventions to meet the needs of their patient population. Clinicians may find it useful to integrate creative writing instruction into reminiscence interventions.
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Affiliation(s)
- Katherine D King
- a Department of Psychiatry, Harvard Medical School, VA Boston Healthcare System , Brockton , Massachusetts, USA
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Abstract
RÉSUMÉLes centres pour personnes âgées ont été identifiés comme des points focaux pour la prestation de services pour la population vieillissante, qui est en forte croissance au Canada et aux États-Unis. Malgré ce rôle important des centres pour personnes âgées, peu de recherches leur ont été consacrées. Cet examen de portée a ciblé les études empiriques en langue anglaise portant sur les centres pour personnes âgées qui ont été publiées dans des revues scientifiques depuis 2000. Un total de 58 études ont été repérées (n = 51 pour les études américaines, n = 7 pour les études canadiennes). La majorité de ces articles était centrée sur des thèmes liés à la participation d’individus dans les centres pour personnes âgées, et quelques études seulement traitaient du milieu associé aux centres pour personnes âgées. Ces résultats suggèrent que les recherches futures devraient cibler les avantages de la programmation des centres pour personnes âgées, avec une attention particulière sur les besoins des baby-boomers, sur les facteurs clés liés au financement, aux espaces et au personnel, ainsi que sur les caractéristiques et les rôles des centres pour personnes âgées dans le contexte canadien.
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Gallistl V. The emergence of the creative ager - On subject cultures of late-life creativity. J Aging Stud 2018; 46:93-99. [PMID: 30100122 DOI: 10.1016/j.jaging.2018.07.002] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Revised: 07/11/2018] [Accepted: 07/28/2018] [Indexed: 11/19/2022]
Abstract
OBJECTIVES In the last fifteen years, research on aging has seen a new interest in creativity in later life. While late-life creativity has often been described as a method to unpack the potential of older adults in the face of demographic change, this newfound interest is arguably linked to the commodification of late-life creativity itself in terms of innovation and productivity. These new modes of creativity might then also establish new ways to age. Has the homo aestheticus spread into old age? METHOD To explore this question, this paper first lays out a praxeology of late-life creativity. In this framework, creativity as well as age is understood as a social practice through which the artwork as well as the (older) artist is continuously produced. Second, this paper draws upon data from thirteen semi-structured interviews with older adults regularly involved in creative practices in their everyday lives. Using the documentary method, data shows how older adults describe the creative practice and what meanings they attach to growing older within these practices. RESULTS AND DISCUSSION Analyzing subject cultures that emerge from creativity in later life shows how creative practice calls for a specific self-image that is centered around productivity, the preservation of field positions despite growing older and active as well as anti-aging. Studying late-life creativity through a praxeological lens allows for critically evaluating current modes of creativity and the normative positions that are inherent in these practices.
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Affiliation(s)
- Vera Gallistl
- Department of Sociology, University of Vienna, Austria.
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Psychological vulnerability and resilience of Holocaust survivors engaged in creative art. Psychiatry Res 2018; 264:236-243. [PMID: 29655117 DOI: 10.1016/j.psychres.2018.04.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2017] [Revised: 04/01/2018] [Accepted: 04/03/2018] [Indexed: 11/21/2022]
Abstract
Although evidence demonstrates that engagement in art promotes favorable coping with trauma, this subject is underexplored among Holocaust survivors. Thus, the present study explored whether Holocaust survivors engaged in art differed from survivors not engaged in art in various markers of psychological vulnerability and resilience. The study further included non-Holocaust survivor comparisons, some engaged in art and some not, in order to assess whether engagement in art among Holocaust survivors relates to a unique psychological profile beyond art engagement in general. A sample of 154 community-dwelling older adults (mean age = 81.67, SD = 5.33, range = 73-97) reported exposure to the Holocaust, current engagement in art, posttraumatic stress disorder (PTSD) symptoms, general psychological distress, resilience and subjective perceptions of age and aging. Holocaust survivors (regardless of whether they engaged in art or not) reported higher PTSD symptoms relative to comparisons. However, Holocaust survivors who engaged in art reported higher resilience than all other groups (survivors not engaged in art and comparisons engaged and not engaged in art). To the best of our knowledge, these findings are the first quantitative evidence pointing toward a link between engagement in art and positive coping with the Holocaust. These findings have important implications for clinicians working with Holocaust survivors.
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Petranek S, Pencek J, Dey M. The Effect of Pet Therapy and Artist Interactions on Quality of Life in Brain Tumor Patients: A Cross-Section of Art and Medicine in Dialog. Behav Sci (Basel) 2018; 8:bs8050043. [PMID: 29702548 PMCID: PMC5981237 DOI: 10.3390/bs8050043] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2018] [Revised: 04/20/2018] [Accepted: 04/25/2018] [Indexed: 12/25/2022] Open
Abstract
With the evolution of modern medical treatment strategies, there also comes the realization that many times we reach a point where traditional goals of medical care, such as overall survival or disease-free survival, are not realistic goals for many patients facing devastating illnesses. One such disease is malignant primary brain tumors, known as malignant glioma (MG). With median survival of only 20.9 months following best available standard of care treatment strategies, including surgery, chemotherapy, radiation, and tumor treating fields, MG is one of the deadliest malignancies of the modern era. Along the course of treating patients with MG, clinicians often realize that traditional treatment therapies can at best provide incremental benefit of symptom management without any survival benefit. However, even in these difficult situations, it is possible to make significant positive changes in patients’ health-related quality of life (HRQoL) using creative, non-traditional interventions. In this paper, we describe the initial findings from our project that takes a unique approach to studying the intersections of clinical care and art by using pet therapy and art-making as interventions for patients diagnosed with brain tumors. Our preliminary findings suggest that pet therapy and the ability to reflect as well as speak about their journey through a life-altering disease significantly increases patients’ overall feeling of wellbeing and reduces anxiety about future uncertainty.
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Affiliation(s)
- Stefan Petranek
- Herron School of Art & Design, Indiana University-Purdue University Indianapolis, Indianapolis, IN 46202, USA.
| | - Jennifer Pencek
- Department of Neurosurgery, Indiana University, Simon Cancer Center, Indianapolis, IN 46202, USA.
| | - Mahua Dey
- Department of Neurosurgery, Indiana University, Simon Cancer Center, Indianapolis, IN 46202, USA.
