Implementing Arts on Prescription at Home for People Living With Dementia: A Hybrid-Effectiveness Feasibility Study

Author:

O'Connor Claire MC1234ORCID,Poulos Roslyn G5,Heldon Michelle2,Preti Costanza2,Beattie Elizabeth6,Poulos Christopher J25

Affiliation:

1. School of Psychology, University of New South Wales, Sydney, NSW, Australia

2. Centre for Positive Ageing, HammondCare, Sydney, NSW, Australia

3. Neuroscience Research Australia, Sydney, NSW, Australia

4. Ageing Futures Institute, University of New South Wales, Sydney, NSW, Australia

5. School of Population Health, University of New South Wales, Sydney, NSW, Australia

6. School of Nursing, Queensland University of Technology, Brisbane, QLD, Australia

Abstract

Arts on prescription at home (AoP@Home) is a participatory art-based approach involving a professional artist engaging a person with dementia (and their family carer) in art-making in their own home. This study evaluated the implementation of AoP@Home within a real-world community aged care context. A hybrid effectiveness-implementation design was used to simultaneously test both the AoP@Home intervention and the implementation process. AoP@Home program outcomes included person with dementia and family carer (dyad) health and wellbeing, and personal goal attainment. Implementation outcomes were evaluated according to feasibility, fidelity, acceptability, uptake, and costs via routinely collected data, artist notes, and interviews with program managers, artists, and participant dyads. Four dyads completed an AoP@Home program during the study period. All participants with dementia reported improvements in their overall health and wellbeing, and wellbeing scores improved for all carers from baseline to post-program. Implementation was feasible using existing government funding mechanisms, and programs were acceptable to all stakeholders. It is possible to deliver participatory arts programs for community-dwelling people with dementia and their family, in their home, using sustainable and available funding models. Programs such as AoP@Home should be made more accessible alongside broader allied health and care services.

Funder

Dementia Centre for Research Collaboration

Implementing Research Evidence into Practice Grant Post-doctoral Fellowship

Publisher

SAGE Publications

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