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2.
Med Humanit ; 45(1): 52-59, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30012839

RESUMO

Self-management strategies have been identified as having a key role in supporting mental health and preventing mental illness. Evidence suggests that spending time in nature, experiencing or viewing artwork and accessing sensory rooms all support self-management and positive mental health among varied clinical populations. This evidence informed the design of the sensory-art space (SAS), an artistically designed multisensory environment, which drew on themes and images of nature.The aim of this study was to explore the experiences and perceived benefits of the SAS among members of a university community.A maximum variation approach to sampling was used, and 18 participants were included in this qualitative study. Data were gathered via semi-structured interviews, which were audio-recorded and transcribed verbatim for thematic analysis.The findings presented six themes. The two core themes were: it's like another world, and easy to focus and describe how the SAS produced the beneficial effects described in the four remaining themes of: emotionally nutritious, meditative effects, relaxation and therapeuticParticipants identified beneficial effects of the SAS that were consistent with the evidence for other self-management strategies. The identified benefits also aligned with existing theories suggesting that the SAS functioned as a restorative environment. This study is the first to explore the experience of art in a multisensory and multidimensional capacity, which further contributes to the growing field of receptive engagement with the arts for health outcomes.


Assuntos
Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Terapias Sensoriais através das Artes/métodos , Adulto , Feminino , Humanos , Masculino , Transtornos Mentais/prevenção & controle , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Saúde Mental , Percepção , Pesquisa Qualitativa
3.
Br J Psychiatry ; 212(2): 119-121, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29436333

RESUMO

This study assessed whether a novel psychosocial intervention could reduce symptoms of postnatal depression (PND) in the first 40 weeks post-birth. Analyses were carried out of 134 mothers with symptoms of PND randomised into 10 weeks of group singing workshops or group play workshops for them and their babies, or usual care (trial registration: NCT02526407). Overall, among all mothers with symptoms of PND, there was a non-significant faster improvement in symptoms in the singing group (F 4,262 = 1.66, P = 0.16, η 2 = 0.012). When isolating mothers with moderate-severe symptoms of PND, this result became significant, with a faster improvement in symptoms in the singing group (F 3.9,139.8 = 2.74, P = 0.033, η 2 = 0.028). Declaration of interest None.


Assuntos
Depressão Pós-Parto/terapia , Avaliação de Resultados em Cuidados de Saúde , Psicoterapia de Grupo/métodos , Terapias Sensoriais através das Artes/métodos , Canto , Adulto , Feminino , Humanos
11.
Disabil Rehabil ; 40(2): 199-207, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-27846741

RESUMO

PURPOSE: This article describes how service providers use a set of practical strategies to create an inclusive leisure space in Spiral Garden, an arts-mediated outdoor summer day program for children with and without disabilities. METHODS: This study was guided by an interpretive qualitative approach. Fourteen Spiral Garden service providers participated in semi-structured interviews. Nine had extensive experience with the program and had been present during key phases of program development spanning over a 26-year period and five were service providers during the summer of 2013. Transcript data were analyzed using inductive thematic analysis. RESULTS: The analysis produced eight strategies organized under three larger categories that service providers perceived to be essential in creating an inclusive leisure space: (1) engaging children in collective experiences; (2) encouraging peer interactions and friendships; and (3) facilitating collaborative child-directed experiences. CONCLUSIONS: Service providers working across different inclusive settings can use findings from this study to contribute to program design and implementation. Presented strategies enable children to experience opportunities for spontaneous free play, individualized structured support, and meaningful social participation. Overall, service providers are encouraged to enhance supportive child and service provider relationships and reciprocal child and environment relationships in group-based programs. Implications for Rehabilitation Exploring and facilitating reciprocal relationships between children and their environment is essential to creating inclusive leisure spaces. Transforming program intentions of meaningful social participation into practice requires learning about and affecting change in children's individual social contexts. Service providers can engage themselves as full participants in inclusive leisure spaces through playful negotiations, internal reflections, and artistic expressions.