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Richards AG, Tietyen AC, Jicha GA, Bardach SH, Schmitt FA, Fardo DW, Kryscio RJ, Abner EL. Visual Arts Education improves self-esteem for persons with dementia and reduces caregiver burden: A randomized controlled trial. DEMENTIA 2018; 18:3130-3142. [PMID: 29653492 DOI: 10.1177/1471301218769071] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
A Visual Arts Education program was tested among 26 pairs of persons with dementia and their caregivers. Pairs were randomized to Visual Arts Education or control groups, and each group met once per week for two months (8 weeks) to participate in activities with a trained arts instructor. Groups were assessed at baseline, two months, and six months. The Visual Arts Education group received instruction and produced a different type of artistic work each week. The pedagogical strategy was designed so that each activity was increasingly novel, challenging, and complex. The control group viewed slide shows, participated in discussions about art, and made paintings. At the six-month follow-up, significant improvements in caregiver burden and self-esteem for the persons with dementia were found in the Visual Arts Education group. The Visual Arts Education pedagogical approach shows the potential for effectiveness for improving quality of life for persons with dementia and their caregivers.
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Affiliation(s)
| | | | - Gregory A Jicha
- Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA
| | - Shoshana H Bardach
- Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA
| | | | - David W Fardo
- Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA
| | - Richard J Kryscio
- Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA
| | - Erin L Abner
- Sanders-Brown Center on Aging, University of Kentucky, Lexington, KY, USA
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Kaufmann CN, Montross-Thomas LP, Griser S. Increased Engagement With Life: Differences in the Cognitive, Physical, Social, and Spiritual Activities of Older Adult Music Listeners. THE GERONTOLOGIST 2018; 58:270-277. [PMID: 28329814 PMCID: PMC5946822 DOI: 10.1093/geront/gnw192] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2016] [Accepted: 11/14/2016] [Indexed: 12/31/2022] Open
Abstract
Purpose of the Study Clinical studies have demonstrated the health benefits of music listening, especially among older adults; however, this connection has not yet been examined in a nationally representative population based sample. The purpose of this study was to measure the connections between health, listening to music, and engagement with life activities among older Americans. Design and Methods We used data on 5,797 participants in both the 2012 Health and Retirement Study and 2013 Consumption and Activities Mail Survey. Participants reported their lifetime prevalence of health conditions, number of hours spent per week listening to music, as well as various cognitive, physical, social, and spiritual activities. We categorized participants as non-listeners (those reporting zero hours of music listening), average listeners (between >0 and 28.5 hr), and high listeners (>28.6 hr) and assessed associations between these music listening categories and life activities and the prevalence of health conditions. Results Approximately 20% of the older Americans were non-listeners, a majority (75%) reported average amounts, and 5% reported high levels of music listening. Older Americans who were average or high music listeners reported a greater number of hours engaged in several cognitive, physical, social, and spiritual activities each week. Music listeners additionally reported fewer problematic health conditions than non-listeners. Implications Listening to music relates to increased life engagement and better health among older Americans. Given the wide-spread availability of music-based interventions for diverse populations, future studies may investigate the beneficial use of music as a public health initiative for older adults.
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Affiliation(s)
| | - Lori P Montross-Thomas
- Department of Family Medicine and Public Health, University of California, San Diego, La Jolla
- Department of Psychology, California State University, San Marcos
| | - Sean Griser
- Department of Psychology, California State University, San Marcos
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Chung KSY, Lee ESL, Tan JQ, Teo DJH, Lee CBL, Ee SR, Sim SKY, Chee CS. Effects of Playback Theatre on cognitive function and quality of life in older adults in Singapore: A preliminary study. Australas J Ageing 2018; 37:E33-E36. [PMID: 29341376 DOI: 10.1111/ajag.12498] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE This study investigated the effects of Playback Theatre on older adults' cognitive function and well-being, specifically in the Singapore context. METHODS Eighteen healthy older adults, older than 50 years of age, participated in the study. Due to practical limitations, a single-group pre-post study design was adopted. Participants completed the outcome measures before and after the training program. There were six weekly sessions in total (about 1.5 hours, once weekly). RESULTS Participants experienced a significant improvement in their emotional well-being after training. However, there were no significant changes in participants' cognitive function or health-related quality of life. CONCLUSION Our results suggest that Playback Theatre as a community program has potential to improve the mental and emotional well-being of older people.
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Affiliation(s)
- Krystal Shu Yi Chung
- Gerontological Management Studies, School of Humanities and Social Sciences, Temasek Polytechnic, Singapore
| | - Eleena Shi Lynn Lee
- Gerontological Management Studies, School of Humanities and Social Sciences, Temasek Polytechnic, Singapore
| | - Jia Qi Tan
- Gerontological Management Studies, School of Humanities and Social Sciences, Temasek Polytechnic, Singapore
| | - Dylan Jin Hao Teo
- Gerontological Management Studies, School of Humanities and Social Sciences, Temasek Polytechnic, Singapore
| | | | - Sharifah Rose Ee
- Gerontological Management Studies, School of Humanities and Social Sciences, Temasek Polytechnic, Singapore
| | - Sam Kim Yang Sim
- Centre for Applied Gerontology, School of Humanities and Social Sciences, Temasek Polytechnic, Singapore
| | - Chew Sim Chee
- Centre for Applied Gerontology, School of Humanities and Social Sciences, Temasek Polytechnic, Singapore
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72
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Moss H, O'Neill D. Narratives of health and illness: Arts-based research capturing the lived experience of dementia. DEMENTIA 2017; 18:2008-2017. [PMID: 29022362 DOI: 10.1177/1471301217736163] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction This paper presents three artists’ residencies in a geriatric medicine unit in a teaching hospital. The aim of the residencies was creation of new work of high artistic quality reflecting the lived experience of the person with dementia and greater understanding of service user experience of living with dementia. This paper also explores arts-based research methodologies in a medical setting. Method Arts-based research and narrative enquiry were the method used in this study. Artists had extensive access to service users with dementia, family carers and clinical team. Projects were created through collaboration between clinical staff, arts and health director, artist, patients and family carers. Each performance was accompanied by a public seminar discussing dementia. Evaluations were undertaken following each residency. The process of creating artistic responses to dementia is outlined, presented and discussed. Results The artworks were well received with repeat performances and exhibitions requested. Evaluations of each residency indicated increased understanding of dementia. The narratives within the artworks aided learning about dementia. The results are a new chamber music composition, a series of visual artworks created collaboratively between visual artist and patients and family carers and a dance film inspired by a dancer’s residency, all created through narrative enquiry. Discussion and conclusion: These projects support the role of arts-based research as creative process and qualitative research method which contributes to illuminating and exploring the lived experience of dementia. The arts act as a reflective tool for learning and understanding a complex health condition, as well as creating opportunities for increased understanding and public awareness of dementia. Issues arising in arts-based research in medical settings are highlighted, including ethical issues, the importance of service user narrative and multidisciplinary collaboration in arts and health practice and research.
