Henderson Julia, Reid Colleen
Department of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.
Department of Therapeutic Recreation, Douglas College, Coquitlam, BC, Canada.
Front Health Serv. 2023 Dec 15;3:1223337. doi: 10.3389/frhs.2023.1223337. eCollection 2023.
Older adults were disproportionately affected by COVID-19, and isolation and loneliness became key risk factors for mental illness and decreased quality of life. Older adults with lived experience of dementia and their care partners experienced isolation, loneliness, anxiety and depression, already heightened due to social stigma. Reduced access to resources was a notable problem.
This Canadian qualitative study investigates the (RTC) Project's virtual turn in program delivery during the pandemic, asking "How did virtual collaborative creative engagement (CCE) impact well-being for people living with dementia and their care partners?"; and "What are key elements of RTC's unique virtual CCE approach?"
The study employs reflexive thematic analysis to analyse interviews and focus groups with the project's artist facilitators, researchers, peer collaborators living with dementia, and their care partners. Findings: Themes describe key elements of RTC's unique approach to virtual CCE and include: "Adjusting Expectations and Adapting to Technology"; "Re-imagining Creative Engagement in Virtual Space"; "Sustaining Reciprocal Caring, Learning, and Support"; "Disrupting Stigma and Welcoming a Wider Audience"; and "Supporting Well-being through Empowerment, Community, and Creativity."
Findings offer new perspectives on how virtual CCE not only has the potential to decrease loneliness and isolation and associated mental health risks for older adults living with dementia and their care partners, but also can work to disrupt stigmatizing representations of dementia, promote inclusion, and enhance citizenship.
老年人受新冠疫情的影响尤为严重,隔离和孤独成为精神疾病和生活质量下降的关键风险因素。有痴呆症生活经历的老年人及其护理伙伴经历了隔离、孤独、焦虑和抑郁,而社会污名化已经加剧了这些问题。资源获取减少是一个显著问题。
这项加拿大定性研究调查了(实时协作)项目在疫情期间项目交付的虚拟转向,提出“虚拟协作创意参与(CCE)如何影响痴呆症患者及其护理伙伴的幸福感?”以及“实时协作项目独特的虚拟CCE方法的关键要素是什么?”
该研究采用反思性主题分析,对与该项目的艺术家促进者、研究人员、患有痴呆症的同伴合作者及其护理伙伴的访谈和焦点小组进行分析。
主题描述了实时协作项目独特的虚拟CCE方法的关键要素,包括:“调整期望并适应技术”;“在虚拟空间中重新构想创意参与”;“维持相互关怀、学习和支持”;“消除污名并欢迎更广泛的受众”;以及“通过赋权、社区和创造力支持幸福感”。
研究结果为虚拟CCE如何不仅有可能减少患有痴呆症的老年人及其护理伙伴的孤独感和隔离感以及相关的心理健康风险,而且还能消除对痴呆症的污名化表述、促进包容并增强公民意识提供了新的视角。