The impact of a visual arts program on quality of life, communication, and well-being of people living with dementia: a mixed-methods longitudinal investigation

Windle, Gill; Joling, Karlijn J.; Howson-Griffiths, Teri; Woods, Bob; Jones, Catrin; Ven, Peter M. van de; Newman, Andrew; Parkinson, Clive

doi:10.1017/s1041610217002162

Cited by 78 publications

(130 citation statements)

References 22 publications

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“…The study of a visual arts program (Windle et al, 2017) is a good example of a convincing mixed methods, multiple measures, multisite study. It is important that real-life clinical interventions be included in our literature and reviews, as their inclusion is more likely to lead to large implementation programs.…”

Section: Appropriate Methodologiesmentioning

confidence: 99%

Non-pharmacological interventions for persons with dementia: what are they and how should they be studied?

Cohen‐Mansfield

2018

Int. Psychogeriatr.

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The publication of four papers concerning non-pharmacological interventions for persons with dementia heralds progress in the science of dementia care. The four papers are very diverse in focus and methodology, and include a study of the impact of a visual arts program on quality of life, communication, and well-being by Windle et al. (2017); an overview of systematic reviews of pharmacological and non-pharmacological interventions for the treatment of behavioral and psychological symptoms of dementia by Dyer et al. (2017); a systematic review of the efficacy of intervention in people with Lewy body dementia by Morrin et al. (2017); and a protocol of the Behavior and Evolution of Young Onset Dementia part two (BEYOND-II) study, an intervention study aimed at improvement in the management of neuropsychiatric symptoms in institutionalized people with young onset dementia by van Duinen-van den IJssel et al. (2017).

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Section: Appropriate Methodologiesmentioning

confidence: 99%

Non-pharmacological interventions for persons with dementia: what are they and how should they be studied?

Cohen‐Mansfield

2018

Int. Psychogeriatr.

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“…Table 1 reports on the study and participant characteristics. Of the six included studies one was a randomized controlled trial (RCT) [36], two were time series studies [37,38], two were uncontrolled before-after studies [39,40], and one was a prospective cohort study [41]. All included studies were journal articles and published between 2009 and 2018.…”

Section: Study and Sample Characteristicsmentioning

confidence: 99%

“…All included studies were journal articles and published between 2009 and 2018. Studies were conducted in USA (n = 2 [36,37];), UK (n = 2 [40,41];), Singapore (n = 1 [39];), and Switzerland (n = 1 [38];).…”

Section: Study and Sample Characteristicsmentioning

confidence: 99%

“…Two studies described Plwd as previously diagnosed with dementia without detailed information related to dementia status or assessment within the study [37,40]. Two studies [38,39] reported a dementia diagnosis according to established diagnostic criteria, one study reported dementia severity assessed using the Clinical Dementia Rating scale [41], and one study reported a cognitive test score cut-off for mild cognitive impairment as part of the inclusion criteria [36]. In one of the studies selection criteria included patients with dementia with or without delirium [39] although further details about the diagnoses of recruited Plwd were not reported.…”

Section: Study and Sample Characteristicsmentioning

confidence: 99%

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Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review