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Abstract
OBJECTIVE This paper examines the contribution of a new group of therapeutic interventions for older adults, based on a rudimentary life-review intervention. The intervention includes narrative elements together with drama therapy. The current study examines the influence of this therapeutic intervention on key indicators of mental health and psychological well-being among older adults. METHOD Fifty-five people (n = 55), ranging in age from 62 to 93, participated in a before-after study design. The following indices - meaning in life, self-acceptance, relationships with others, depressive symptoms, and experience of successful aging - were compared between an intervention group (n = 27) and a care-as-usual control group (n = 28). RESULTS Repeated measures analyses of variance showed a significant improvement over time in the experimental group. In addition, results also showed time-group interaction regarding the treatment's effectiveness for self-acceptance, relationships with others, sense of meaning in life, sense of successful aging, and depressive symptoms. CONCLUSION Our findings confirm that the new therapeutic intervention, which integrates life-review with drama therapy, increases self-acceptance, relationships with others, sense of meaning in life, and sense of successful aging; in turn, it also decreases depressive symptoms among older adults. The contribution of this research is based on the development of a therapeutic intervention that combines narrative together with drama therapy tools, which can be used in focused and short-term group treatments with the elderly.
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Affiliation(s)
- Shoshi Keisari
- a Department of Gerontology, Faculty of Social Welfare and Health Sciences , University of Haifa , Haifa , Israel
| | - Yuval Palgi
- b The Center for Research and Study of Aging, Department of Gerontology, Faculty of Social Welfare and Health Sciences , University of Haifa , Haifa , Israel
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Johnson JK, Gregorich SE, Acree M, Nápoles AM, Flatt JD, Pounds D, Pabst A, Stewart AL. Recruitment and baseline characteristics of the Community of Voices choir study to promote the health and well-being of diverse older adults. Contemp Clin Trials Commun 2017; 8:106-113. [PMID: 29399643 PMCID: PMC5791898 DOI: 10.1016/j.conctc.2017.09.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
Objective To describe the recruitment and baseline results of the Community of Voices study that aims to examine the effect of a community choir intervention on the health and well-being of older adults from diverse racial/ethnic and socioeconomic backgrounds. Method Using community-based participatory research methods, we recruited adults age 60 and over from 12 Administration on Aging-supported senior centers in San Francisco into a 2-arm cluster-randomized controlled trial of the community choir intervention. Multiple outreach methods were used. We tracked outreach, screening, and recruitment metrics and collected demographics and baseline outcomes via community-based, interviewer-administered surveys and performance measures of cognition, physical function, and psychosocial variables. Results The study contacted 819 individuals, screened 636, and enrolled 390 diverse older adults over a 42-month, phased recruitment period. The mean age was 71.2 (SD = 7.3), and the majority were women. Two-thirds of the sample are non-white, and 20% of participants reported having financial hardship. Discussion Outreach and recruitment methods used in the Community of Voices trial facilitated enrollment of a large proportion of minority and lower-SES older adults in the final sample. Similar recruitment approaches could serve as a model for recruiting diverse racial/ethnic and socioeconomic older adults into research.
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Affiliation(s)
- Julene K Johnson
- Institute for Health & Aging, University of California, San Francisco, CA, USA.,Center for Aging in Diverse Communities, University of California, San Francisco, CA, USA
| | - Steven E Gregorich
- Center for Aging in Diverse Communities, University of California, San Francisco, CA, USA.,Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA, USA
| | - Michael Acree
- Osher Center for Integrative Medicine, University of California, San Francisco, CA, USA
| | - Anna M Nápoles
- Center for Aging in Diverse Communities, University of California, San Francisco, CA, USA.,Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, CA, USA
| | - Jason D Flatt
- Institute for Health & Aging, University of California, San Francisco, CA, USA.,Center for Aging in Diverse Communities, University of California, San Francisco, CA, USA
| | - Dana Pounds
- Institute for Health & Aging, University of California, San Francisco, CA, USA
| | - Alexandria Pabst
- Department of Cognitive and Information Sciences, University of California, Merced, CA, USA
| | - Anita L Stewart
- Institute for Health & Aging, University of California, San Francisco, CA, USA.,Center for Aging in Diverse Communities, University of California, San Francisco, CA, USA
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Golden A, Gammonley D, Hanna Powell G, Wan TT. The Challenges of Developing a Participatory Arts Intervention for Caregivers of Persons with Dementia. Cureus 2017; 9:e1154. [PMID: 28503390 PMCID: PMC5426821 DOI: 10.7759/cureus.1154] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Objective: We describe the development and challenges in implementing a web-based participatory art intervention specifically designed for caregivers of persons with dementia to use at home with their loved one. Method: An interprofessional team, including an experienced national panel of artists, developed a participatory arts toolkit consisting of seven web-based modules involving a combination of music, singing, dancing, poetry, and painting. Participants completed a survey of demographics, caregiver needs, and caregiver burden. Results: Thirty caregivers with high caregiver needs and a high caregiver burden volunteered to pilot the intervention. Difficulties with caregiver recruitment and compliance with lesson plans were noted. Caregivers provided positive and negative qualitative feedback. Discussion: The challenges and possible solutions to the problems identified in the implementation and assessment of this participatory arts intervention will provide important insights for future studies linking the arts and dementia care.
