O'Connor Claire Mc, Poulos Roslyn G, Heldon Michelle, Preti Costanza, Beattie Elizabeth, Poulos Christopher J
School of Psychology, University of New South Wales, Sydney, NSW, Australia.
Centre for Positive Ageing, HammondCare, Sydney, NSW, Australia.
J Geriatr Psychiatry Neurol. 2025 Mar;38(2):115-131. doi: 10.1177/08919887241267335. Epub 2024 Jul 23.
Arts on prescription at home (AoP@Home) is a participatory art-based approach involving a professional artist engaging a person with dementia (and their family carer) in art-making in their own home. This study evaluated the implementation of AoP@Home within a real-world community aged care context. A hybrid effectiveness-implementation design was used to simultaneously test both the AoP@Home intervention and the implementation process. AoP@Home program outcomes included person with dementia and family carer (dyad) health and wellbeing, and personal goal attainment. Implementation outcomes were evaluated according to feasibility, fidelity, acceptability, uptake, and costs via routinely collected data, artist notes, and interviews with program managers, artists, and participant dyads. Four dyads completed an AoP@Home program during the study period. All participants with dementia reported improvements in their overall health and wellbeing, and wellbeing scores improved for all carers from baseline to post-program. Implementation was feasible using existing government funding mechanisms, and programs were acceptable to all stakeholders. It is possible to deliver participatory arts programs for community-dwelling people with dementia and their family, in their home, using sustainable and available funding models. Programs such as AoP@Home should be made more accessible alongside broader allied health and care services.
居家艺术处方（AoP@Home）是一种基于艺术的参与式方法，由专业艺术家在痴呆症患者（及其家庭护理人员）家中与他们一起进行艺术创作。本研究评估了AoP@Home在现实社区老年护理环境中的实施情况。采用了一种混合有效性-实施设计，同时测试AoP@Home干预措施和实施过程。AoP@Home项目成果包括痴呆症患者和家庭护理人员（二元组）的健康和福祉，以及个人目标的实现。通过常规收集的数据、艺术家记录以及对项目经理、艺术家和参与二元组的访谈，根据可行性、保真度、可接受性、采用率和成本对实施成果进行评估。在研究期间，四个二元组完成了一个AoP@Home项目。所有痴呆症患者参与者均报告其整体健康和福祉有所改善，所有护理人员的福祉得分从基线到项目结束后均有所提高。利用现有的政府资助机制实施是可行的，并且该项目为所有利益相关者所接受。利用可持续且可用的资助模式，为居家的社区痴呆症患者及其家人提供参与式艺术项目是可能的。与更广泛的联合健康和护理服务一起，应使诸如AoP@Home之类的项目更容易获得。
