Life Is A Stage: Dementia Care and the Dramatic Arts

描述（由申请人提供）：市场潜力存在于戏剧作品的开发中，这些戏剧作品可以在为痴呆症患者提供护理的设施中表演，并且可以让这些居民互动参与。这种方法代表了"我还在这里"痴呆症护理方法的逻辑延伸，这是炉石阿尔茨海默病护理的标志，以及最近出版的同名书籍的标题，由约翰蔡塞尔博士，炉石阿兹海默症护理和私人侦探协会的主席当前的应用程序。接触艺术、创造性表达和参与刺激性活动是以人为本的痴呆症护理方法的要素。因此，这个第一阶段项目的目的是创造两个可以在为痴呆症患者服务的住宅中表演的戏剧。其中一个将基于"古典"戏剧，例如，一个来自莎士比亚，另一个将有一个“现代”的主题。我们期待与爱默生学院戏剧艺术系的学生演员合作，他们将表演这些戏剧。这些学生将接受炉石工作人员在与痴呆症患者合作时有效沟通方法的培训。我们将确定不同的主题是否会产生不同的效果。参与者将是居住在大波士顿地区辅助生活住宅的40名老年人。具体而言，将有20名来自炉石阿尔茨海默病护理管理的新视野辅助生活住宅的居民和20名来自万宝路辅助生活住宅的新视野居民进行性别和认知状态匹配。在戏剧表演之前，将观察老年参与者参加标准的大型团体活动，使用旨在评估活动期间参与和影响的量表，然后在每场戏剧表演期间观察。这些观察结果将有助于评估该产品与标准活动方案相比产生的效果。所有关键利益相关者，包括痴呆症患者，参与设施的工作人员和居民的家庭成员，将在计划之前和两部戏剧表演之后进行评估，以确定参与计划后对痴呆症患者的能力和能力的看法是否发生变化，并将评估他们对产品的满意度。因此，该计划的目标是：1）为痴呆症患者创建两个互动游戏，在住宅环境中进行; 2）评估游戏类型-古典主题或现代主题-是否对痴呆症患者及其护理人员产生不同影响; 3）确定参与是否受到标准编程与参与痴呆症患者的游戏的不同影响; 4）确定表演后对痴呆症的看法和痴呆症患者的能力以及生活质量指标是否会随着时间的推移而发生变化; 5）评估戏剧在不同居住环境和居民样本中产生的影响是否存在差异。 公共卫生相关性：到2050年，美国被诊断患有与阿尔茨海默病相关的痴呆症的人数预计将超过1500万，而全球共有8000万人。虽然努力加速尽早准确诊断痴呆症，并开发药物治疗，但为早期痴呆症患者及其家人提供的服务却落后了。今天迫切需要制定方案，包括参与，刺激活动和有意义的社会角色，这些人。拟议中的"生命是一个阶段"方案将有助于满足这一需求。它将为痴呆症患者制作互动戏剧，在长期护理设施内上演。将评估该计划产生的效果和满意度，并为第二阶段项目中进一步开发和完善这项服务提供基础。

DESCRIPTION (provided by applicant): Market potential exists for development of works of drama that can be performed in facilities providing care for persons with dementia, and which can involve such residents interactively. This approach represents a logical extension of the "I'm Still Here" approach to dementia care that is the hallmark of Hearthstone Alzheimer Care, and the title of a recently published book of the same name by John Zeisel, Ph.D., President of Hearthstone Alzheimer Care and P.I. of the current application. Access to the arts, creative expression, and engagement with stimulating activity are elements of a person-centered approach to dementia care. Therefore, the purpose of this Phase 1 project is to create two plays that can be performed in residences serving persons with dementia. One of these will be based on a "classical" play, e.g., one from Shakespeare, and the other will have a "modern" theme. We anticipate working with student actors from the Emerson College Dramatic Arts Department, who will perform these plays. These students will be trained by Hearthstone staff in effective communication methods when working with persons with dementia. We will determine if different themes produce differential effects. Participants will be 40 older adults residing in assisted living residences in the Greater Boston area. Specifically, there will be 20 residents from the New Horizons Assisted Living residence managed by Hearthstone Alzheimer Care and 20 residents from New Horizons at Marlboro assisted living residence matched for gender and cognitive status. Older adult participants will be observed taking part in standard large group activities before performance of the plays using a scale designed to assess engagement and affect seen during activities, and then observed during performance of each play. These observations will serve to assess effects produced by the product compared to standard activities programming. All key stakeholders, including residents with dementia, staff members of participating facilities, and family member of residents, will be assessed before the program and after performance of the two plays to determine if perceptions about abilities and capabilities of persons with dementia change after taking part in the program, and will be assessed regarding their satisfaction with the product. Therefore, the objectives of the program are: 1) To create two interactive plays for persons with dementia to be performed in residential settings; 2) To assess whether the type of play - classical theme or modern theme - differentially affects persons with dementia and their caregivers; 3) To determine if engagement is differentially affected by standard programming versus taking part in a play in residents with dementia; 4) To determine if perceptions of dementia and capabilities of persons with dementia, along with quality of life measures, change across time after performances; 5) To assess whether there are differences in the effects produced by the plays across different residential settings and resident samples. PUBLIC HEALTH RELEVANCE: The number of people in the US diagnosed with dementia related to Alzheimer's disease is expected to exceed 15 million by 2050 out of a total of 80 million worldwide. While efforts have accelerated to accurately diagnose dementia as early as possible, and to develop pharmacologic treatments, services for persons with early stage dementia and their families have lagged behind. There is an urgent need today to develop programs that include engaging, stimulating activities and meaningful social roles for these persons. The proposed Life Is A Stage program will help meet this need. It will create interactive dramas for persons with dementia that will be staged within long-term care facilities. Effects produced by the program and satisfaction with it will be assessed, and provide a basis for further development and refinement of this service in a Phase II project.