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Affiliation(s)
- Adam Golden
- Internal Medicine, University of Central Florida College of Medicine; Orlando VAMC
| | - Denise Gammonley
- College of Health and Public Affairs, University of Central Florida
| | | | - Thomas T Wan
- College of Health and Public Affairs, University of Central Florida
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76
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Meeks S, Shryock SK, Vandenbroucke RJ. Theatre Involvement and Well-Being, Age Differences, and Lessons From Long-Time Subscribers. THE GERONTOLOGIST 2017; 58:278-289. [DOI: 10.1093/geront/gnx029] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Indexed: 11/14/2022] Open
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Schindler M, Maihöfner C, Bolwerk A, Lang FR. Does participation in art classes influence performance on two different cognitive tasks? Aging Ment Health 2017; 21:439-444. [PMID: 26600170 DOI: 10.1080/13607863.2015.1114587] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Effects of two mentally stimulating art interventions on processing speed and visuo-spatial cognition were compared in three samples. METHOD In a randomized 10-week art intervention study with a pre-post follow-up design, 113 adults (27 healthy older adults with subjective memory complaints, 50 healthy older adults and 36 healthy younger adults) were randomly assigned to one of two groups: visual art production or cognitive art evaluation, where the participants either produced or evaluated art. ANOVAs with repeated measures were computed to observe effects on the Symbol-Digit Test, and the Stick Test. RESULTS Significant Time effects were found with regard to processing speed and visuo-spatial cognition. Additionally, there was found a significant Time × Sample interaction for processing speed. The effects proved robust after testing for education and adding sex as additional factor. CONCLUSION Mental stimulation by participation in art classes leads to an improvement of processing speed and visuo-spatial cognition. Further investigation is required to improve understanding of the potential impact of art intervention on cognitive abilities across adulthood.
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Affiliation(s)
- Manuel Schindler
- a Institute of Psychogerontology , Friedrich-Alexander-University Erlangen-Nürnberg , Germany
| | - Christian Maihöfner
- b Department of Neurology , University Hospital Erlangen , Erlangen , Germany.,c Department of Physiology and Pathophysiology, Friedrich-Alexander-University Erlangen-Nuernberg , Erlangen , Germany
| | - Anne Bolwerk
- b Department of Neurology , University Hospital Erlangen , Erlangen , Germany.,c Department of Physiology and Pathophysiology, Friedrich-Alexander-University Erlangen-Nuernberg , Erlangen , Germany
| | - Frieder R Lang
- a Institute of Psychogerontology , Friedrich-Alexander-University Erlangen-Nürnberg , Germany
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78
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Bernard M, Rickett M. The Cultural Value of Older People's Experiences of Theater-making: A Review. THE GERONTOLOGIST 2017; 57:e1-e26. [PMID: 27384428 DOI: 10.1093/geront/gnw093] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Purpose of the Study Although a number of existing reviews document the health and social benefits of arts participation by older people, there are none which focus specifically on theater and drama. This article presents the findings of a study conducted as part of the UK's Arts and Humanities Research Council "Cultural Value Project." The 2-year (2013-2015) "Cultural Value Project" sought to make a major contribution to how we think about the value of arts and culture to individuals and to society. It made 72 awards: 19 critical reviews of existing bodies of research, 46 research development awards to carry out new research, and 7 expert workshop awards to facilitate discussions among academics and practitioners. Together, these awards explored the components of cultural value and the ways in which cultural value is evidenced and evaluated. Design and Methods Following an extensive search of academic databases and E-mail requests via relevant organizations and networks, 77 publications formed the basis for our own critical review. Results Our findings highlight the benefits and value of older people's theater and drama participation on health and well-being, group relationships, learning and creativity, and draw attention to the importance of the esthetic value and quality of older people's drama. Implications Despite the recent surge of interest in this field (a third of the reviewed literature was published between 2010 and 2014), we suggest that there are multiple areas for further research.
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Affiliation(s)
- Miriam Bernard
- School of Social Science and Public Policy, Keele University, Staffordshire, UK
| | - Michelle Rickett
- School of Social Science and Public Policy, Keele University, Staffordshire, UK
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Adams-Price CE, Nadorff DK, Morse LW, Davis KT, Stearns MA. The Creative Benefits Scale. Int J Aging Hum Dev 2017; 86:242-265. [DOI: 10.1177/0091415017699939] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Long-term participation in creative activities has benefits for middle-aged and older people that may improve their adaptation to later life. We first investigated the factor structure of the Creative Benefits Scale and then used it to construct a model to help explain the connection between generativity and life satisfaction in adults who participated in creative hobbies. Participants included 546 adults between the ages of 40 and 88 (Mean = 58.30 years) who completed measures of life satisfaction, generativity, and the Creative Benefits Scale with its factors of Identity, Calming, Spirituality, and Recognition. Structural equation modeling was used to examine the connection of age with life satisfaction in older adults and to explore the effects of creativity on this relation. The proposed model of life satisfaction, incorporating age, creativity, and generativity, fit the data well, indicating that creativity may help explain the link between the generativity and life satisfaction.
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Affiliation(s)
- Carolyn E. Adams-Price
- Department of Psychology, Mississippi State University, MS, USA
- National Strategic Planning & Analysis Research Center, Mississippi State University, MS, USA
| | | | - Linda W. Morse
- National Strategic Planning & Analysis Research Center, Mississippi State University, MS, USA
| | - Katherine T. Davis
- National Strategic Planning & Analysis Research Center, Mississippi State University, MS, USA
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80
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Mella N, Grob E, Döll S, Ghisletta P, de Ribaupierre A. Leisure Activities and Change in Cognitive Stability: A Multivariate Approach. Brain Sci 2017; 7:E27. [PMID: 28257047 PMCID: PMC5366826 DOI: 10.3390/brainsci7030027] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Revised: 01/17/2017] [Accepted: 02/25/2017] [Indexed: 11/16/2022] Open
Abstract
Aging is traditionally associated with cognitive decline, attested by slower reaction times and poorer performance in various cognitive tasks, but also by an increase in intraindividual variability (IIV) in cognitive performance. Results concerning how lifestyle activities protect from cognitive decline are mixed in the literature and all focused on how it affects mean performance. However, IIV has been proven to be an index more sensitive to age differences, and very little is known about the relationships between lifestyle activities and change in IIV in aging. This longitudinal study explores the association between frequency of physical, social, intellectual, artistic, or cultural activities and age-related change in various cognitive abilities, considering both mean performance and IIV. Ninety-six participants, aged 64-93 years, underwent a battery of cognitive tasks at four measurements over a seven-year period, and filled out a lifestyle activity questionnaire. Linear multilevel models were used to analyze the associations between change in cognitive performance and five types of activities. Results showed that the practice of leisure activities was more strongly associated with IIV than with mean performance, both when considering overall level and change in performance. Relationships with IIV were dependent of the cognitive tasks considered and overall results showed protective effects of cultural, physical and intellectual activities on IIV. These results underline the need for considering IIV in the study of age-related cognitive change.
