Using Computer Technology to Enable Arts and Crafts for People With Dementia in Care Homes
试验速览
- 阶段
- 不适用
- 入组人数
- 12
- 试验地点
- 1
- 主要终点
- Change on Wellbeing
研究概览
简要总结
The prevalence of dementia is rapidly growing worldwide, affecting 46.8 million people in 2015. The 2014 Alzheimer's Society report estimated that 311,730 people with dementia were living in care homes in the United Kingdom (UK). In care homes, people are more likely to be socially isolated and experience a lack of stimulation. It has been argued that access to meaningful activities is of high importance. One strategy that may engage older people in enjoyable leisure activities is the use of touchscreen technology. Previous research has indicated that people with dementia and care staff reported positive experiences when using touchscreen technology, showing improvements in quality of life, relationships and interpersonal interaction. A possible way to engage people with dementia with touchscreen technology could be through the use of the visual arts. Preliminary evidence shows the use of arts with this population to be beneficial in reducing behavioural symptoms, depression and isolation and make people with dementia more able to express feelings. The use of visual art activities in touchscreen technology is a promising idea, as positive results from interventions using these activities independently can be found in scientific literature. This intervention will consist of the use of two different visual art apps on touchscreen tablets with people with dementia living in care homes. Study data collection will take 8 weeks; four weeks will involve the execution of the intervention and four weeks for measurements. Participants will be supported to use the app twice-weekly, with a maximum of 8 individual sessions. So far, very little research on the benefits of visual art interventions on touchscreen devices has been made. Thus, there is a need to have more research on this topic. This study will add to research on this field, and its results could be valuable to care staff and people with dementia.
详细描述
SCIENTIFIC JUSTIFICATION:
People with dementia that live in care homes are more prone to experience a lack of stimulation and be socially isolated. Activities that are likely to be beneficial for people with dementia are social and leisure activities, as the activities promote engagement and improve affect. It has been argued that these activities should be of high importance in care settings and that care home residents living with dementia should have access to meaningful activities and are supported when engaging with the activities.
The use of touchscreen technology is one strategy that may possibly engage older people in enjoyable leisure activities. In past research, people with dementia and staff reported positive experiences with the use of technology in previous research that evaluate the impacts of touchscreen technology in care homes. This same research also showed supportive evidence for the positive contribution of the touchscreen technology for improvements in quality of life, relationships and interpersonal interactions. A literature review from 2017 on the use of touchscreen technology by people with dementia and its impact on wellbeing also shows supportive evidence for the use of touchscreen technology in dementia care. The researchers concluded that touchscreen-based interventions could provide benefits on mood, mental health, social interaction, quality of interaction, and sense of mastery. If people with dementia have the appropriate support for the use of touchscreen technology, it is evidently possible for people to benefit from its use.
A possible way to engage people with dementia with touchscreen technology could be through the use of the visual arts. Preliminary evidence shows that use of arts for people with dementia appears to be beneficial in reducing behavioural symptoms, depression and isolation and make people with dementia more able to express feelings. The use of visual art activities in touchscreen technology is a promising idea, as positive results from interventions using these activities separately can be found in scientific literature. So far, very little research on the benefits of visual art interventions on touchscreen devices has been made. Thus, there is a need to have more research on this topic. This study will add to research on this field and its results could be valuable to care staff and people with dementia. Providing people with dementia a set of exciting activities which have the potential to enrich people lives and be beneficial for wellbeing.
DESIGN AND METHODOLOGY:
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Crossover
- 主要目的
- Other
- 盲法
- None
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Participants with dementia:
- •To be living in a Care Home in Nottinghamshire;
- •To have mild dementia [21 to 26 points in the Mini-Mental State Examination (MMSE) or a comparable score on the MoCA from 16 to 20 points] or moderate dementia [10 to 20 points on the MMSE or a comparable score on the MoCA from 2 to 15 points];
- •To be willing to use apps on touchscreen tablets;
- •Ability to give informed consent or have a consultee that provides advice;
- •Ability to speak and understand English.
- •Nursing home staff:
- •To be involved in the care of at least one of the participants;
- •Ability to speak and understand English.
排除标准
- •Participants with dementia:
- •To have conditions that could limit hand-control (e.g. stroke, Parkinson's disease);
- •To have severe visual or hearing impairments;
- •Simultaneous participation in any other interventional study.
研究组 & 干预措施
Art apps - Group 1 (A-B)
Cross-over use of two different visual art apps on touchscreen tablets (App A and App B)
干预措施: Art apps (Behavioral)
Art apps - Group 2 (B-A)
Cross-over use of two different visual art apps on touchscreen tablets (App B and App A)
干预措施: Art apps (Behavioral)
结局指标
主要结局
Change on Wellbeing
时间窗: 1 month
Assessed by Greater Cincinnati Chapter Wellbeing Observation Tool (observational tool to evaluate wellbeing during art interventions) - 19 items with domains of wellbeing and ill-being. Each item can be scored from 0 (never) to 4 (always).
次要结局
未报告次要终点
