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O'Connor CMC, Poulos RG, Heldon M, Preti C, Beattie E, Poulos CJ. Implementation of an Arts at Home program for people living with dementia: Learnings from key stakeholders. Health Promot J Austr 2024. [PMID: 38952243 DOI: 10.1002/hpja.897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2023] [Revised: 05/20/2024] [Accepted: 06/14/2024] [Indexed: 07/03/2024] Open
Abstract
ISSUE ADDRESSED This study explores experiences of people with dementia and family carers who participated in an Arts on Prescription at Home (AoP@Home) program, artists who delivered the AoP@Home program and the managers who coordinated the AoP@Home programs. METHODS Semi structured interviews were conducted with the three stakeholder groups to explore experiences around implementation of AoP@Home. Interview questions were specific to each stakeholder group, and designed to capture the varied experiences around coordinating, delivering and participating in AoP@Home programs when delivered as a standard service offering. Qualitative content analysis was applied to evaluate the transcripts. RESULTS A total of 13 stakeholders participated in interviews: four people living with dementia and four family carers, three artists and two AoP program managers. Three overarching themes emerged across the stakeholder groups: 'what worked well', 'challenges' and 'moving forward'. CONCLUSIONS AoP@Home has potential as an important offering for community-dwelling people with dementia who may no longer be able to access group-based community programs. As AoP@Home is expanded, ongoing implementation monitoring and quality improvement will be essential to ensure maximal applicability of the program across the community aged care sector. SO WHAT?: The implementation of a new AoP@home service has been examined, and finds consumer satisfaction (person with dementia and their carer), and support from staff (artists and program managers). The novel nature of the service, however, requires considerable work to educate service referrers about the service and its benefits.
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Affiliation(s)
- Claire M C O'Connor
- School of Psychology, University of New South Wales, Sydney, New South Wales, Australia
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
- Neuroscience Research Australia, Sydney, New South Wales, Australia
- University of New South Wales, Ageing Futures Institute, Sydney, New South Wales, Australia
| | - Roslyn G Poulos
- University of New South Wales, School of Population Health, Sydney, New South Wales, Australia
| | - Michelle Heldon
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Costanza Preti
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Elizabeth Beattie
- Queensland University of Technology, Brisbane, Queensland, Australia
| | - Christopher J Poulos
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
- University of New South Wales, School of Population Health, Sydney, New South Wales, Australia
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O'Connor CMC, Poulos RG, Preti C, Heldon M, Barclay L, Beattie E, Poulos CJ. Steps to implementation: Understanding barriers and enablers for implementing Arts on Prescription at Home for people impacted by dementia. Health Promot J Austr 2024; 35:110-121. [PMID: 36964997 DOI: 10.1002/hpja.720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 03/06/2023] [Accepted: 03/21/2023] [Indexed: 03/27/2023] Open
Abstract
ISSUE ADDRESSED Arts on Prescription at Home (AoP@Home) involves a professional artist visiting a person with dementia and their informal carer(s) in their own home to engage them in participatory art making. While there is evidence for the use of these programs, more work is needed to facilitate effective implementation. This study explored contextual barriers and enablers to implementation of AoP@Home within a real-world community aged care service. METHODS Two remote focus groups were conducted at a community aged care provider in Sydney, Australia. Key stakeholders (n = 14) were recruited, representing: people with dementia, informal (family) carers, AoP artists, service referrers and community service managers. Focus group transcripts were analysed using qualitative content analysis and mapped onto the Consolidated Framework for Implementation Research (CFIR). Outcomes were reviewed against the Expert Recommendations for Implementing Change (ERIC) strategy compilation to inform development of a tailored implementation strategy. RESULTS Four overarching themes described the range of barriers and enablers to AoP@Home implementation: (1) "I don't know enough about it" (awareness and engagement within the sector), (2) artists delivering programs, (3) awareness and engagement of people impacted by dementia, (4) practicalities of implementation. All five domains of the CFIR were represented across the four themes. The ERIC compilation provided a list of practical strategies for implementation of AoP@Home. CONCLUSIONS The implementation of psychosocial interventions for people living with dementia within a community aged care service is complex and multifactorial. So what?: Organisations planning implementation should consider conducting their own pre-implementation analysis to identify context-specific strategies.
