*Address correspondence to Kate de Medeiros, Department of Sociology and Gerontology, Miami University, 375 Upham Hall, Oxford, OH 45056. E-mail:
Gerontologist. 2014 Jun;54(3):344-53. doi: 10.1093/geront/gnt055. Epub 2013 Jun 7.
The cultural arts have gained attention for their potential to generate social and behavioral changes in people with dementia. Although individual cultural arts intervention studies have reported positive outcomes, most are excluded from systematic reviews because of methodological weakness. We reviewed findings from 27 systematic and integrative reviews of pharmacologic, psychosocial, and cultural arts interventions to identify promising outcomes as well as limitations in current approaches. Although results point to the potential success of interventions tailored to individual interests, most focused on limited measurements of individual change. In moving forward, cultural arts intervention research must not be limited to the tools of the clinical trial model. Instead, researchers should carefully rethink what constitutes rigorous and effective research for interventions aimed at creating a meaningful personal experience for the participant rather than measurable change.
文化艺术因其在痴呆患者中产生社会和行为变化的潜力而受到关注。尽管个别文化艺术干预研究报告了积极的结果，但由于方法学上的弱点，大多数研究都被排除在系统评价之外。我们回顾了 27 项关于药物、心理社会和文化艺术干预的系统和综合评价的结果，以确定当前方法的局限性和有希望的结果。尽管结果表明针对个人兴趣量身定制的干预措施有潜在的成功可能，但大多数干预措施都集中在对个人变化的有限测量上。在向前发展的过程中，文化艺术干预研究不应仅限于临床试验模型的工具。相反，研究人员应该仔细重新思考，对于旨在为参与者创造有意义的个人体验而不是可衡量的变化的干预措施，什么构成了严格有效的研究。