Assuntos
Crianças com Deficiência , Jardins , Relações Interpessoais , Atividades de Lazer , Terapias Sensoriais através das Artes , Canadá , Criança , Serviços de Saúde Comunitária/métodos , Assistência à Saúde , Crianças com Deficiência/psicologia , Crianças com Deficiência/reabilitação , Meio Ambiente , Feminino , Amigos , Humanos , Masculino , Grupo Associado , Terapias Sensoriais através das Artes/métodos , Terapias Sensoriais através das Artes/psicologia , Meio Social
12.
Perspect Public Health ; 138(1): 47-54, 2018 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28825360

RESUMO

AIMS: To identify the potential relationship between participation in theatre and mental health recovery. To give voice to the stories told by participants of Teater Vildenvei, a theatre company that has been part of the rehabilitation programme for mental health service users in Oslo since 1995. METHODS: Twelve narrative interviews were conducted among participants of Teater Vildenvei, and the data were subject to a narrative analysis process following the philosophy of Paul Ricoeur and the specific methods of thematic, event and relational analysis as identified by Riessman. RESULTS: The narratives are considered in the theoretical light of the mental health recovery framework as identified by Leamy et al. Each participant had experienced a transformation in identity; the sense of belonging within the group was perceived as highly important to their mental health; engagement with the theatre company gives people something meaningful to do, a sense of hope and individuals feel empowered. CONCLUSIONS: This narrative inquiry gave opportunity for participants to elaborate on their stories of their engagement with Teater Vildenvei. It is through the richness of the data that the depth of the significance of meaning that people ascribe to their stories demonstrates the potential power of participatory theatre for mental health recovery. Because of its effects, people make life-changing and life-saving claims.


Assuntos
Drama , Transtornos Mentais/reabilitação , Recuperação da Saúde Mental , Terapias Sensoriais através das Artes , Humanos , Noruega
15.
Int J Qual Stud Health Well-being ; 12(sup2): 1379339, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28956505

RESUMO

BACKGROUND: There is a growing understanding that mental health problems and prolonged contact with mental healthcare systems can affect people's identities. Working with identity is an important element in mental health recovery. PURPOSE: In this article, we explore the significance of participation in a music and theatre workshop in terms of people`s experiences of identity. DESIGN AND METHODS: This is a qualitative study based on a hermeneutical phenomenological epistemology. Data were collected from in-depth interviews with 11 participants at a music and theater workshop, analysed through a narrative analysis and presented in an ideographical "long" narrative form. The music and theater workshop is not overtly therapeutic although the activity takes place in a Norwegian mental health hospital for adults living with long-term mental health problems. RESULTS: We identified three crosscutting themes: (1) becoming a whole person, (2) being allowed to hold multiple identities and (3) exploring diverse perspectives. CONCLUSION: Findings show that participation in the music and theatre workshop transformed the participants' experiences of identity on two levels: individually and collectively. The participants developed a broader picture of themselves through their creative work with others. When they developed new identities, the narratives of themselves expanded.


Assuntos
Drama , Transtornos Mentais/terapia , Saúde Mental , Música , Autoimagem , Terapias Sensoriais através das Artes , Adulto , Doença Crônica , Feminino , Hospitais Psiquiátricos , Humanos , Masculino , Pessoa de Meia-Idade , Narração , Noruega , Pesquisa Qualitativa , Adulto Jovem
16.
Am J Occup Ther ; 71(5): 7105180030p1-7105180030p10, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28809653

RESUMO

OBJECTIVE: This systematic review evaluated the effectiveness of environment-based interventions that address behavior, perception, and falls in the home and other settings for people with Alzheimer's disease (AD) and related major neurocognitive disorders (NCDs). METHOD: Database searches were limited to outcomes studies published in English in peer-reviewed journals between January 2006 and April 2014. RESULTS: A total of 1,854 articles were initially identified, of which 42 met inclusion criteria. CONCLUSION: Strong evidence indicates that person-centered approaches can improve behavior. Moderate evidence supports noise regulation, environmental design, unobtrusive visual barriers, and environmental relocation strategies to reduce problematic behaviors. Evidence is insufficient for the effectiveness of mealtime ambient music, bright light, proprioceptive input, wander gardens, optical strategies, and sensory devices in improving behavior or reducing wandering and falls. Although evidence supports many environment-based interventions used by occupational therapy practitioners to address behavior, perception, and falls in people with AD and related major NCDs, more studies are needed.


