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Shall I compare thee…to a robot? An exploratory pilot study using participatory arts and social robotics to improve psychological well-being in later life
- Authors:
- FIELD Noelle, et al
- Journal article citation:
- Aging and Mental Health, 25(3), 2021, pp.575-584.
- Publisher:
- Taylor and Francis
Research suggests that the use of creative, artistic activities in later life may positively impact the psychological well-being of older adults. Social robots have been utilized in research with older adults, however, few studies have integrated participatory arts (e.g. theatre) into social robotic platforms for the purpose of implementing a psychosocial intervention with this population. An interdisciplinary team designed and delivered an intervention integrating theatre and social robotics with the aim of improving the psychological well-being of study participants both with and without cognitive impairment who live in a residential care setting. A purposive sample of older adults age 65 and older (N = 15) participated in this 3-session pilot study that involved a Shakespeare participatory art activity using the robot, NAO. Pre and post tests were conducted before and after each session with measures of depression, loneliness, and a simplified face scale for mood were asked. Results from Repeated Measurement Analysis of Variance (ANOVA) showed that depression, loneliness and face scores had significantly decrease across six time periods and these declines differed between people with dementia and those without dementia. In addition, only significant changes of depression before and after the intervention were found between persons with and without dementia. We discuss the promising aspects of using social robotics as a platform for participatory arts interventions with older adults and offer lessons learned from the use of innovative technology in residential care settings. (Edited publisher abstract)
Institutionalisation and subjective wellbeing for old-age individuals: is life really miserable in care homes?
- Authors:
- BÖCKERMAN Petri, JOHANSSON Edvard, SAARNI Samuli I.
- Journal article citation:
- Ageing and Society, 32(7), October 2012, pp.1176-1192.
- Publisher:
- Cambridge University Press
As the Finish population ages at a greater rate than other European countries, the demand for long-term care will inevitably increase. This study examined whether there were systematic differences in the quality of life, depending on whether an individual is institutionalised or not, holding health status and income level constant. Data were drawn from a nationally representative data set, the Health 2000 in Finland, containing information on 8,028 people. When controlling for health and functional status, demographics and income level, it was found that individuals who were living in old-age homes reported significantly higher levels of subjective well-being than those who were living at home. The authors concluded that there were individuals living at home who are so frail that they should be living in an institution, but because of the queues for that particular mode of living, they were living at home with a decreased quality of life as a consequence.
Is greenery associated with mental health among residents of aged care facilities? A systematic search and narrative review
- Authors:
- CARVER Alison, et al
- Journal article citation:
- Aging and Mental Health, 24(1), 2020, pp.1-7.
- Publisher:
- Taylor and Francis
Objectives: Older adults living in residential aged care facilities (RACFs) may be vulnerable to mental health issues. Evidence suggests greenery is beneficial for adults’ mental health in community settings. This review aims to summarise evidence of associations between greenery in RACFs and residents’ mental health. Method: Six databases were searched with three sets of terms related to: (1) exposure (e.g. garden, green); (2) outcome (e.g. mental health, well-being); and (3) setting (e.g. aged care, nursing home). The inclusion criteria were peer-reviewed journal articles published in English up to 2017, reporting quantitative/qualitative associations between greenery and mental health in RACFs. Results: Of the nine articles identified, seven reported positive associations between greenery (in particular, garden use) at RACFs and some aspect of residents’ mental well-being (e.g. quality of life); however, four out of seven studies used observations and perceptions of staff and relatives. One study examined depression and reported reduction in depression following garden use, while one examined physiological indicators of stress (blood pressure, heart rate) and found no association with garden use. Seven studies examined garden use and four examined the presence of greenery (two examined both exposures). Conclusion: Exposure to greenery and use of greenspace in RACFs show promise for promoting mental health. However, the findings relied mainly on non-validated measures of mental health. More robust evidence based on valid and reliable mental health measures is needed. Future studies also need to examine the effect of visual exposure to greenery and the effect of greenery on stress reduction. (Publisher abstract)
When I am old I shall wear purple: a qualitative study of the effect of group poetry sessions on the well-being of older adults
- Authors:
- SEYMOUR Richard, MURRAY Michael
- Journal article citation:
- Working with Older People, 20(4), 2016, pp.195-198.
