Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-23T19:43:11.034Z Has data issue: false hasContentIssue false

Implementation and impact of unforgettable: an interactive art program for people with dementia and their caregivers

Published online by Cambridge University Press:  18 July 2018

Iris Hendriks
Affiliation:
Department of Psychiatry, EMGO Institute for Health and Care Research/Amsterdam Public Health Institute, VU University Medical Center, Amsterdam, the Netherlands
Franka J. M. Meiland
Affiliation:
Department of Psychiatry, EMGO Institute for Health and Care Research/Amsterdam Public Health Institute, VU University Medical Center, Amsterdam, the Netherlands
Debby L. Gerritsen
Affiliation:
Department of Primary and Community Care, Radboud University Medical Centre, Radboud Alzheimer Centre, Nijmegen, the Netherlands
Rose-Marie Dröes*
Affiliation:
Department of Psychiatry, EMGO Institute for Health and Care Research/Amsterdam Public Health Institute, VU University Medical Center, Amsterdam, the Netherlands
*
Correspondence should be addressed to: Rose-Marie Dröes, Department of Psychiatry, VUmc GGZ-inGeest dienst onderzoek en innovatie, Oldenaller 1, Postbus 74077, 1070 BB Amsterdam, the Netherlands. Phone: +31-20-7885454. Email: rm.droes@vumc.nl.

Abstract

Background:

Previous research shows that museum programs can be beneficial for the quality of life of people with dementia. This study evaluated the implementation of “Unforgettable,” an interactive museum program for people with dementia and their caregivers in the Netherlands, and investigated the impact of the program's implementation on the museums as an organization and on the attitudes toward dementia of the museum staff.

Method:

Semi-structured interviews were held with 23 stakeholders to identify facilitators and barriers to the implementation of the Unforgettable program in 12 Dutch museums. Based on the model of Meiland et al. (2004), an overview is made of factors influencing the different levels and phases of the implementation process. The impact of Unforgettable on the attitudes of the museum staff was assessed using the Approaches to Dementia Questionnaire (n = 176).

Results:

The training in the Unforgettable method, regular evaluation with the program guides and hosts, and cooperation with other organizations appeared essential for successful implementation of Unforgettable. A lack of promotional activities was an impeding factor. Compared to before the implementation, the museum employees’ attitudes toward people with dementia became more positive.

Conclusion:

Both successful dissemination of the Unforgettable program and the more positive attitudes toward dementia of employees in museums implementing this program can contribute to the social participation of people with dementia and thereby to their quality of life.

