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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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| When visual art programmes were designed to be failure-free, using good quality, age appropriate materials that maximised the residual capacities of the participants, they were able to trigger positive psychological processes in people living with dementia. . | Consequently the data suggest that the attributes of dynamic and responsive artistic practice is a contextual factor that underpins the success of a visual arts programme. . | This engaged residents, staff and family members in a uniquely creative way to improve quality of life, showing how the arts can transform environments. . | Such community settings can enable participants to interact socially not just with each other, but also with the general public. . | They suggested programmes should be flexible and include different arts activities and skills, both challenging and stimulating to the participant, with good quality, adult-appropriate materials that are inspiring and engaging. . | Other theoretical approaches to understanding how visual arts programmes impact on wellbeing could be suggested in the future, particularly as the arts and health literature develops. . | 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. . | The theories of cognitive stimulation, resilience and person-centred care further explain how and why visual art programmes may work. . | Professional artists may have unique expertise to benefit participants. . | Bringing these sources together makes a distinctive contribution to a current gap in knowledge about how and why arts interventions may lead to positive outcomes. . | The qualitative data enhanced evidence for the outcome of social connectedness, with the public celebration of achievements being an important way for bringing people together. . | The theoretical model suggests the art activity is cognitively stimulating, consequently further research could assess of cognitive function. . | These conditions are important for cognitive, social and individual responses, leading to benefits for people with early to more advanced dementia. . | Critical reviews of arts and health research suggests that participatory art interventions for people living with dementia have the potential to improve a broad range of outcomes. . | This combination of arts and dementia skills were important for skilled facilitation. . | Cognitive stimulation Cognitive stimulation is a form of mental exercise and a psychosocial treatment for people with dementia where a number of enjoyable activities provide general stimulation for thinking, concentration and memory, usually in a social setting, such as a small group. . | These conditions were important for a number of cognitive, social and individual responses, which led to improvements in well-being, cognitive processes and social connectedness for people with early to more advanced dementia. . |
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