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Affiliation(s)
- Nathalie Mella
- Cognitive aging lab, FPSE, University of Geneva, Geneva 1211, Switzerland.
- Group of Developmental and Differential Psychology, FPSE, University of Geneva, Geneva 1211, Switzerland.
| | - Emmanuelle Grob
- Methodology and Data Analysis Unit, FPSE, University of Geneva, Geneva 1211, Switzerland.
- Swiss Distance Learning University, Brig 3900, Switzerland.
| | - Salomé Döll
- Cognitive aging lab, FPSE, University of Geneva, Geneva 1211, Switzerland.
| | - Paolo Ghisletta
- Methodology and Data Analysis Unit, FPSE, University of Geneva, Geneva 1211, Switzerland.
- Swiss Distance Learning University, Brig 3900, Switzerland.
- LIVES-Overcoming vulnerability: Life course perspectives, University of Geneva, Geneva 1211, Switzerland.
| | - Anik de Ribaupierre
- Group of Developmental and Differential Psychology, FPSE, University of Geneva, Geneva 1211, Switzerland.
- LIVES-Overcoming vulnerability: Life course perspectives, University of Geneva, Geneva 1211, Switzerland.
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Young R, Camic PM, Tischler V. The impact of community-based arts and health interventions on cognition in people with dementia: a systematic literature review. Aging Ment Health 2016; 20:337-51. [PMID: 25683767 DOI: 10.1080/13607863.2015.1011080] [Citation(s) in RCA: 74] [Impact Index Per Article: 9.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVES Dementia is a progressive condition, affecting increasing numbers of people, characterised by cognitive decline. The current systematic review aimed to evaluate research pertaining to the impact of arts and health interventions on cognition in people with dementia. METHOD A literature search was conducted utilising PsychInfo, Cochrane Reviews, Web of Science, Medline and British Humanities Index databases. Seventeen studies were included in the review, including those related to literary, performing and visual arts. RESULTS The review highlighted this as an emerging area of research with the literature consisting largely of small-scale studies with methodological limitations including lack of control groups and often poorly defined samples. All the studies suggested, however, that arts-based activities had a positive impact on cognitive processes, in particular on attention, stimulation of memories, enhanced communication and engagement with creative activities. CONCLUSION The existent literature suggests that arts activities are helpful interventions within dementia care. A consensus has yet to emerge, however, about the direction for future research including the challenge of measurement and the importance of methodological flexibility. It is suggested that further research address some of these limitations by examining whether the impact of interventions vary depending on cognitive ability and to continue to assess how arts interventions can be of use across the stages of dementia.
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Affiliation(s)
- Rhea Young
- a Centre for Applied Psychology , Canterbury Christ Church University , Tunbridge Wells , Kent , UK
| | - Paul M Camic
- a Centre for Applied Psychology , Canterbury Christ Church University , Tunbridge Wells , Kent , UK
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82
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Mendoza-Ruvalcaba NM, Fernández-Ballesteros R. Effectiveness of the Vital Aging program to promote active aging in Mexican older adults. Clin Interv Aging 2016; 11:1631-1644. [PMID: 27881913 PMCID: PMC5115686 DOI: 10.2147/cia.s102930] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Introduction Aging is not only a population phenomenon but also an experience and an individual reality. Vital Aging® is a program that considers active aging as the lifelong adaptation process of maximizing health and independence, physical and cognitive functioning, positive affect regulation and control, and social engagement. Through its different versions and editions, it has demonstrated being an effective program to promote active aging. The aim of this study is to determine the effectiveness of the “face-to-face” and “combined” versions of the program to promote active aging in Mexican older adults trial. Methods Seventy-six older adults aged 60 years and over participated in a quasi-experimental study and were recruited in a senior center to participate in the two experimental conditions: Vital Aging face-to-face (VA-FF) (n=35) and Vital Aging combined (VA-C; multimedia/face-to-face) (n=15), and the remaining 26 adults were assigned to a control group. Pretest and posttest assessments were performed after the theoretical–practical intervention. Mean differences and size effects were calculated for estimating the effect of the program. Results At the end of the study, participants showed improvements in the active aging outcome measures. Positive effects were observed in the frequency of intellectual, cultural – artistic, and social activities, perceptions of aging, satisfaction with social relationships, and self-efficacy for aging. Additionally, those who participated in VA-FF showed better memory performance, meta-memory, and a trend to report less memory problems, while older persons in VA-C showed a trend to have better life satisfaction. No effects were observed in physical activity, frequency of social relationships, and subjective health. Conclusion Findings show that the Vital Aging program in face-to-face and combined versions encourages active aging in Mexican older persons. These results are in general similar to those found in editions performed in Spain, revealing its consistency as a cross-cultural practical initiative for promoting active aging.
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Affiliation(s)
- Neyda Ma Mendoza-Ruvalcaba
- Health Sciences Department, University of Guadalajara, University Center of Tonalá, Tonalá, Jalisco, Mexico
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Porat S, Goukasian N, Hwang KS, Zanto T, Do T, Pierce J, Joshi S, Woo E, Apostolova LG. Dance Experience and Associations with Cortical Gray Matter Thickness in the Aging Population. Dement Geriatr Cogn Dis Extra 2016; 6:508-517. [PMID: 27920794 PMCID: PMC5123027 DOI: 10.1159/000449130] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION We investigated the effect dance experience may have on cortical gray matter thickness and cognitive performance in elderly participants with and without mild cognitive impairment (MCI). METHODS 39 cognitively normal and 48 MCI elderly participants completed a questionnaire regarding their lifetime experience with music, dance, and song. Participants identified themselves as either dancers or nondancers. All participants received structural 1.5-tesla MRI scans and detailed clinical and neuropsychological evaluations. An advanced 3D cortical mapping technique was then applied to calculate cortical thickness. RESULTS Despite having a trend-level significantly thinner cortex, dancers performed better in cognitive tasks involving learning and memory, such as the California Verbal Learning Test-II (CVLT-II) short delay free recall (p = 0.004), the CVLT-II long delay free recall (p = 0.003), and the CVLT-II learning over trials 1-5 (p = 0.001). DISCUSSION Together, these results suggest that dance may result in an enhancement of cognitive reserve in aging, which may help avert or delay MCI.