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Affiliation(s)
- Claire M C O'Connor
- Schoolof Population Health, University of New South Wales, Sydney, New South Wales, Australia
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
- School of Psychology, University of New South Wales, Sydney, New South Wales, Australia
- Neuroscience Research Australia, Sydney, New South Wales, Australia
| | - Roslyn G Poulos
- Schoolof Population Health, University of New South Wales, Sydney, New South Wales, Australia
| | - Costanza Preti
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Michelle Heldon
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Linda Barclay
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
| | - Elizabeth Beattie
- School of Nursing, Queensland University of Technology, Brisbane, Queensland, Australia
| | - Christopher J Poulos
- Schoolof Population Health, University of New South Wales, Sydney, New South Wales, Australia
- HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia
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Wiseman L, Isbel S, Boag A, Halpin-Healy C, Gibson D, Bail K, Noble JM, D'Cunha NM. Online gallery facilitated art activities for people with dementia during the COVID-19 pandemic and beyond: A narrative review. DEMENTIA 2023; 22:1950-1976. [PMID: 37647250 PMCID: PMC10644691 DOI: 10.1177/14713012231198748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Art activities for people with dementia have a range of therapeutic benefits including psychosocial wellbeing and enhanced quality of life. Successful art programs promote social engagement, are inclusive and empowering, and enable opportunity for people with dementia to express themselves verbally and non-verbally. The COVID-19 pandemic and associated social distancing precautions have impacted the capacity of art galleries and museums to deliver in-person programs. However, they have also provided a new opportunity. This paper explores the potential benefits, challenges, and future directions for research relating to the online delivery of gallery-facilitated art activities for people with dementia. The evidence revealed that increased digitisation of programs increased access for participants, however, the majority of the research was published before the pandemic. Nevertheless, COVID-19 has necessitated many museums and galleries to engage with people with dementia online. Future research is needed to improve the usability of online delivery platforms and a comparison of online and onsite delivery is recommended, particularly to evaluate benefits to people living in rural and remote areas where access to museums and galleries may be limited.
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Affiliation(s)
- Lara Wiseman
- Faculty of Health, University of Canberra, Bruce, ACT, Australia
- Ageing Research Group, Faculty of Health, University of Canberra, Bruce, ACT, Australia
| | - Stephen Isbel
- Faculty of Health, University of Canberra, Bruce, ACT, Australia
- Ageing Research Group, Faculty of Health, University of Canberra, Bruce, ACT, Australia
| | - Adriane Boag
- National Gallery of Australia, Parkes, ACT, Australia
| | | | - Diane Gibson
- Faculty of Health, University of Canberra, Bruce, ACT, Australia
- Ageing Research Group, Faculty of Health, University of Canberra, Bruce, ACT, Australia
| | - Kasia Bail
- Faculty of Health, University of Canberra, Bruce, ACT, Australia
- Ageing Research Group, Faculty of Health, University of Canberra, Bruce, ACT, Australia
| | - James M Noble
- Arts and Minds, New York, NY, USA
- Taub Institute, Columbia University Irving Medical Center, New York, NY, USA
| | - Nathan M D'Cunha
- Faculty of Health, University of Canberra, Bruce, ACT, Australia
- Ageing Research Group, Faculty of Health, University of Canberra, Bruce, ACT, Australia
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Ardelean A, Redolat R. Supporting Behavioral and Psychological Challenges in Alzheimer Using Technology: A Systematic Review. ACTIVITIES, ADAPTATION & AGING 2023. [DOI: 10.1080/01924788.2023.2172900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Affiliation(s)
- A. Ardelean
- Department of Psychobiology, Faculty of Psychology and Logopedy, Universitat de València, Valencia, Spain
| | - R. Redolat
- Department of Psychobiology, Faculty of Psychology and Logopedy, Universitat de València, Valencia, Spain
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Lim WM, Bowman C. Older Adults Living with Dementia: Trending Insights from the Social Sciences. ACTIVITIES, ADAPTATION & AGING 2023. [DOI: 10.1080/01924788.2022.2157957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Affiliation(s)
- Weng Marc Lim
