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与痴呆共舞:探索创造力和社会参与的具身维度。

Dancing With Dementia: Exploring the Embodied Dimensions of Creativity and Social Engagement.

机构信息

KITE-Toronto Rehabilitation Institute, University Health Network, Ontario, Canada.

Dalla Lana School of Public Health, University of Toronto, Ontario, Canada.

出版信息

Gerontologist. 2021 Jul 13;61(5):714-723. doi: 10.1093/geront/gnaa129.

Abstract

BACKGROUND AND OBJECTIVES

Dance is increasingly being implemented in residential long-term care to improve health and function. However, little research has explored the potential of dance to enhance social inclusion by supporting embodied self-expression, creativity, and social engagement of persons living with dementia and their families.

RESEARCH DESIGN AND METHODS

This was a qualitative sequential multiphase study of Sharing Dance Seniors, a dance program that includes a suite of remotely streamed dance sessions that are delivered weekly to participants in long-term care and community settings. Our analysis focused on the participation of 67 persons living with dementia and 15 family carers in residential long-term care homes in Manitoba, Canada. Data included participant observation, video recordings, focus groups, and interviews; all data were analyzed thematically.

RESULTS

We identified 2 themes: playfulness and sociability. Playfulness refers to the ways that the participants let go of what is "real" and became immersed in the narrative of a particular dance, often adding their own style. Sociability captures the ways in which the narrative approach of the Sharing Dance Seniors program encourages connectivity/intersubjectivity between participants and their community; participants co-constructed and collaboratively animated the narrative of the dances.

DISCUSSION AND IMPLICATIONS

Our findings highlight the playful and imaginative nature of how persons living with dementia engage with dance and demonstrate how this has the potential to challenge the stigma associated with dementia and support social inclusion. This underscores the urgent need to make dance programs such as Sharing Dance Seniors more widely accessible to persons living with dementia everywhere.

摘要

背景和目的

舞蹈越来越多地被应用于住宅长期护理中,以改善健康和功能。然而,很少有研究探索舞蹈通过支持体现自我表达、创造力和与痴呆症患者及其家属的社会参与,来增强社会包容的潜力。

研究设计和方法

这是一项定性顺序多阶段研究,名为“共享舞蹈老年人”,是一个舞蹈项目,包括一系列远程流媒体舞蹈课程,每周为长期护理和社区环境中的参与者提供。我们的分析重点是 67 名居住在加拿大马尼托巴省长期护理院的痴呆症患者和 15 名家庭照顾者的参与情况。数据包括参与者观察、视频记录、焦点小组和访谈;所有数据均进行主题分析。

结果

我们确定了两个主题:趣味性和社交性。趣味性是指参与者摆脱“真实”的方式,沉浸在特定舞蹈的叙述中,通常还加入自己的风格。社交性捕捉了“共享舞蹈老年人”项目的叙述方法如何鼓励参与者及其社区之间的连接/主体间性;参与者共同构建和合作地使舞蹈的叙述生动化。

讨论和意义

我们的发现强调了痴呆症患者参与舞蹈的趣味性和想象力,展示了这如何有可能挑战与痴呆症相关的污名,并支持社会包容。这突显了迫切需要使“共享舞蹈老年人”等舞蹈项目更广泛地为各地的痴呆症患者所获得。

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