Assuntos
Acidentes por Quedas/prevenção & controle , Doença de Alzheimer/reabilitação , Terapia Ocupacional/métodos , Comportamento Problema , Comportamento Errante , Humanos , Transtornos Neurocognitivos/reabilitação , Terapias Sensoriais através das Artes
17.
J Nurs Res ; 25(1): 13-20, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27310606

RESUMO

BACKGROUND: Patients with chronic schizophrenia often show negative emotional responses because of cognitive impairment. Multisensory stimulation therapy has been shown effective in improving cognitive and emotional functions in cognitively impaired patients with dementia. However, very few studies have applied this multisensory intervention to patients with chronic schizophrenia. Furthermore, it is not known whether a dose-response relationship exists between the frequency and efficacy of this intervention. PURPOSE: The objective of this study was to evaluate the relationship between the effects and dose-response of the multisensory intervention on patients with chronic schizophrenia in a mental rehabilitation hospital. METHODS: A crossover study design with a sample size of 60 was conducted. Participants were divided equally between an experimental group and a control group. The experimental group received the intervention in a multisensory stimulation room. Six sessions of the 30-minute sensory intervention were conducted on experimental group participants, who were allowed to select their preferred stimulants. In contrast, the control group received routine care only. After a 2-week washout period, participants in the experimental group were reassigned to the control group, and those in the control group were reassigned to the experimental group. Standardized questionnaires were applied to evaluate psychotic symptoms, emotional responses, and well-being of all participants. The NeXus-4 model wireless biofeedback system was used to measure the psychological-physiological parameters of participants at baseline and after the first, third, and sixth sessions of the multisensory intervention. A generalized estimating equation model was used to analyze the effects of the intervention RESULTS:: Although multisensory stimulation therapy had no significant effect on psychotic symptoms and well-being, this intervention may improve the negative emotional reactions of patients. In particular, the intervention significantly reduced the subjective anxiety level of participants and stabilized their objective respiratory and heart rates. Moreover, a positive correlation was found between the efficacy of the treatment and the frequency of the intervention. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: Evidence from this study validated the multisensory stimulation therapy protocol. Therefore, this protocol may be incorporated into clinical interventions to improve quality of care and to alleviate the negative emotions of patients with chronic schizophrenia.


Assuntos
Adaptação Psicológica , Ansiedade/terapia , Doença Crônica/terapia , Pacientes Internados/psicologia , Esquizofrenia/terapia , Terapias Sensoriais através das Artes , Estresse Psicológico/terapia , Adulto , Idoso , Ansiedade/etiologia , Estudos Cross-Over , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esquizofrenia/complicações , Inquéritos e Questionários
18.
Dementia (London) ; 16(3): 344-359, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26112166

RESUMO

A quasi-experimental study using a pre-posttest design was conducted in four aged care facilities to assess the effects of a person-centred care (PCC) multisensory stimulation (MSS) and motor stimulation (MS) program, implemented by direct care workers, on the behaviors of residents with dementia. Data were collected at baseline and after the intervention through video recordings of morning care routines. Forty-five residents with moderate and severe dementia participated in the study. A total of 266 morning care routines were recorded. The frequency and duration of a list of behaviors were analyzed. The frequency of engagement in task decreased significantly ( p = .002) however, its duration increased ( p = .039). The duration of gaze directed at direct care workers improved significantly ( p = .014) and the frequency of closed eyes decreased ( p = .046). There was a significant decrease in the frequency of the expression of sadness. These results support the implementation of PCC-MSS and MS programs as they may stimulate residents' behaviors.