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Affiliation(s)
- Shai Porat
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Naira Goukasian
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Kristy S. Hwang
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
- Oakland University William Beaumont School of Medicine, Rochester, Mich., USA
| | - Theodore Zanto
- Department of Neurology, UCSF, San Francisco, Calif, USA
| | - Triet Do
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Jonathan Pierce
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Shantanu Joshi
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
| | - Ellen Woo
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
| | - Liana G. Apostolova
- Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, Calif, USA
- Mary S. Easton Center for Alzheimer's Disease Research, Los Angeles, Calif, USA
- Department of Neurology, Indiana University, Indianapolis, Ind, USA
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Ali S, Cushey K, Siddiqui A. Diversity and Dance: Exploring the Therapeutic Implications of World Dance. JOURNAL OF CREATIVITY IN MENTAL HEALTH 2016. [DOI: 10.1080/15401383.2016.1203855] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Affiliation(s)
- Shainna Ali
- University of Central Florida, Orlando, Florida, USA
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85
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Reynolds J, Bernard M, Rezzano J, Rickett M. Ageing, Drama, and Creativity: Translating Research Into Practice. GERONTOLOGY & GERIATRICS EDUCATION 2016; 37:307-328. [PMID: 26905617 DOI: 10.1080/02701960.2016.1152267] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Ageing, Drama, and Creativity was a pilot six-session interprofessional training course delivered collaboratively by Keele University and the New Vic Theatre, Newcastle-under-Lyme, as part of our Arts and Humanities Research Council (AHRC) funded Ages and Stages follow-on project. The course brought together a critical gerontological approach with arts-based educational practices and was designed to develop practice capabilities and age awareness among a diverse group of professionals working in arts organizations, the voluntary sector, local government, health and social services, and housing. This article describes how the course was developed and how participants were selected, details its aims and objectives, provides an overview of the sessions and a flavor of some of the exercises that were used, and considers findings from the structured evaluation alongside written reflections from participants.
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Affiliation(s)
- Jackie Reynolds
- a Faculty of Humanities and Social Sciences , Claus Moser Research Centre, Keele University , Keele , Straffordshire , UK
| | - Miriam Bernard
- a Faculty of Humanities and Social Sciences , Claus Moser Research Centre, Keele University , Keele , Straffordshire , UK
| | - Jill Rezzano
- b New Vic Education , New Vic Theatre , Newcastle-under-Lyme , UK
| | - Michelle Rickett
- a Faculty of Humanities and Social Sciences , Claus Moser Research Centre, Keele University , Keele , Straffordshire , UK
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86
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Eaton J. Aging and the Arts Online: Lessons Learned From Course Development and Implementation. GERONTOLOGY & GERIATRICS EDUCATION 2016; 37:273-291. [PMID: 27050643 DOI: 10.1080/02701960.2016.1164149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
With the recent move toward competency-based gerontology education, incorporating humanities and arts will be necessary for accreditation. This article describes the pedagogical approaches and lessons learned during 5 years of development and implementation of an asynchronous online course in Aging and the Arts. Fifty graduate and undergraduate students participated in the course over five semesters. Discipline diversity increased subsequent to designation as a fine arts general education course. Students expressed appreciation for multimedia resources, an initial fear of creating a wiki, and online redundancy was reduced through increased community engagement that also augmented application in real-world settings. The visual nature of arts and aging lends itself to a compelling and interactive online course experience that can be adapted to synchronous, hybrid, and face-to-face formats. Opportunities for community engaged learning will increase as art programs for older adults become more prevalent.
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Affiliation(s)
- Jacqueline Eaton
- a College of Nursing , University of Utah , Salt Lake City , Utah , USA
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87
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Strout KA, David DJ, Dyer EJ, Gray RC, Robnett RH, Howard EP. Behavioral Interventions in Six Dimensions of Wellness That Protect the Cognitive Health of Community-Dwelling Older Adults: A Systematic Review. J Am Geriatr Soc 2016; 64:944-58. [PMID: 27160762 DOI: 10.1111/jgs.14129] [Citation(s) in RCA: 67] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
Abstract
OBJECTIVES To systematically identify, appraise, and summarize research on the effects of behavioral interventions to prevent cognitive decline in community-dwelling older adults using a holistic wellness framework. DESIGN Systematic review of randomized controlled trials that tested the effectiveness of behavioral interventions within each of the six dimensions of wellness: occupational, social, intellectual, physical, emotional and spiritual. Databases searched included PubMed MEDLINE, EMBASE, CENTRAL, PsycINFO, CINAHL, ALOIS, and The Grey Literature Report through July 1, 2014. SETTING Community. PARTICIPANTS Individuals aged 60 and older (N = 6,254). MEASUREMENTS Consolidated Standards of Reporting Trials Checklist. RESULTS Eighteen studies met the inclusion criteria. Interventions in the physical dimension of wellness were most common (11 studies); interventions in the spiritual dimension were least common (0 studies). Fifty-nine different measures were used to measure multiple cognitive domains, with memory being the most commonly measured (17 studies) and language being the least commonly measured (5 studies). Fifty percent of the interventions examined in the 18 studies demonstrated statistically significant outcomes on at least one cognitive measure. Interventions in the intellectual dimension that examined cognitively stimulating activities using pen and paper or a computer represented the greatest percentage of statistically significant outcomes. CONCLUSION Intellectual and physical interventions were most studied, with varied results. Future research is needed using more-consistent methods to measure cognition. Researchers should include the National Institutes of Health Toolbox Cognition Battery among measurement tools to facilitate effective data harmonization, pooling, and comparison.
