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Care staff and the creative arts: exploring the context of involving care personnel in arts interventions

Published online by Cambridge University Press:  07 September 2017

Emma Broome*
Affiliation:
Division of Psychiatry and Applied Psychology, University of Nottingham, Institute of Mental Health, Jubilee Campus, Nottingham, UK
Tom Dening
Affiliation:
Division of Psychiatry and Applied Psychology, University of Nottingham, Institute of Mental Health, Jubilee Campus, Nottingham, UK
Justine Schneider
Affiliation:
School of Sociology and Social Policy, University of Nottingham, Institute of Mental Health, Jubilee Campus, Nottingham, UK
Dawn Brooker
Affiliation:
Association for Dementia Studies, Institute of Health and Society, St Johns Campus, University of Worcester, Worcester, UK
*
Correspondence should be addressed to: Emma Broome, Division of Psychiatry and Applied Psychology, University of Nottingham, Institute of Mental Health, Jubilee Campus, Triumph Road Nottingham, NG7 2TU Nottingham, UK. Phone: 0115 748 4098; ext 84219. Email: [email protected].

Abstract

Background:

Arts-based interventions play an important role in the care of people with dementia. Yet, creative arts are seldom implemented as a tool to enhance the care and wellbeing of people with dementia.

Methods:

We examined the involvement of care staff in creative arts activities in residential care. Aspects of involvement that appear to influence outcomes in people with dementia were identified and analyzed. A broad systematic literature search of MedLine, EMBASE, PsychInfo, CINAHL, ASSIA, SCOPUS, and Web of Science led to the identification of 14 papers. The studies identified through the search process were examined in terms of intervention, context, mechanism and outcome, and the relationships between these aspects.

Results:

Training sessions were identified as an opportunity to educate care personnel on useful techniques that are relevant to daily care practice. Evidence from the literature suggests that creative arts programs play a significant role in the way staff and residents interact and as a result influence the care practice of staff. Under certain conditions creative arts programs, that involve and engage staff, facilitate enhanced interactions and improve care strategies, which leads to the recognition and validation of personhood in residents with dementia.

Conclusions:

These findings provide a basis for illustrating which elements of care staff involvement in creative arts programs could be implemented in residential care contexts in order to have the upmost benefit.

Type
Review Article
Copyright
Copyright © International Psychogeriatric Association 2017 

