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让艺术焕发生机:通过艺术促进痴呆症患者的社交与活动参与

Bringing Art to Life: Social and Activity Engagement through Art in Persons Living with Dementia.

作者信息

Reel Candice D, Allen Rebecca S, Lanai Bailey, Yuk M Caroline, Potts Daniel C

机构信息

Psychology Department, The University of Alabama, Tuscaloosa, USA.

出版信息

Clin Gerontol. 2022 Mar-Apr;45(2):327-337. doi: 10.1080/07317115.2021.1936737. Epub 2021 Jun 8.

Abstract

OBJECTIVES

The Bringing Art to Life (BATL) program was created as an art therapy intervention to increase social engagement, intergenerational engagement, and creative expression among persons living with dementia (PWD) in an adult day service. This is an evaluation of BATL program efficacy.

METHODS

A modified behavioral observation tool was used to quantify meaningful engagements as recorded in ethnographic field notes and test the hypotheses that: 1) engagements increase across art therapy sessions, and 2) engagements were more social than activity or art related.

RESULTS

The increase in engagement across session was not significant. However, social engagements ( = 9.61, 4.6) were more prevalent than art engagements ( = 5.23,  = 3.1) in each session (t(99) = 9.52,). A thematic analysis of social interactions recorded in the ethnographic field notes revealed themes related to reminiscence.

CONCLUSIONS

The quantitative and qualitative data supported the BATL program as effective in engaging participants in social interaction and art activities. Specifically, quantitative data showed participants were engaged in conversations around reminiscence and discussion of creative expression with students.

CLINICAL IMPLICATIONS

Intergenerational social interaction between PWD and college students is a critical and meaningful part of the BATL program, and the intervention created a safe space with focused activity through engagement with art, and this facilitated PWD in self-expression, including humor, advice, and legacy.

摘要

目的

“将艺术融入生活”(BATL)项目是作为一种艺术治疗干预措施而设立的,旨在提高成人日间服务机构中痴呆症患者(PWD)的社交参与度、代际参与度和创造性表达。这是对BATL项目疗效的评估。

方法

使用一种经过修改的行为观察工具,对人种志田野笔记中记录的有意义参与进行量化,并检验以下假设:1)在艺术治疗课程中参与度会增加;2)与活动或艺术相关的参与相比,社交参与更为常见。

结果

各课程之间参与度的增加并不显著。然而,在每节课中,社交参与(均值 = 9.61,标准差 = 4.6)比艺术参与(均值 = 5.23,标准差 = 3.1)更为普遍(t(99) = 9.52)。对人种志田野笔记中记录的社交互动进行的主题分析揭示了与回忆相关的主题。

结论

定量和定性数据均支持BATL项目在促使参与者参与社交互动和艺术活动方面是有效的。具体而言,定量数据显示参与者围绕回忆进行了交谈,并与学生讨论了创造性表达。

临床意义

痴呆症患者与大学生之间的代际社交互动是BATL项目的一个关键且有意义的部分,该干预措施通过参与艺术活动创造了一个有重点活动的安全空间,这有助于痴呆症患者进行自我表达,包括幽默、建议和遗产传承。

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