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Affiliation(s)
- Kelley A Strout
- Department of Nursing, University of Maine School of Nursing, Orono, Maine
| | - Daniel J David
- Department of Nursing, Regis College, Weston, Massachusetts
| | | | - Roberta C Gray
- Library Services, University of New England, Portland, Maine
| | - Regula H Robnett
- Department of Occupational Therapy, University of New England, Portland, Maine
| | - Elizabeth P Howard
- School of Nursing, Bouve College of Health Science, Northeastern University, Boston, Massachusetts
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Johnson JK, Nápoles AM, Stewart AL, Max WB, Santoyo-Olsson J, Freyre R, Allison TA, Gregorich SE. Study protocol for a cluster randomized trial of the Community of Voices choir intervention to promote the health and well-being of diverse older adults. BMC Public Health 2015; 15:1049. [PMID: 26463176 PMCID: PMC4603966 DOI: 10.1186/s12889-015-2395-9] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2015] [Accepted: 10/06/2015] [Indexed: 11/12/2022] Open
Abstract
Background Older adults are the fastest growing segment of the United States population. There is an immediate need to identify novel, cost-effective community-based approaches that promote health and well-being for older adults, particularly those from diverse racial/ethnic and socioeconomic backgrounds. Because choral singing is multi-modal (requires cognitive, physical, and psychosocial engagement), it has the potential to improve health outcomes across several dimensions to help older adults remain active and independent. The purpose of this study is to examine the effect of a community choir program (Community of Voices) on health and well-being and to examine its costs and cost-effectiveness in a large sample of diverse, community-dwelling older adults. Method/design In this cluster randomized controlled trial, diverse adults age 60 and older were enrolled at Administration on Aging-supported senior centers and completed baseline assessments. The senior centers were randomly assigned to either start the choir immediately (intervention group) or wait 6 months to start (control). Community of Voices is a culturally tailored choir program delivered at the senior centers by professional music conductors that reflects three components of engagement (cognitive, physical, and psychosocial). We describe the nature of the study including the cluster randomized trial study design, sampling frame, sample size calculation, methods of recruitment and assessment, and primary and secondary outcomes. Discussion The study involves conducting a randomized trial of an intervention as delivered in “real-world” settings. The choir program was designed using a novel translational approach that integrated evidence-based research on the benefits of singing for older adults, community best practices related to community choirs for older adults, and the perspective of the participating communities. The practicality and relatively low cost of the choir intervention means it can be incorporated into a variety of community settings and adapted to diverse cultures and languages. If successful, this program will be a practical and acceptable community-based approach for promoting health and well-being of older adults. Trial registration ClinicalTrials.gov NCT01869179 registered 9 January 2013.
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Affiliation(s)
- Julene K Johnson
- Institute for Health & Aging, University of California, 3333 California St., Suite 340, San Francisco, CA, 94118, USA. .,Center for Aging in Diverse Communities, University of California, San Francisco, USA.
| | - Anna M Nápoles
- Center for Aging in Diverse Communities, University of California, San Francisco, USA. .,Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, USA.
| | - Anita L Stewart
- Institute for Health & Aging, University of California, 3333 California St., Suite 340, San Francisco, CA, 94118, USA. .,Center for Aging in Diverse Communities, University of California, San Francisco, USA.
| | - Wendy B Max
- Institute for Health & Aging, University of California, 3333 California St., Suite 340, San Francisco, CA, 94118, USA.
| | - Jasmine Santoyo-Olsson
- Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, USA.
| | - Rachel Freyre
- Institute for Health & Aging, University of California, 3333 California St., Suite 340, San Francisco, CA, 94118, USA.
| | - Theresa A Allison
- Division of Geriatrics, Department of Medicine, University of California, San Francisco, USA. .,Department of Family and Community Medicine, University of California, San Francisco, USA.
| | - Steven E Gregorich
- Center for Aging in Diverse Communities, University of California, San Francisco, USA. .,Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, USA.
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Rubin SE, Gendron TL, Wren CA, Ogbonna KC, Gonzales EG, Peron EP. Challenging Gerontophobia and Ageism Through a Collaborative Intergenerational Art Program. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2015. [DOI: 10.1080/15350770.2015.1058213] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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90
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Flatt JD, Liptak A, Oakley MA, Gogan J, Varner T, Lingler JH. Subjective experiences of an art museum engagement activity for persons with early-stage Alzheimer's disease and their family caregivers. Am J Alzheimers Dis Other Demen 2015; 30:380-9. [PMID: 25216658 PMCID: PMC4362745 DOI: 10.1177/1533317514549953] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To describe the subjective experiences of older adults with early-stage Alzheimer's disease or related cognitive disorders (ADRDs) and their family caregivers who participated in an art museum engagement activity. METHODS Four focus groups were conducted with 10 persons with ADRD and 10 family caregivers following the completion of a 1-time, 3-hour engagement activity. Participants also completed a brief satisfaction survey, and associations were examined using nonparametric statistics. RESULTS Three key themes were identified: cognitive stimulation, social connections, and self-esteem. In addition, we identified programmatic issues such as activity-specific concerns and program logistics that could help improve future art program offerings. Past experience with art and perceived social cohesion were correlated with participants' overall satisfaction with the program. DISCUSSION Efforts aimed at improving the quality of life of those with Alzheimer's disease and their family caregivers should consider the potential role of art museums.
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Affiliation(s)
- Jason D Flatt
- Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - Amy Liptak
- School of Nursing, University of Pittsburgh, Pittsburgh, PA, USA
| | - Mary Ann Oakley
- Department of Neurology, University of Pittsburgh, Pittsburgh, PA, USA Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA
| | - Jessica Gogan
- Henry Clay Frick Department of History of Art and Architecture, University of Pittsburgh, Pittsburgh, PA, USA
| | - Tresa Varner
- Education Department, The Andy Warhol Museum, Pittsburgh, PA, USA
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91
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Summary of the evidence on modifiable risk factors for cognitive decline and dementia: A population-based perspective. Alzheimers Dement 2015; 11:718-26. [DOI: 10.1016/j.jalz.2015.05.016] [Citation(s) in RCA: 901] [Impact Index Per Article: 100.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
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92
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Hanna GP, Noelker LS, Bienvenu B. The arts, health, and aging in america: 2005-2015. THE GERONTOLOGIST 2015; 55:271-7. [PMID: 26035603 DOI: 10.1093/geront/gnu183] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2014] [Accepted: 12/30/2014] [Indexed: 11/12/2022] Open
Abstract
In advance of the White House Conference on Aging (WHCoA) in 1981, 1995, and 2005, the arts and aging communities held mini-conferences to ensure that arts, culture, and livability were part of larger public policy discussions. This article takes a historical look at recommendations from the 2005 WHCoA Mini-Conference on Creativity and Aging in America, including arts in health care, lifelong learning, and livability through universal design. Overarching recommendations in 2005 requested investments in research, including cost-benefit analyses; identification of best practices and model programs; program dissemination to broaden the availability of arts programs. The "Arts" is a broad term encompassing all forms of arts including music, theater, dance, visual arts, literature, multimedia and design, folk, and traditional arts to engage the participation of all older Americans; promotion of innovative public and private partnerships to support arts program development, including workforce development (e.g., artists, social workers, and health care providers); and public awareness of the importance of arts participation to healthy aging. Through the leadership of the National Endowment for the Arts and U.S. Department of Health and Human Services, thinking about the arts and aging has broadened to include greater emphasis on a whole-person approach to the health and well-being of older adults. This approach engages older adults in arts participation not only as audience members, but as vital members of their community through creative expression focusing on life stories for intergenerational as well as interprofessional collaboration. This article reviews progress made to date and identifies critical gaps in services for future consideration at a 2015 Mini-Conference on Creativity and Aging related to the WCHoA area of emphasis on healthy aging.
