TY - JOUR

T1 - The impact of a visual arts program on quality of life, communication and well-being of people living with dementia

T2 - A mixed-methods longitudinal investigation

AU - Windle, Gillian

AU - Joling, Karlijn

AU - Howson-Griffiths, Teri

AU - Woods, Robert

AU - Jones, Catrin

AU - van der Ven, Peter

AU - Newman, Andrew

AU - Parkinson, Clive

PY - 2017/11/8

Y1 - 2017/11/8

N2 - 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. Methods: One hundred and twenty-five people living with mild to severe dementia were recruited across three research settings in England and Wales (residential care homes, a county hospital and community venues). Quantitative and qualitative data on quality of life (QoL), communication and perceptions of the program were obtained through interviews and self-reports with participants and their carers. Eight domains of well-being were measured using a standardized observation tool, and data compared to an alternative activity with no art. Results: Across all sites, scores for the well-being domains of interest, attention, pleasure, self-esteem, negative affect and sadness were significantly better in the art program than the alternative condition. Proxy-reported QoL significantly improved between baseline and 3-month follow-up, but no improvements in QoL were reported by the participants with dementia. This was contrasted by their qualitative accounts, which described a stimulating experience important for social connectedness, well-being and inner-strength. Communication deteriorated between baseline and follow-up in the hospital setting, but improved in the residential care setting.Conclusions: The findings highlight the potential for creative aging within dementia care, the benefits of art activities and the influence of the environment. We encourage dementia care providers and arts and cultural services to work towards embedding art activities within routine care provision.

AB - 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. Methods: One hundred and twenty-five people living with mild to severe dementia were recruited across three research settings in England and Wales (residential care homes, a county hospital and community venues). Quantitative and qualitative data on quality of life (QoL), communication and perceptions of the program were obtained through interviews and self-reports with participants and their carers. Eight domains of well-being were measured using a standardized observation tool, and data compared to an alternative activity with no art. Results: Across all sites, scores for the well-being domains of interest, attention, pleasure, self-esteem, negative affect and sadness were significantly better in the art program than the alternative condition. Proxy-reported QoL significantly improved between baseline and 3-month follow-up, but no improvements in QoL were reported by the participants with dementia. This was contrasted by their qualitative accounts, which described a stimulating experience important for social connectedness, well-being and inner-strength. Communication deteriorated between baseline and follow-up in the hospital setting, but improved in the residential care setting.Conclusions: The findings highlight the potential for creative aging within dementia care, the benefits of art activities and the influence of the environment. We encourage dementia care providers and arts and cultural services to work towards embedding art activities within routine care provision.

KW - Dementia; art; intervention; quality of life; well-being; mixed-methods; longitudinal;

U2 - 10.1017/S1041610217002162

DO - 10.1017/S1041610217002162

M3 - Article

SP - 1

EP - 15

JO - International Psychogeriatrics

JF - International Psychogeriatrics

SN - 1041-6102

ER -