Windle Gill, Gregory Samantha, Newman Andrew, Goulding Anna, O'Brien Dave, Parkinson Clive
Dementia Services Development Centre, Bangor University, Ardudwy, Holyhead Road, Bangor, Gwynedd LL57 2DG, Wales.
Syst Rev. 2014 Aug 15;3:91. doi: 10.1186/2046-4053-3-91.
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.
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.
PROSPERO registration number CRD42014008702.
越来越多的人认为，基于艺术的活动对于痴呆症患者来说是一项有价值的活动，有助于应对其病情的负面影响。一些研究表明，此类项目有潜力改善广泛的心理社会成果。然而，很大程度上缺乏严谨的方法来证明其益处，研究结果也参差不齐。此类干预措施在内容、背景和实施方面的实践差异，给确定可供其他服务提供者采用的最佳艺术项目模式带来了挑战。对于如何使干预措施最有可能在广泛实施中取得成功并被采用的理解有限。
方法/设计：将进行一项现实主义综述。其目的是了解视觉艺术干预如何影响痴呆症患者的结局。该综述将探讨背景，即促成或限制的情况，如何通过机制的激活来影响结局。早期的范围界定搜索和利益相关者调查形成了初步的项目理论。将在广泛的学科领域（艺术、人文、社会科学、健康）进行系统的文献搜索，以识别期刊文章和灰色文献。将提取与项目理论、背景因素、机制和结局及其配置、研究设计和参与者特征的背景信息、干预措施的数量（“剂量”）细节、论文作者提出的理论观点以及综述作者的进一步理论化相关的数据。将在提取的数据中寻找主题联系/模式，识别背景因素、它们触发的机制以及相关结局之间的模式。
除了利益相关者的参与和验证外，本综述将有助于为作为我们更广泛的名为“痴呆与想象力”（由艺术与人文研究理事会资助）的研究项目一部分的痴呆症患者开发最佳的、可复制的艺术干预措施提供信息。该研究项目即将开展的工作将在英国的三个不同地理区域对这种理论上有依据的干预措施进行测试。制作免费的实践指南是传播的一个关键方面。
PROSPERO注册号CRD42014008702。
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