"Shall I Compare Thee to a Dose of Donepezil?": Cultural Arts Interventions in Dementia Care Research

"Shall I Compare Thee to a Dose of Donepezil?": Cultural Arts Interventions in Dementia Care Research
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DOI:
10.1093/geront/gnt055
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发表时间:
2014-06-01
期刊:
影响因子:
5.7
通讯作者:
Basting, Anne
Basting, Anne
中科院分区:
医学1区
文献类型:
--
作者:
de Medeiros, Kate;Basting, Anne

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文化艺术因其在痴呆症患者中产生社会和行为变化的潜力而受到关注。尽管个别文化艺术干预研究报告了积极的成果,但由于方法上的缺陷,大多数研究被排除在系统评价之外。我们回顾了27个药理学、心理社会学和文化艺术干预的系统和综合评价的结果,以确定有希望的结果以及当前方法的局限性。虽然结果表明,针对个人利益的干预措施可能会取得成功,但大多数干预措施都集中在对个人变化的有限测量上。在前进的过程中,文化艺术干预研究决不能局限于临床试验模式的工具。相反,研究人员应该仔细重新思考什么是严格和有效的干预研究,旨在为参与者创造有意义的个人体验,而不是可衡量的变化。
The cultural arts have gained attention for their potential to generate social and behavioral changes in people with dementia. Although individual cultural arts intervention studies have reported positive outcomes, most are excluded from systematic reviews because of methodological weakness. We reviewed findings from 27 systematic and integrative reviews of pharmacologic, psychosocial, and cultural arts interventions to identify promising outcomes as well as limitations in current approaches. Although results point to the potential success of interventions tailored to individual interests, most focused on limited measurements of individual change. In moving forward, cultural arts intervention research must not be limited to the tools of the clinical trial model. Instead, researchers should carefully rethink what constitutes rigorous and effective research for interventions aimed at creating a meaningful personal experience for the participant rather than measurable change.