Assuntos
Demência/psicologia , Demência/terapia , Assistência Centrada no Paciente/métodos , Modalidades de Fisioterapia , Terapias Sensoriais através das Artes , Idoso , Idoso de 80 Anos ou mais , Comportamento , Feminino , Fixação Ocular , Humanos , Masculino , Terapias Sensoriais através das Artes/métodos , Resultado do Tratamento
19.
HERD ; 10(5): 39-51, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28008763

RESUMO

BACKGROUND: Multisensory environments (MSEs) for people with dementia have been available over 20 years but are used in an ad hoc manner using an eclectic range of equipment. Care homes have endeavored to utilize this approach but have struggled to find a design and approach that works for this setting. AIMS: Study aims were to appraise the evolving concept of MSEs from a user perspective, to study the aesthetic and functional qualities, to identify barriers to staff engagement with a sensory environment approach, and to identify design criteria to improve the potential of MSE for people with dementia. METHODS: Data were collected from 16 care homes with experience of MSE using ethnographic methods, incorporating semi-structured interviews, and observations of MSE design. Analysis was undertaken using descriptive statistics and thematic analysis. RESULTS: Observations revealed equipment that predominantly stimulated vision and touch. Thematic analysis of the semi-structured interviews revealed six themes: not knowing what to do in the room, good for people in the later stages of the disease, reduces anxiety, it's a good activity, design and setting up of the space, and including relatives and care staff. CONCLUSION: Few MSEs in care homes are designed to meet needs of people with dementia, and staff receive little training in how to facilitate sessions. As such, MSEs are often underused despite perceived benefits. Results of this study have been used to identify the design principles that have been reviewed by relevant stakeholders.


Assuntos
Demência/terapia , Ambiente de Instituições de Saúde , Casas de Saúde , Demência/reabilitação , Inglaterra , Planejamento Ambiental , Instituição de Longa Permanência para Idosos , Humanos , Atividade Motora , Estimulação Física , Pesquisa Qualitativa , Terapias Sensoriais através das Artes/legislação & jurisprudência , Terapias Sensoriais através das Artes/métodos
20.
J Korean Acad Nurs ; 46(4): 475-89, 2016 Aug.
Artigo em Coreano | MEDLINE | ID: mdl-27615038

RESUMO

PURPOSE: This study was a systematic review and meta-analysis designed to investigate the effects of stimulation-oriented interventions for behavioral problems among people with dementia. METHODS: Based on the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA), a literature search was conducted using seven electronic databases, gray literature, and other sources. Methodological quality was assessed using the Scottish Intercollegiate Guidelines Network (SIGN) for randomized controlled trials (RCTs). Data were analyzed using R with the 'meta' package and the Comprehensive Meta-Analysis (CMA 2.0) program. RESULTS: Sixteen studies were included for meta-analysis to investigate the effect of stimulation-oriented interventions. The quality of individual studies was rated as '++' for eight studies and '+' for the rest. The effect sizes were analyzed according to three subgroups of interventions (light, music, and others); Hedges' g=0.04 (95% CI: -0.38~0.46), -0.23 (95% CI: -0.56~0.10), -0.34 (95% CI: -0.34~0.00), respectively. To explore the possible causes of heterogeneity (I²=62.8%), meta-regression was conducted with covariates of sample size, number of sessions, and length of session (time). No moderating effects were found for sample size or number of sessions, but session time showed a significant effect (Z=1.96, 95% CI: 0.00~0.01). Finally, a funnel plot along with Egger's regression test was performed to check for publication bias, but no significant bias was detected. CONCLUSION: Based on these findings, stimulation-oriented interventions seem to have a small effect for behavioral problems among people with dementia. Further research is needed to identify optimum time of the interventions for behavioral problems among dementia pateints.


Assuntos
Demência/terapia , Comportamento Problema , Estimulação Acústica , Bases de Dados Factuais , Demência/enfermagem , Demência/fisiopatologia , Humanos , Musicoterapia , Terapias Sensoriais através das Artes
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