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Affiliation(s)
- Gay Powell Hanna
- National Center for Creative Aging, Washington, District of Columbia.
| | - Linda S Noelker
- Katz Policy Institute, Benjamin Rose Institute on Aging, Cleveland, Ohio
| | - Beth Bienvenu
- National Endowment for the Arts, Washington, District of Columbia
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Impact of the Baltimore Experience Corps Trial on cortical and hippocampal volumes. Alzheimers Dement 2015; 11:1340-8. [PMID: 25835516 DOI: 10.1016/j.jalz.2014.12.005] [Citation(s) in RCA: 81] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2014] [Revised: 12/07/2014] [Accepted: 12/10/2014] [Indexed: 11/24/2022]
Abstract
INTRODUCTION There is a substantial interest in identifying interventions that can protect and buffer older adults from atrophy in the cortex and particularly, the hippocampus, a region important to memory. We report the 2-year effects of a randomized controlled trial of an intergenerational social health promotion program on older men's and women's brain volumes. METHODS The Brain Health Study simultaneously enrolled, evaluated, and randomized 111 men and women (58 interventions; 53 controls) within the Baltimore Experience Corps Trial to evaluate the intervention impact on biomarkers of brain health at baseline and annual follow-ups during the 2-year trial exposure. RESULTS Intention-to-treat analyses on cortical and hippocampal volumes for full and sex-stratified samples revealed program-specific increases in volumes that reached significance in men only (P's ≤ .04). Although men in the control arm exhibited age-related declines for 2 years, men in the Experience Corps arm showed a 0.7% to 1.6% increase in brain volumes. Women also exhibited modest intervention-specific gains of 0.3% to 0.54% by the second year of exposure that contrasted with declines of about 1% among women in the control group. DISCUSSION These findings showed that purposeful activity embedded within a social health promotion program halted and, in men, reversed declines in brain volume in regions vulnerable to dementia. CLINICAL TRIAL REGISTRATION NCT0038.
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94
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Noice T, Noice H, Kramer AF. Theatre Arts for Improving Cognitive and Affective Health. ACTIVITIES, ADAPTATION & AGING 2015. [DOI: 10.1080/01924788.2015.994440] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Fitzsimmons S, Barba B, Stump M. Diversional and Physical Nonpharmacological Interventions for Behavioral and Psychological Symptoms of Dementia. J Gerontol Nurs 2015; 41:8-17. [DOI: 10.3928/00989134-20141215-01] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Wong GHY, Ng CKM, Lai CKY, Lee MNY, Lum TYS, Jiang N, Shie HWH, Wu JYM, Dai DLK. Development of Six Arts, a Culturally Appropriate Multimodal Nonpharmacological Intervention in Dementia. THE GERONTOLOGIST 2014; 55:865-74. [PMID: 25378464 DOI: 10.1093/geront/gnu102] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2014] [Accepted: 09/18/2014] [Indexed: 11/14/2022] Open
Abstract
PURPOSE There is accumulating evidence for the efficacy of nonpharmacological multimodal stimulation interventions in maintaining cognition and improving quality of life in people with mild-to-moderate dementia. However, the complex nature of these interventions limits their application in practice and research. We report here the design and development of a culturally appropriate framework, the Six Arts, to guide delivery of multimodal interventions in a Chinese community. DESIGN AND DEVELOPMENT The Six Arts are a core set of Confucian philosophy comprising 6 disciplines of rites, music, archery, charioteering, literacy, and numeracy. They correspond to major mind-body functional domains of social functioning; music and rhythm; visuospatial and fine motor skills; kinesthetic and gross motor skills; language and verbal skills; and executive function. Using Six Arts as a framework, we mapped theoretical principles and evidence-based nonpharmacological interventions of cognitive stimulation, physical exercise, and social activities against the 6 functional domains. From 2011, we field-tested the use of Six Arts in structuring intervention programs in 263 people in a dementia day center in Hong Kong. RESULTS The Six Arts was operationalized through the development of an intervention activity database, a scoring system for intensity level, and a service delivery model for application in dementia day centers. IMPLICATIONS Six Arts can be used as framework for structuring nonpharmacological group intervention programs in dementia day center in a metropolitan Chinese city. Its cultural appropriateness may facilitate communication and shared decision making with families with dementia in communities influenced by Confucian philosophy.
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Affiliation(s)
- Gloria H Y Wong
- Sau Po Centre on Ageing, The University of Hong Kong, China. Department of Psychiatry, LKS Faculty of Medicine, The University of Hong Kong, China.
| | - Carmen K M Ng
- Department of Social Work and Social Administration, The University of Hong Kong, China
| | | | | | - Terry Y S Lum
- Sau Po Centre on Ageing, The University of Hong Kong, China. Department of Social Work and Social Administration, The University of Hong Kong, China
| | - Nan Jiang
- Sau Po Centre on Ageing, The University of Hong Kong, China
| | | | - Jimmy Y M Wu
- Hong Kong Alzheimer's Disease Association, China
| | - David L K Dai
- Hong Kong Alzheimer's Disease Association, China. Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, China
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