Type
Original Research Article
Copyright
Copyright © International Psychogeriatric Association 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179211.Google Scholar
Barbour, R. S. (1999). The case for combining qualitative and quantitative approaches in health services research. Journal of Health Services Research & Policy, 4, 3943. doi:10.1177/135581969900400110Google Scholar
Camic, P. M., Baker, E. L. and Tischler, V. (2015). Theorizing how art gallery interventions impact people with dementia and their caregivers. The Gerontologist, 56, 10331041. DOI: 10.1093/geront/gnv063Google Scholar
Domitrovich, C. E. et al. (2008). Maximizing the implementation quality of evidence-based preventive interventions in schools: a conceptual framework. Advances in School Mental Health Promotion, 1, 628.Google Scholar
Dröes, R. M. et al. (2017). Social health and dementia: a European consensus on the operationalization of the concept and directions for research and practice. Aging & Mental Health, 21, 417. doi: 10.1080/13607863.2016.1254596Google Scholar
Forman, S. G., Olin, S. S., Hoagwood, K. E., Crowe, M. and Saka, N. (2009). Evidence-based interventions in schools: developers’ views of implementation barriers and facilitators. School Mental Health, 1, 26. doi: 10.1007/s12310-010-9038-1Google Scholar
Fritsch, T., Kwak, J., Grant, S., Lang, J., Montgomery, R. R. and Basting, A. D. (2009). Impact of TimeSlips, a creative expression intervention program, on nursing home residents with dementia and their caregivers. The Gerontologist, 49, 117127. doi: 10.1093/geront/gnp008Google Scholar
Gerritsen, D. L., Kuin, Y. and Nijboer, J. (2014). Dementia in the movies: the clinical picture. Aging & Mental Health, 18, 276280. DOI: 10.1080/13607863.2013.837150Google Scholar
Hattink, B. et al. (2015). Web-based STAR E-learning course increases empathy and understanding in dementia caregivers: results from a randomized controlled trial in the Netherlands and the United Kingdom. Journal of Medical Internet research, 17, e241. DOI: 10.2196/jmir.4025.Google Scholar
Hendriks, I., Meiland, F.J.M., Gerritsen, D.L. and Droës, R.M. (in press).Google Scholar
Hsieh, H. F. and Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15, 12771288. DOI: 10.1177/1049732305276687.Google Scholar
Johnson, J., Culverwell, A., Hulbert, S., Robertson, M. and Camic, P. M. (2017). Museum activities in dementia care: using visual analog scales to measure subjective wellbeing. Dementia, 16, 591610. DOI: 10.1177/1471301215611763.Google Scholar
Kada, S., Nygaard, H. A., Mukesh, B. N. and Geitung, J. T. (2009). Staff attitudes towards institutionalised dementia residents. Journal of Clinical Nursing, 18, 23832392. DOI: 10.1111/j.1365-2702.2009.02791.xGoogle Scholar
Lawrence, V., Fossey, J., Ballard, C., Moniz-Cook, E. and Murray, J. (2012). Improving quality of life for people with dementia in care homes: making psychosocial interventions work. The British Journal of Psychiatry, 201, 344351. DOI: 10.1192/bjp.bp.111.101402.Google Scholar
Lintern, T. C. (2001). Quality in Dementia Care: Evaluating Staff Attitudes and Behaviour (PhD thesis). Bangor, UK: University of Wales.Google Scholar
Lokon, E., Li, Y. and Parajuli, J. (2017). Using art in an intergenerational program to improve students ’ attitudes toward people with dementia. Gerontology & Geriatrics Education, 38, 407424. DOI: 10.1080/02701960.2017.1281804.Google Scholar
Lüdecke, D., von dem Knesebeck, O. and Kofahl, C. (2016). Public knowledge about dementia in Germany—results of a population survey. International Journal of Public Health, 61, 916. DOI: 10.1007/s00038-015-0703-x.Google Scholar
Mangiaracina, F. et al. (2016). Not re-inventing the wheel: the adaptive implementation of the meeting centres support programme in four European countries. Aging & Mental Health, 21, 4048. DOI: 10.1080/13607863.2016.1258540.Google Scholar
McParland, P., Devine, P., Innes, A. and Gayle, V. (2012). Dementia knowledge and attitudes of the general public in Northern Ireland: an analysis of national survey data. International Psychogeriatrics, 24, 16001613. DOI: 10.1017/S1041610212000658.Google Scholar
Meiland, F. J. M., Dröes, R. M., De Lange, J. and Vernooij-Dassen, M. J. F. J. (2004). Development of a theoretical model for tracing facilitators and barriers in adaptive implementation of innovative practices in dementia care. Archives of Gerontology and Geriatrics, 38, 279290. DOI:10.1016/j.archger.2004.04.038.Google Scholar
Meiland, F. J., Dröes, R. M., de Lange, J. and Vernooij-Dassen, M. J. (2005). Facilitators and barriers in the implementation of the meeting centres model for people with dementia and their carers. Health Policy, 71, 243253. DOI: 10.1016/j.healthpol.2004.08. 011.Google Scholar
Mittelman, M. and Epstein, C. (2009). Research results. In Rosenberg, F., Parsa, A., Humble, L. and McGee, C. (eds.), The MoMA Alzheimer's Project: Making Art Accessible to People with Dementia. New York, NY: The Museum of Modern Art. Available at https://www.moma.org/momaorg/shared/pdfs/docs/meetme/Resources_NYU_Evaluation.pdf; last accessed 18 August 2017).Google Scholar
Nagle, B. J., Usita, P. M. and Edland, S. D. (2013). United States medical students’ knowledge of Alzheimer disease. Journal of Educational Evaluation for Health Professions, 10, 15. DOI: 10.3352/jeehp.2013.10.4Google Scholar
Olazarán, J. et al. (2010). Nonpharmacological therapies in Alzheimer's disease: a systematic review of efficacy. Dementia and Geriatric Cognitive Disorders, 30, 161178. DOI: 10.1159/000316119Google Scholar
Prince, M., Comas-Herrera, A., Knapp, M., Guerchet, M. and Karagiannidou, M. (2016). World Alzheimer Report 2016: Improving Healthcare for People Living with Dementia: Coverage, Quality and Costs Now and in the Future. London, UK: Alzheimer's Disease International (ADI).Google Scholar
Roberts, H. J. and Noble, J. M. (2015). Education research: changing medical student perceptions of dementia an arts-centered experience. Neurology, 85, 739741. DOI: 10.1212/WNL.0000000000001867.Google Scholar
Scheltens, P., van der Flier, W. M., Blom, M., de Man, F., de Guijt, D. and Joling, K. (2012). Rapport Deltaplan Dementie 2012–2020 (2012). Available at: https://www.rijksoverheid.nl/documenten/rapporten/2013/04/04/rapport-deltaplan-dementie.Google Scholar
Van der Steen, J. T., van Soest-Poortvliet, M. C., van der Wouden, J. C., Bruinsma, M. S., Scholten, R. J. and Vink, A. C. (2017). Music-based therapeutic interventions for people with dementia. The Cochrane Library, 5, 178. DOI: 10.1002/14651858.CD003477.pub3.Google Scholar
Van Haeften-van Dijk, A. M., Meiland, F. J. M., Van Mierlo, L. D. and Dröes, R. M. (2015). Transforming nursing home-based day care for people with dementia into socially integrated community day care: process analysis of the transition of six day care centres. International Journal of Nursing Studies, 52, 13101322. DOI: 10.1016/j.ijnurstu.2015.04.009.Google Scholar
Vernooij-Dassen, M. and Moniz-Cook, E. (2014). Raising the standard of applied dementia care research: addressing the implementation error. Aging & Mental Health, 12, 16. DOI: 10.1080/13607863.2014.899977.Google Scholar
Windle, G. et al. (2017a). The impact of a visual arts program on quality of life, communication, and well-being of people living with dementia: a mixed-methods longitudinal investigation. International Psychogeriatrics, 30, 409423. DOI: 10.1017/S1041610217002162.Google Scholar
Windle, G., Gregory, S., Howson-Griffiths, T., Newman, A., O'Brien, D. and Goulding, A. (2017b). Exploring the theoretical foundations of visual art programmes for people living with dementia. Dementia, 126. DOI: 10.1177/1471301217726613.Google Scholar
World Health Organization (2012). Dementia: A Public Health Priority. Geneva: World Health Organization.Google Scholar