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Id 169
Author Windle, G.; Gregory, S.; Howson-Griffiths, T.; Newman, A.; O Brien, D.; Gouldin, A.
Title Exploring the theoretical foundations of visual art programmes for people living with dementia
Reference
Windle, G.; Gregory, S., Howson-Griffiths, T., Newman, A., O'Brien, D., Gouldin, A. (2017). Exploring the theoretical foundations of visual art programmes for people living with dementia. Dementia, 17(6), pp 702-727

Link to article https://doi.org/10.1177/1471301217726613
Abstract Despite the growing international innovations for visual arts interventions in dementia care, limited attention has been paid to their theoretical basis. In response, this paper explores how and why visual art interventions in dementia care influence changes in outcomes. The theory building process consists of a realist review of primary research on visual art programmes. This aims to uncover what works, for whom, how, why and in what circumstances. We undertook a qualitative exploration of stakeholder perspectives of art programmes, and then synthesised these two pieces of work alongside broader theory to produce a conceptual framework for intervention development, further research and practice. This suggests effective programmes are realised through essential attributes of two key conditions (provocative and stimulating aesthetic experience; dynamic and responsive artistic practice). These conditions are important for cognitive, social and individual responses, leading to benefits for people with early to more advanced dementia. This work represents a starting point at identifying theories of change for arts interventions, and for further research to critically examine, refine and strengthen the evidence base for the arts in dementia care. Understanding the theoretical basis of interventions is important for service development, evaluation and implementation.

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Summary:



Exploring the theoretical foundations of visual art programmes for people living with dementia. Contextual factor : the role of the artists and facilitators A key contextual feature underpinning good outcomes was the programme deliverers were not only knowledgeable about art and artistic practice but they also had knowledge and expertise about living with dementia the latter often provided through specific training from a professional organisation or clinical members of the research team. Skilled facilitation also appeared important for the outcomes of cognitive process and social connectedness however the current data only support this for people in early stages of dementia. This consisted of a detailed reading and annotation of the responses followed by inductive coding and theming from the text to capture patterns in the stakeholders experiences of visual art programmes for people with dementia. There are also opportunities for museums and arts organisations with their collections and skilled staff to deliver the gallery experience in other settings such as hospitals and residential care.


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