College of Health, Psychology and Social Care, University of Derby, Derby, United Kingdom.
PLoS One. 2020 Dec 7;15(12):e0243461. doi: 10.1371/journal.pone.0243461. eCollection 2020.
We aimed to assess and synthesise the current state of quantitative and qualitative research concerning creative arts interventions for older informal caregivers of people with neurological conditions.
A systematic search was employed to identify studies that examined creative arts interventions for older informal caregivers, which were synthesised in this integrative review. We searched the following databases: MEDLINE, PubMed, EBSCO, CINAHL, EMBASE, PsycINFO, Cochrane Library, Scopus, Web of Science, and Google Scholar. We also backwards searched references of all relevant studies and inspected trials registers.
Of the 516 studies identified, 17 were included: one was quantitative, nine were qualitative and seven used mixed methods. All included quantitative studies were pilot or feasibility studies employing pre- and post-test design with small sample sizes. Studies varied in relation to the type of creative intervention and evaluation methods, which precluded meta-analysis. Large effect sizes were detected in wellbeing measures following singing and art interventions. The qualitative synthesis highlighted that interventions created space for caregivers to make sense of, accept and adapt to their identity as a caregiver. Personal developments, such as learning new skills, were viewed positively by caregivers as well as welcoming the opportunity to gain cognitive and behavioural skills, and having opportunities to unload emotions in a safe space were important to caregivers. Group creative interventions were particularly helpful in creating social connections with their care-recipients and other caregivers.
The current review revealed all creative interventions focused on caregivers of people living with dementia; subsequently, this identified gaps in the evidence of creative interventions for informal caregivers of other neurological conditions. There are encouraging preliminary data on music and art interventions, however, little data exists on other art forms, e.g., drama, dance. Creative interventions may appeal to many caregivers, offering a range of psycho-social benefits. The findings of the current review open the way for future research to develop appropriate and creative arts programmes and to test their efficacy with robust tools.
评估和综合目前关于针对神经疾病患者的非正式照护者的创意艺术干预的定量和定性研究现状。
采用系统检索来确定研究，以审查针对老年非正式照护者的创意艺术干预，对这些研究进行综合综述。我们检索了以下数据库：MEDLINE、PubMed、EBSCO、CINAHL、EMBASE、PsycINFO、Cochrane 图书馆、Scopus、Web of Science 和 Google Scholar。我们还回溯了所有相关研究的参考文献，并检查了试验登记册。
在确定的 516 项研究中，有 17 项被纳入：其中 1 项为定量研究，9 项为定性研究，7 项采用混合方法。所有纳入的定量研究均为采用前后测设计、样本量较小的试点或可行性研究。研究在创意干预类型和评估方法方面存在差异，这使得无法进行荟萃分析。歌唱和艺术干预后，在幸福感测量方面发现了较大的效果量。定性综合分析强调干预为照护者创造了一个空间，使他们能够理解、接受和适应自己作为照护者的身份。照护者积极看待个人发展，例如学习新技能，也欢迎有机会获得认知和行为技能，并在安全的空间中发泄情绪。团体创意干预特别有助于与他们的照顾对象和其他照护者建立社会联系。
目前的综述结果表明，所有创意干预都集中在痴呆症患者的照护者身上；因此，这就确定了针对其他神经疾病的非正式照护者的创意干预证据存在差距。音乐和艺术干预有令人鼓舞的初步数据，但其他艺术形式（如戏剧、舞蹈）的数据很少。创意干预可能会吸引许多照护者，提供一系列心理社会益处。本综述的结果为未来的研究开辟了道路，以开发合适的创意艺术计划，并使用可靠的工具测试其疗效。
