School of Physical & Occupational Therapy, Faculty of Medicine, 5620McGill University, Montreal, Quebec, Canada; Biosignal Interaction and Personhood Technology (BIAPT) Lab, Montreal General Hospital, Montreal, Quebec, Canada.
Je Suis Julio, Montreal, Quebec, Canada.
Dementia (London). 2021 Oct;20(7):2573-2596. doi: 10.1177/14713012211004009. Epub 2021 Apr 20.
One of the challenging consequences of dementia is the change in relationships that can co-occur with the progression of this condition. Despite this well-documented change, few arts-based interventions target the relational dimension of dementia. This study aims to explore the effects of one arts-based relational intervention: a movement program designed to foster connections within a group of persons with dementia. We used ethnographic methods-including participant observations and informal interviews-to understand the relational effects of this program conducted by two dancers and a musician. The movement sessions were video recorded, and participant movement trajectories were analyzed for different ways in which they created connections. We identified two types of connections-nonreciprocal and reciprocal-and four subtypes of connections-connection to exercise/music, connection to participant, interpersonal connection, and group connection-that participants engaged in during the movement program. Despite most participants not remembering the previous movement sessions, they experienced increasing numbers of connections over the course of the program, particularly reciprocal interpersonal connections. Participants explored new forms of moving and creatively transformed the movement structures proposed by the dancers. The results demonstrate the effectiveness of this program in augmenting connections and fostering exploration and creativity in individuals with dementia, providing a template for further developments of interventions targeting the relational dimensions of dementia. This study also highlights the potential of combining ethnographic methods and video analysis to include the perspectives of persons with dementia in research.
痴呆症的一个挑战后果是，随着病情的发展，人际关系可能会发生变化。尽管这种变化有据可查，但很少有基于艺术的干预措施针对痴呆症的关系维度。本研究旨在探讨一种基于艺术的关系干预措施的效果：一个旨在促进一组痴呆症患者之间联系的运动计划。我们使用民族志方法——包括参与观察和非正式访谈——来理解由两名舞者和一名音乐家进行的该计划的关系效果。运动课程被录像记录，参与者的运动轨迹被分析，以了解他们以不同的方式建立联系的方式。我们确定了两种类型的联系——非互惠和互惠——以及参与者在运动课程中参与的四种亚型的联系——与运动/音乐的联系、与参与者的联系、人际联系和群体联系。尽管大多数参与者不记得之前的运动课程，但他们在课程过程中经历了越来越多的联系，特别是互惠的人际关系联系。参与者探索了新的运动形式，并创造性地改变了舞者提出的运动结构。研究结果表明，该计划在增强痴呆症患者的联系、促进探索和创造力方面非常有效，为进一步开发针对痴呆症关系维度的干预措施提供了模板。本研究还强调了结合民族志方法和视频分析的潜力，以将痴呆症患者的观点纳入研究。