- Publisher:
- Emerald
Purpose: There is increasing evidence that participation in various art forms can be beneficial for health and well-being. The purpose of this paper is to examine the impact of participating in a poetry reading group on a group of older residents of an assisted living facility. Design/methodology/approach: Six poetry sessions, each on a different theme, were conducted with a group of volunteer participants. These sessions, those of pre- and post-study focus groups and interviews with the group facilitator and staff contact were audio-recorded. The transcripts of the recordings were then subjected to a thematic analysis. Findings: Overall the participants were enthused by the opportunity to participate in the project and the benefits were confirmed by the support staff. In addition, reading poetry on particular themes promoted different types of discussion. Research limitations/implications: The number of participants in this study was small and the study was conducted over a short period of time. Practical implications: This paper confirms the impact of poetry reading for older people. The challenge is to explore this impact in more detail and over community as well as residential settings. Originality/value: This paper is the first empirical report on the value of poetry reading for older people. (Edited publisher abstract)
Sensor e-textiles: person centered co-design for people with late stage dementia
- Authors:
- TREADAWAY Cathy, KENNING Gail
- Journal article citation:
- Working with Older People, 20(2), 2016, pp.76-85.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to present design research investigating the development of sensory textiles with embedded electronics to support the wellbeing of people with late stage dementia in residential care. Design/methodology/approach: The research presented is qualitative and uses a mixed method approach informed by grounded practical theory and positive design methodologies. It uses an inclusive and participatory co-design process involving people with dementia and their families with an interdisciplinary team of experts. Findings: Both the co-design process and the artefacts developed have been beneficial in supporting wellbeing. The textile artefacts have been found to soothe, distract and comfort people with dementia. They have also been shown to facilitate in the moment conversational bridges between family members and carers with persons with dementia. Research limitations/implications: The findings are based on a small cohort of participants, observational reports and descriptive accounts from family members and carers. Practical implications: The paper proposes ways in which simple hand-crafted textiles can be used beneficially to support the wellbeing of people with late stage dementia. It provides examples of how technology can be used to personalise and extend the sensory properties of the artefacts created. Social implications: It promotes an inclusive co-design methodology involving care professionals, carers and people with dementia with designers and technologists. Originality/value: The paper describes new ways of extending sensory properties of textiles through the integration of technology. (Publisher abstract)
Carers' experiences when the person for whom they have been caring enters a residential aged care facility permanently: a systematic review
- Authors:
- JACOBSON Janelle, et al
- Journal article citation:
- JBI Database of Systematic Reviews and Implementation Reports, 13(7), 2015, Online only
- Publisher:
- Wolters Kulwer
Background: Research has identified the mixed feelings carers experience when the person they have been caring for is admitted into a residential aged care facility permanently and the importance of understanding these experiences as a means to implementing policies and programs that enhance carers' well-being. This systematic review was motivated by the need to use evidence to inform effective and feasible interventions to support carers. Objectives: The objective of this qualitative systematic review was to identify and synthesise the evidence on the experiences of carers of older people when the person they had been providing care for is admitted permanently into a residential aged care facility, and to draw recommendations from the synthesis of the evidence on these experiences to enhance policy and programming aimed at supporting affected caregivers. Types of participants: All carers of people who had experienced the person they had been caring for at home being moved into a residential aged care facility permanently. Phenomena of interest: Experiences of the caregiver of the older person when the person they have been caring for at home is admitted into a residential aged care facility permanently. Search Strategy: Comprehensive searches were conducted on leading databases. The search considered studies reported in English and published from the database inception to 10 November 2013. Types of studies: The review considered qualitative studies, including but not limited to designs such as phenomenology, grounded theory, ethnography and action research. Types of outcomes: The outcomes are in the form of synthesised findings pertaining to carers’ experiences when the person they have been caring for is admitted into a residential aged care facility permanently. (Edited publisher abstract)
Indoor nature interventions for health and wellbeing of older adults in residential settings: a systematic review
- Authors:
- YEO Nicola L., et al
- Journal article citation:
- Gerontologist, 60(3), 2020, p.e184–e199.