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References

Alzheimer's Research Trust (2010). Dementia 2010: the economic burden of dementia and associated research funding in the United Kingdom report. University of Oxford: Alzheimer's Research Trust, 2010.Google Scholar
Alzheimer's Society (2014). Dementia 2014 Infographic. [online] Available at: http://www.alzheimers.org.uk/infographic; last accessed 10 September 2015.Google Scholar
Society, Alzheimer's (2016). Fix Dementia Care: NHS and care homes. [online] Available at: https://www.alzheimers.org.uk/download/downloads/id/3026/fix_dementia_care_nhs_and_care_homes_report.pdf; last accessed 28 May 2017.Google Scholar
Billington, J., Carroll, J., Davis, P., Healey, C. and Kinderman, P. (2013). A literature-based intervention for older people living with dementia. Perspectives in Public Health, 133, 165173. doi: 10.1177/1757913912470052.CrossRefGoogle ScholarPubMed
Brooker, D. and Latham, I. (2015). Person-Centred Dementia Care, 2nd edn. London: Jessica Kingsley.Google Scholar
Brooker, D. and Surr, C. (2006). Dementia-care mapping (DCM): initial validation of DCM in 8 UK field trials. International Journal Geriatric Psychiatry, 21, 10181025.Google Scholar
Care Quality Commission (2015). Care Homes. Available at: http://www.cqc.org.uk/content/care-homes; last accessed 16 January 2015.Google Scholar
Department of Health (2003). Care Homes for Older People: National Minimum Standards, 3rd edn. London: TSO. Accessed 18th September 2015.Google Scholar
Department of Health (2009). Living Well with Dementia: A National Dementia Strategy. London: Department of Health.Google Scholar
Duigan, D., Hedley, L. and Milverton, R. (2009). Exploring dance as a therapy for symptoms and social interaction in a dementia care unit. Nursing Times, 105, 1922.Google Scholar
Fischer, B. J. and Sprecht, D. K. (1999). Successful aging and creativity in later life. Journal of Aging Studies, 13, 457472.Google Scholar
Fritsch, T., Kwak, J., Grant, S., Lang, J., Montgomery, R. R. and Basting, A. D. (2009). Impact of TimeSlips, a creative expression intervention program, on nursing home residents with dementia and their caregivers. The Gerontologist, 49, 117127. doi: 10.1093/geront/gnp008.CrossRefGoogle ScholarPubMed
George, D. R. and Houser, W. S. (2014). “I'm a storyteller!”: exploring the benefits of TimeSlips creative expression program at a nursing home. American Journal of Alzheimer's Disease & Other Dementias, 29, 678684. doi: 10.1177/1533317514539725.CrossRefGoogle ScholarPubMed
Götell, E., Brown, S. and Ekman, S. L. (2009). The influence of caregiver singing and background music on vocally expressed emotions and moods in dementia care. International Journal of Nursing Studies, 46, 422430. doi: 10.1016/j.ijnurstu.2007.11.001.Google Scholar
Gregory, H. (2011). Using poetry to improve the quality of life and care for people with dementia: a qualitative analysis of the Try to Remember programme. Arts & Health, 3, 160172.Google Scholar
Guzmán-García, A., Mukaetova-Ladinksa, E. and James, I. (2012). Introducing a Latin ballroom dance class to people with dementia living in care homes, benefits and concerns: a pilot study. Dementia, 12, 523535. doi: 10.1177/1471301211429753.CrossRefGoogle ScholarPubMed
Hancock, G. A., Woods, B., Challis, D. and Orrell, M. (2006). The needs of older people with dementia in residential care. International Journal of Geriatric Psychiatry, 21, 4349. doi: 10.1002/gps.1421.Google Scholar
Hatton, N. (2014). Re-imagine the care home: a spatially responsive approach to arts practice with older people in residential care. Research in Drama Education, 19, 355365.Google Scholar
Hung Hsu, M. H., Flowerdew, R., Parker, M., Fachner, J. and Odell-Miller, H. (2015). Individual music therapy for managing neuropsychiatric symptoms for people with dementia and their carers: a cluster randomised controlled feasibility study. BMC Geriatrics, 15. doi: 10.1186/s12877-015-0082-4.Google Scholar
Jagosh, J. et al. (2011). Assessing the outcomes of participatory research: protocol for identifying, selecting, appraising and synthesizing the literature for realist review. Implementation Science, 6. doi: 10.1186/1748-5908-6-24.Google ScholarPubMed
Kitwood, T. (1997). Dementia Reconsidered: The Person Comes First. Buckingham: Open University Press.Google Scholar
Kontos, P. C., Mitchell, G. J., Mistry, B. and Ballon, B. (2010). Special issue: using drama to improve person-centred dementia care. International Journal of Older People Nursing, 5, 159168. doi: 10.1111/j.1748-3743.2010.00221.x.Google Scholar
Margallo-Lana, M. et al. (2001). Prevalence and pharmacological management of behavioural and psychological symptoms amongst dementia sufferers living in care environments. International Journal of Geriatric Psychiatry, 16, 3944.Google Scholar
Mathews, M. R., Clair, A. A. and Kosloski, K. (2001). Brief in-service training in music therapy for activity aides. Activities, Adaption & Aging, 24, 4149. doi: 10.1300/J016v24n04_04.Google Scholar
McDermott, O., Orrell, M. and Ridder, H. M. (2014). The importance of music for people with dementia: the perspectives of people with dementia, family carers, staff and music therapists. Aging & Mental Health, 18, 706716. doi: 10.1080/13607863.2013.875124.Google Scholar
National Institute for Health and Clinical Excellence (2006). Dementia: Supporting People With Dementia and Their Carers in Health And Social Care. Clinical Guideline, 42. London: NICE.Google Scholar
Palo-Bengtsson, L. and Ekman, S. (2002). Emotional response to social dancing and walks in persons with dementia. American Journal of Alzheimer's Disease and Other Dementias, 17, 149153. doi: 10.1177/153331750201700308.Google Scholar
Pavlicevic, M. et al. (2015). The ‘ripple effect’: towards researching improvisational music therapy in dementia care homes. Dementia, 14, 659679. doi: 10.1177/1471301213514419.CrossRefGoogle ScholarPubMed
Prince, M., Wimo, A., Guerchet, M., Ali, G. C., Wu, Y. T., and Prina, M. (2015) World Alzheimer Report: 2015 The Global Impact of Dementia: An Analysis of Prevalence, Incidence, Cost and Trends. London: Alzheimer's Disease International.Google Scholar
Rylatt, P. (2012). The benefits of creative therapy for people with dementia. Nursing Standard, 26, 4247. doi: 10.7748/ns2012.04.26.33.42.c9050.Google Scholar
Schneider, J. (ed.) (1997). Quality of care: testing some measures in homes for elderly people. Report of a study funded through Northern and Yorkshire NHS Executive under the Department of Health Initiative. Discussion paper 1245. Personal Services Research Unit. University of Kent at Canterbury, Canterbury.Google Scholar
Shin, I. S., Carter, M., Masterman, D., Fairbanks, L., and Cummings, J. L. (2005). Neuropsychiatric symptoms and quality of life in Alzheimer disease. American Journal of Geriatric Psychiatry, 13, 469474. doi: doi.org/10.1176/appi.ajgp.13.6.469.Google Scholar
Tuckett, A. G., Hodgkinson, B., Rouillon, L., Balil-Lozoya, T. and Parker, D. (2015). What carers and family said about music therapy on behaviours of older people with dementia in residential aged care. International Journal of Older People Nursing, 10, 146157. doi: 10.1111/opn.12071.CrossRefGoogle ScholarPubMed
Ullán, A. M. et al. (2011). Contributions of an artistic educational program for older people with early dementia: an exploratory study. Dementia, 12, 122. doi: 10.1177/1471301211430650.Google Scholar
Wong, G., Greenhalgh, T., Westhorp, G., Buckingham, J. and Pawson, R. (2013). RAMESES publication standards: realist syntheses. BMC Medicine, 11. doi: 10.1186/1741-7015-11-21.Google Scholar
Young, R., Camic, P. and Tischler, V. (2015). The impact of community-based arts and health interventions on cognition in people with dementia: a systematic literature review. Aging and Mental Health, Feb 16, 115. doi: 10.1080/13607863.1015.1011080.Google Scholar