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| Id | 963 | |
| Author | Windle G., Gregory S., Newman A., Goulding A., OBrien D., Parkinson C. | |
| Title | Understanding the impact of visual arts interventions for people living with dementia: A realist review protocol | |
| Reference | Windle G., Gregory S., Newman A., Goulding A., OBrien D., Parkinson C.; Understanding the impact of visual arts interventions for people living with dementia: A realist review protocol ;Systematic Reviews vol:3 issue: 1.0 page: |
Link to article | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84928044176&doi=10.1186%2f2046-4053-3-91&partnerID=40&md5=ea7f0f6b422d70dad2bcbb039601793c |
| Abstract | Background: Arts-based activities are being increasingly suggested as a valuable activity for people living with dementia in terms of countering the negative aspects of their condition. The potential for such programmes to improve a broad range of psychosocial outcomes is suggested in some studies. However, there is largely an absence of rigorous methodology to demonstrate the benefits, and research results are mixed. Practice variability in terms of the content, contexts and implementation of such interventions raises challenges in terms of identifying an optimal arts programme model that could be adopted by other service providers. Understanding how interventions may have the best chance at broad implementation success and uptake is limited.Methods/Design: A realist review will be undertaken. This aims to understand how visual arts interventions influence outcomes in people living with dementia. The review will explore how the context, that is the circumstances which enable or constrain, affect outcomes through the activation of mechanisms. An early scoping search and a stakeholder survey formulated the preliminary programme theory. A systematic literature search across a broad range of disciplines (arts, humanities, social sciences, health) will be undertaken to identify journal articles and grey literature. Data will be extracted in relation to the programme theory, contextual factors, mechanisms and outcomes and their configurations, background information about the study design and participant characteristics, detail about the quantity (dose) of an intervention, theoretical perspectives proposed by the authors of the paper and further theorising by the reviewer. Thematic connections/patterns will be sought across the extracted data, identifying patterns amongst contextual factors, the mechanisms they trigger and the associated outcomes.Discussion: Along with stakeholder engagement and validation, this review will help inform the development of an optimal, replicable arts intervention for people with dementia as part of our broader research programme, titled Dementia and Imagination (funded by the Arts and Humanities Research Council). Forthcoming work under this programme of research will test this theoretically informed intervention in three different geographical areas of the UK. The production of freely available practice guidance is a key aspect of dissemination. Trial registration: PROSPERO registration number CRD42014008702. © 2014 Windle et al.; licensee BioMed Central Ltd. |
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| Background: Arts-based activities are being increasingly suggested as a valuable activity for people living with dementia in terms of countering the negative aspects of their condition. . | This suggests that visual arts interventions should be built on dynamic and responsive artistic practice (e.g. good skills and understanding) and they should create a provocative and stimulating aesthetic experience (e.g. be challenging and engaging, in an inspiring environment) which triggers the mechanisms that lead to well-being, quality of life, connectivity and social connectedness (see Figure 1). . | Encounters with art (viewing and making) might be seen as playing an important part in the above because it facilitates communication and collectivises feelings that are not easily addressed otherwise. . | To address this, the review contributes to the development of a theoretically informed visual arts programme. . | The potential for such programmes to improve a broad range of outcomes such as well-being, quality of life, cognitive function and creative thinking; increases in communication (including nonverbal), facilitating reminiscence and meaningful conversation; regaining a sense of self; increasing self esteem; and improving the quality of life of carers is suggested in some studies. . | Arts-based activities are being increasingly suggested as a valuable activity for people living with dementia in terms of countering the negative aspects of their condition. . | Given the increasing numbers of people living with dementia, the potential for non-pharmacological approaches such as arts-based activities that can help people live well with the condition have considerable public health implications. . | The aim of the survey was to build an understanding of the topic area through utilising the stakeholder perspectives to identify how and why arts programmes are effective. . |
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