Schoolof Population Health, University of New South Wales, Sydney, New South Wales, Australia.
HammondCare, Centre for Positive Ageing, Sydney, New South Wales, Australia.
Health Promot J Austr. 2024 Jan;35(1):110-121. doi: 10.1002/hpja.720. Epub 2023 Apr 9.
Arts on Prescription at Home (AoP@Home) involves a professional artist visiting a person with dementia and their informal carer(s) in their own home to engage them in participatory art making. While there is evidence for the use of these programs, more work is needed to facilitate effective implementation. This study explored contextual barriers and enablers to implementation of AoP@Home within a real-world community aged care service.
Two remote focus groups were conducted at a community aged care provider in Sydney, Australia. Key stakeholders (n = 14) were recruited, representing: people with dementia, informal (family) carers, AoP artists, service referrers and community service managers. Focus group transcripts were analysed using qualitative content analysis and mapped onto the Consolidated Framework for Implementation Research (CFIR). Outcomes were reviewed against the Expert Recommendations for Implementing Change (ERIC) strategy compilation to inform development of a tailored implementation strategy.
Four overarching themes described the range of barriers and enablers to AoP@Home implementation: (1) "I don't know enough about it" (awareness and engagement within the sector), (2) artists delivering programs, (3) awareness and engagement of people impacted by dementia, (4) practicalities of implementation. All five domains of the CFIR were represented across the four themes. The ERIC compilation provided a list of practical strategies for implementation of AoP@Home.
The implementation of psychosocial interventions for people living with dementia within a community aged care service is complex and multifactorial. So what?: Organisations planning implementation should consider conducting their own pre-implementation analysis to identify context-specific strategies.
处方艺术（AoP）居家项目涉及专业艺术家上门拜访患有痴呆症的患者及其非正式照顾者，在其家中与他们一起参与参与式艺术创作。虽然有证据表明这些项目的使用，但仍需要更多的工作来促进其有效实施。本研究探讨了在现实世界的社区老年护理服务中实施 AoP@Home 的背景障碍和促进因素。
在澳大利亚悉尼的一家社区老年护理机构进行了两次远程焦点小组讨论。关键利益相关者（n=14）被招募，代表：痴呆症患者、非正式（家庭）照顾者、AoP 艺术家、服务推荐者和社区服务经理。使用定性内容分析对焦点小组的记录进行分析，并将其映射到实施研究综合框架（CFIR）上。根据实施变革的专家建议（ERIC）策略汇编，对结果进行审查，为制定定制的实施策略提供信息。
四个总体主题描述了 AoP@Home 实施的一系列障碍和促进因素：（1）“我对此了解不够”（在该领域的意识和参与）；（2）艺术家提供项目；（3）对受痴呆症影响的人的意识和参与；（4）实施的实际情况。CFIR 的所有五个领域都在这四个主题中得到了体现。ERIC 汇编提供了实施 AoP@Home 的实用策略列表。
在社区老年护理服务中实施针对痴呆症患者的心理社会干预措施是复杂的，涉及多个因素。那么：计划实施的组织应考虑进行自己的实施前分析，以确定特定于背景的策略。
