promoting wellness in older adults through arts-based ... · monica bretzlaff kate dupuis liisa...
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Promoting Wellness in Older Adults through
Arts-based Innovation
TRO Education Day 27MAR2019
Kelly Murphy, Ph.D., C.Psych.
Psychologist, Baycrest Health Sciences
Assistant Professor, University of Toronto
Adjunct Faculty, York University & Queen’s University
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I am eligible to receive royalties
from the commercialization of
ArtontheBrain™
www.learnplaymingle.com
DISCLOSURE
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Acknowledgements
Co-Investigators, Collaborators, Research Assistants Aviva Altschuler Walter Wittich Olivier Beauchet Feng Xie Mélanie Beaulieu Monica Bretzlaff Kate Dupuis Liisa Galea Michael Gordon Lynn Hasher David Hogan Elizabeth Howard Navena Lingum Tammy Retalic Jessica Rogan Gillian Rowe Swathi Swaminathan Ala Szczepura Lia Tsotsos
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Recreation Need
Chronic health problems negatively affect access to meaningful recreation
Participation in recreation is associated with numerous health benefits in older adults – including those experiencing dementia
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Arts & Health in Dementia
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http://www.pewinternet.org/2014/04/03/older-adults-and-technology-use/
• Aged 65+, 59% use internet
• Once online, 71% use daily, 82% weekly
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Digital Solution
• Learn (history of the artwork & artist)
• Play (word search / puzzle / storytelling)
• Mingle (post ratings, comments, stories)
Delivers fun recreation to older adults through artful play and socialization to promote brain health and wellness.
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Screen shots
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In Groups In day programs Intergenerational
With a
friend
Enjoy
alone With a caregiver
Ways to Play
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PLAY / MINGLE
Creativity
“I feel a sense of wonder. Was the author painting his memory of himself in the past and himself now? Does he wonder how little his life has changed? -- but then see it hasn’t changed that much and yet memories of himself are fading. Or are they fading? Since he captures all of the elements of the clear picture. Makes me think of how I feel about myself at this time of life.” – Research participant, Storytelling Section
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Transfer
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Research Outcomes
Domain Does the intervention improve
Quality of Life • Psychological well-being • Health-related QoL
Active Living • Social network size • Lifespace • Participation in recreation
Health Resource Utilization • Health, as evidenced by reduced visits
Cognition • Attention • Reasoning • Memory
ClinicalTrials.gov Identifier: NCT03551483
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Settings with TRs
Site
Population & Application
Complex Continuing Care – Group Play Palliative Care – Partner Play
Day Program – Group Play
Residents in Long term care – Group Play & Partner Play
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TR Feedback Interviews
Emerging Themes: • Increased social interaction • Accessible activity to facilitate • New relationships among participants • Learned new information about participants
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Research Outcomes
Domain Does the intervention improve
Quality of Life • Psychological well-being • Health-related QoL
Active Living • Social network size • Lifespace • Participation in recreation
Health Resource Utilization • Health, as evidenced by reduced visits
Cognition • Attention • Reasoning • Memory
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Improved Wellness in 86%+
Wellbeing Quality of Life Attention
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Site Satisfaction Survey
Activity Option Items Personal Relationship Items
I have enjoyable things to do here on weekends
Another resident here is my close friend
I have enjoyable things to do here evenings People ask for my help or advice
I participated in meaningful activities in the past week
I am invited to do things that are helpful to others
If I want, I can participate in religious activities that have meaning to me
I have opportunity for affection or romance
I have opportunities to spend time with other like-minded residents
It is easy to make friends here
I have the opportunity to explore new skills and interests
I have people who want to do things together with me
I am able to participate in activity that I enjoy
If someone needs nursing home care, I would recommend this place / site
I can participate in activities that meek me feel good
I am able to express myself through arts, music, or dance
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Site Satisfaction Survey
Activity Option Items Personal Relationship Items
I have enjoyable things to do here on weekends
Another resident here is my close friend
I have enjoyable things to do here evenings People ask for my help or advice
I participated in meaningful activities in the past week
I am invited to do things that are helpful to others
If I want, I can participate in religious activities that have meaning to me
I have opportunity for affection or romance
I have opportunities to spend time with other like-minded residents
It is easy to make friends here
I have the opportunity to explore new skills and interests
I have people who want to do things together with me
I am able to participate in activity that I enjoy
If someone needs nursing home care, I would recommend this place / site
I can participate in activities that meek me feel good
I am able to express myself through arts, music, or dance
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Residents’ Feedback
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Conclusions
Leveraging technology to deliver arts recreation for older adults with cognitive decline is: • Feasible / acceptable • Increases access • Promotes wellness • Demonstrates potential for health economy
benefit
Thank you – for more information contact [email protected]