- Sunway Business School, Sunway University, Sunway City, Malaysia
- School of Business, Law and Entrepreneurship, Swinburne University of Technology, Hawthorn, Victoria, Australia
- Faculty of Business, Design and Arts, Swinburne University of Technology Sarawak Campus, Kuching, Malaysia,
| | - Carmen Bowman
- Edu-Catering: Catering Education for Compliance and Culture Change, Huntingburg, Indiana, USA
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Marco P, Redolat R. Art Therapy Approaches in Alzheimer’s Disease: A Systematic Review. ACTIVITIES, ADAPTATION & AGING 2022. [DOI: 10.1080/01924788.2022.2148402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Patricia Marco
- Department of Audiovisual Communication, Documentation and History of Art, Faculty of Fine Arts, Universitat Politècnica de València, Valencia, Spain
| | - Rosa Redolat
- Department of Psychobiology, Faculty of Psychology and Logopedy, Universitat de València, Valencia, Spain
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Rattanamongkolgul D, Rattanamongkolgul S. Preparedness for Later Life and Associated Factors among Thai Adults. ACTIVITIES, ADAPTATION & AGING 2022. [DOI: 10.1080/01924788.2022.2148395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Shoesmith EK. What are the elements needed to create an effective visual art intervention for people with dementia? A qualitative exploration. DEMENTIA 2021; 20:1336-1355. [PMID: 32720815 PMCID: PMC8132006 DOI: 10.1177/1471301220938481] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
BACKGROUND This article aimed to advance the understanding of 'what works' in visual art interventions from the perspective of key stakeholders, including people with dementia, their family members and visual art professionals. METHOD Semi-structured interviews were conducted with 22 participants, exploring their perceptions on barriers, facilitators, perceived benefits, experiences of delivering/attending a visual art intervention and any recommendations for implementation. RESULTS Five factors were identified within the interviews that indicated important considerations for intervention structure and implementation, including benefits of group work, a skilled facilitator, participant choice, artistic ability and activity content. While art therapists expressed a clear protection of professional boundaries, the success of all of the visual art interventions was largely attributed to the supportive facilitator who possessed certain core values such as empathy and compassion and had knowledge in both artistic practice and the impact of living with dementia. It was clear the group dynamic was valued, and it was important to provide enjoyable, failure-free activity content with a strong focus on the creative process. CONCLUSION These findings offer a direction for evidence-based practice when implementing visual art interventions.
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Shoesmith E, Charura D, Surr C. Acceptability and feasibility study of a six-week person-centred, therapeutic visual art intervention for people with dementia. Arts Health 2020; 13:296-314. [PMID: 32744920 DOI: 10.1080/17533015.2020.1802607] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND There has been increasing interest in dementia, the arts and creativity across different disciplines in recent years, with previous literature illustrating the benefits of visual arts for people with dementia. METHOD A mixed-methods, quasi-experimental, pre/post design to assess the feasibility, acceptability and preliminary efficacy of a newly developed therapeutic, person-centred visual art intervention for people with dementia attending a day care centre or residing in an assisted living facility. RESULTS Five themes were identified from the interviews. Two themes reflected the feasibility/acceptability and the perceived impacts of the intervention, and three themes represented perceived successful elements: participant choice, socialisation and mentally stimulating activities. The quantitative data tentatively indicated enhanced social functioning and quality of life scores post-intervention. CONCLUSION These findings indicate that engagement with visual art is effective for people with dementia, and taking into account the factors that impact on feasibility and acceptability will promote future robust evaluation.
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Affiliation(s)
- Emily Shoesmith
- Centre for Dementia Research, Leeds Beckett University, Leeds, UK
| | - Divine Charura
- Psychological Therapies and Mental Health, Leeds Beckett University, Leeds, UK
| | - Claire Surr
- Centre for Dementia Research, Leeds Beckett University, Leeds, UK
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