Known in the nursing home: development and evaluation of a digital person-centered artistic photo-activity intervention to promote social interaction between residents with dementia, and their formal and informal carers

BMC Geriatrics

Josephine Rose Orejana Tan¹  Rose-Marie Dröes¹  Teake P. Ettema¹  Max L. Stek²  Petra Boersma³  Robbert Gobbens⁴  Laurence Aëgerter⁵ 

[1] Department of Psychiatry, Amsterdam University Medical Centers, location VUmc /Amsterdam Public Health Research institute, Amsterdam, The Netherlands;Department of Psychiatry, Amsterdam University Medical Centers, location VUmc /Amsterdam Public Health Research institute, Amsterdam, The Netherlands;Department of Old Age Psychiatry, Regional Mental Health organization GGZ inGeest, Amsterdam, Netherlands;Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, The Netherlands;Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, The Netherlands;Zonnehuisgroep Amstelland, Amstelveen, The Netherlands;Department of Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium;Visual artist;

关键词: Dementia;    nursing homes;    tablet computer;    artistic intervention;    photos;    psychosocial intervention;   

DOI  :  10.1186/s12877-021-02632-w

来源: Springer

【 摘 要 】

BackgroundTo address the lack of social interaction and meaningful activities for persons with dementia (PWD) in nursing homes an artistic Photo-Activity was designed. The present study aims to develop a digital version of the Photo-Activity and to investigate its implementation and impact on nursing home residents with advanced dementia, and their (in)formal carers.MethodsFirst, within a user-participatory design, a digital-app version of the Photo-Activity will be developed and pilot-tested, in co-creation with (in)formal carers and PWD.Next, the feasibility and effectiveness of the Photo-Activity versus a control activity will be explored in a randomized controlled trial with nursing home residents (N=90), and their (in)formal carers. Residents will be offered the Photo-Activity or the control activity by (in)formal carers during one month. Measurements will be conducted by independent assessors at baseline (T0), after one month (T1) and at follow up, two weeks after T1 (T2). Qualitative and quantitative methods will be used to investigate the effects of the intervention on mood, social interaction and quality of life of the PWD, sense of competence of informal carers, empathy and personal attitude of the formal carers, and quality of the relationship between the PWD, and their (in)formal carers. In addition, a process evaluation will be carried out by means of semi-structured interviews with the participating residents and (in)formal carers.Finally, an implementation package based on the process evaluation will be developed, allowing the scaling up of the intervention to other care institutions.DiscussionResults of the trial will be available for dissemination by Spring 2023. The digital Photo-Activity is expected to promote meaningful connections between the resident with dementia, and their (in)formal carers through the facilitation of person-centered conversations.Trial registrationNetherlands Trial Register: NL9219; registered (21 January 2021); NTR (trialregister.nl)

【 授权许可】

CC BY