- Publisher:
- Oxford University Press
Having contact with nature can be beneficial for health and wellbeing, but many older adults face barriers with getting outdoors. the authors conducted a systematic review of quantitative studies on health and wellbeing impacts of indoor forms of nature (both real and simulated/artificial), for older adults in residential settings. Research Design and Methods: Search terms relating to older adults and indoor nature were run in 13 scientific databases (MEDLINE, CINAHL, AgeLine, Environment Complete, AMED, PsychINFO, EMBASE, HMIC, PsychARTICLES, Global Health, Web of Knowledge, Dissertations and Theses Global, and ASSIA). The authors also pursued grey literature, global clinical trials registries, and a range of supplementary methods. Results: Of 6,131 articles screened against eligibility criteria, 26 studies were accepted into the review, and were quality-appraised using the Effective Public Health Practice Project (EPHPP) tool. The participants were 930 adults aged over 60. Nature interventions and health/wellbeing outcomes were heterogeneous, which necessitated a narrative synthesis. The evidence base was generally weak, with 18 of 26 studies having a high risk of bias. However, several higher-quality studies found indoor gardening and horticulture programs were effective for cognition, psychological wellbeing, social outcomes, and life satisfaction. Discussion and Implications: There is inconsistent evidence that indoor nature exposures are beneficial for older care residents. the authors expect that successful interventions were, at least partly, facilitating social interaction, supporting feelings of autonomy/control, and promoting skill development, that is, factors not necessarily associated with nature per se. Higher-quality studies with improved reporting standards are needed to further elucidate these mechanisms. (Edited publisher abstract)
Engaging with the arts to improve health and wellbeing in social care settings
- Author:
- WELSH NHS CONFEDERATION
- Publisher:
- Welsh NHS Confederation
- Publication year:
- 2020
- Pagination:
- 6
- Place of publication:
- Cardiff
This briefing, prepared for the Cross-Party Group on Arts and Health, provides innovative examples of arts-based activities which are being delivered in social care settings across Wales to improve people’s physical and mental wellbeing. They include Live Music Now which supports professional musicians to deliver evidence-based music workshops in care homes; cARTrefu, a project from Age Cymru to improve access to quality arts experiences for older people in residential care homes project; and Bangor University's Dementia and Imagination. (Edited publisher abstract)
Care home life and identity: a qualitative case study
- Authors:
- PADDOCK Katie, et al
- Journal article citation:
- Gerontologist, 59(4), 2019, pp.655-664.
- Publisher:
- Oxford University Press
Background and Objectives: The transition to a care home can involve multiple changes and losses that can affect an older person’s well-being and identity. It is not clear how older people perceive and manage their identity within a care home over time. This study explores how living in a care home affects the identities of residents and how they address this in their daily lives. Research Design and Methods: A multiple qualitative case study approach incorporated interview and observational data. Eighteen semistructured interviews and 260 hr of observations were conducted over 1 year with care home residents, relatives, and staff across three care homes within Greater Manchester, UK. Data were analyzed using framework analysis, drawing on the social identity perspective as an interpretive lens. Results: Four themes were identified: (a) changing with age, (b) independence and autonomy, (c) bounded identity, and (d) social comparison. The impact of aging that initially altered residents’ identities was exacerbated by the care home environment. Institutional restrictions jeopardized independence and autonomy, provoking residents to redefine this within the allowances of the care home. Strict routines and resource constraints of well-meaning staff resulted in the bounded expression of personalities. Consequently, to forge a positive identity, residents without dementia engaged in social comparison with residents with dementia, emphasizing their superior cognitive and physical abilities. Discussion and Implications: Social comparison as an adaptive strategy has previously been unidentified in care home literature. Residents need more support to express their identities, which may reduce the necessity of social comparison, and improve interrelationships and well-being. (Edited publisher abstract)
Effects of Dementia Care Mapping on well‐being and quality of life of older people with intellectual disability: a quasi‐experimental study
- Authors:
- SCHAAP Feija D., et al
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 32(4), 2019, pp.849-860.
- Publisher:
- Wiley
Background: The ageing of people with intellectual disability, accompanied with consequences like dementia, challenges intellectual disability‐care staff and creates a need for supporting methods, with Dementia Care Mapping (DCM) as a promising possibility. This study examined the effect of DCM on the quality of life of older people with intellectual disability. Methods: This study performed a quasi‐experimental study in 23 group homes for older people with intellectual disability in the Netherlands, comparing DCM (n = 113) with care‐as‐usual (CAU; n = 111). Using three measures, this study assessed the staff‐reported quality of life of older people with intellectual disability. Results: DCM achieved no significantly better or worse quality of life than CAU. Effect sizes varied from 0.01 to −0.22. Adjustments for covariates and restriction of analyses to people with dementia yielded similar results. Conclusion: The finding that DCM does not increase quality of life of older people with intellectual disability contradicts previous findings and deserves further study. (Edited publisher abstract)