et al. 2020

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Background: An increasingly high number of patients admitted to hospital have dementia. Hospital environments can be particularly confusing and challenging for people living with dementia (Plwd) impacting their wellbeing and the ability to optimize their care. Improving the experience of care in hospital has been recognized as a priority, and non-pharmacological interventions including activity interventions have been associated with improved wellbeing and behavioral outcomes for Plwd in other settings. This systematic review aimed at evaluating the effectiveness of activity interventions to improve experience of care for Plwd in hospital. Methods: Systematic searches were conducted in 16 electronic databases up to October 2019. Reference lists of included studies and forward citation searching were also conducted. Quantitative studies reporting comparative data for activity interventions delivered to Plwd aiming to improve their experience of care in hospital were included. Screening for inclusion, data extraction and quality appraisal were performed independently by two reviewers with discrepancies resolved by discussion with a third where necessary. Standardized mean differences (SMDs) were calculated where possible to support narrative statements and aid interpretation. Results: Six studies met the inclusion criteria (one randomized and five non-randomized uncontrolled studies) including 216 Plwd. Activity interventions evaluated music, art, social, psychotherapeutic, and combinations of tailored activities in relation to wellbeing outcomes. Although studies were generally underpowered, findings indicated beneficial effects of activity interventions with improved mood and engagement of Plwd while in hospital, and reduced levels of responsive behaviors. Calculated SMDs ranged from very small to large but were mostly statistically non-significant. Conclusions: The small number of identified studies indicate that activity-based interventions implemented in hospitals may be effective in improving aspects of the care experience for Plwd. Larger well-conducted studies are needed to fully evaluate the potential of this type of non-pharmacological intervention to improve experience of care in hospital settings, and whether any benefits extend to staff wellbeing and the wider ward environment.

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“…Here it is significant that people's artistic, imaginative, and emotional capacities can remain strong for years after dementia onset. A growing body of evidence now reveals that arts-based and cultural interventions can elevate people above the stresses of dementia, slow degeneration, improve memory and communication, help drive social interaction and (re)connection, and provide an important means of self-expression (e.g., Beard, 2011;Gould, 2013;Windle et al, 2014Windle et al, , 2018Basting et al, 2016;Young et al, 2016;Dowlen et al, 2017;Windle, 2018). The advantage of non-pharmacological interventions is multiple, with few, if any, negative side-effects and a positive impact that can even exceed those of pharmacotherapy intervention (Herholz et al, 2013(Herholz et al, , p. 1236.…”

Section: Dementia Interventionsmentioning

confidence: 99%

Open to All: Dementia, Creativity, and Open Ecosystem Innovation

Senior

2019

Front. Sociol.

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In the health arena, open innovation approaches strive to address real-world complexity through driving multi-stakeholder collaborative activities that can better identify and respond to complex health needs. This paper will argue for the value of an open ecosystem innovation approach, one that explores the full implications of what it means to be "open" in a health innovation context. To these ends, the paper will outline the origins of open innovation in the health arena, suggesting that it has become an important site for pushing the limits of open methods and challenging mainstream conceptions of the targets of health innovation. Five guiding principles for open ecosystem innovation will then be proposed, drawing on learning from the Knowledge Exchange Hubs for the Creative Economy funded by the UK's Arts and Humanities Research Council. These principles point to a configuration of open activities that are maximally sensitive to (1) knowledge diversity in innovation work; (2) the consequences of adopting an open-orientation across all stages of innovation programming; (3) the value of deepening and broadening the targets of innovation activity; (4) the role of mediation in supporting cross-sector partnerships; and, (5) the importance of operating in an adaptive and sustainable manner in the long-term. A follow-on project from the AHRC Hubs-Dementia Connect-sought to apply this learning to an important health focus: dementia and the role played by creative participation in delivering important health outcomes. Through Dementia Connect, the applicability of open ecosystem innovation thinking was assessed, revealing the conditions under which it might deliver innovation-led improvements to the quality of life for those living with a dementia diagnosis. A detailed blueprint for conducting open ecosystem innovation is then proposed in full-a new and comprehensive response to the complex reality of living with a dementia diagnosis today.

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The impact of a visual arts program on quality of life, communication, and well-being of people living with dementia: a mixed-methods longitudinal investigation

Abstract: Background: Research reviews highlight methodological limitations and gaps in the evidence base for the arts in dementia care. In response, we developed a 12-week visual art program and evaluated the impact on people living with dementia through a mixed-methods longitudinal investigation.

Cited by 78 publications

References 22 publications

Non-pharmacological interventions for persons with dementia: what are they and how should they be studied?

Non-pharmacological interventions for persons with dementia: what are they and how should they be studied?

Activity interventions to improve the experience of care in hospital for people living with dementia: a systematic review

Open to All: Dementia, Creativity, and Open Ecosystem Innovation

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