Archives and Health program for dementia: A pilot study of a non-pharmacological creative arts-based intervention protocol

Introduction: The global rise in dementia prevalence necessitates innovative non-pharmacological interventions to enhance cognitive function and the quality of life of affected individuals. This pilot study evaluates the ''Archives and Health'' program, a creative arts-based init...

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Main Authors: Sara Uboldi, Lorenza Iannacci, Vanda Menon, Alessandro Bortolotti, Giulia Candeloro, Alessandro Crociata, Valeria Pica, Angelo Romagnoli, Maria Tartari, Andrea Fabbo, Alessandra Marasco, Pier Luigi Sacco
Format: Article
Language:English
Published: Elsevier 2025-12-01
Series:Archives of Gerontology and Geriatrics Plus
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950307825000803
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author Sara Uboldi
Lorenza Iannacci
Vanda Menon
Alessandro Bortolotti
Giulia Candeloro
Alessandro Crociata
Valeria Pica
Angelo Romagnoli
Maria Tartari
Andrea Fabbo
Alessandra Marasco
Pier Luigi Sacco
author_facet Sara Uboldi
Lorenza Iannacci
Vanda Menon
Alessandro Bortolotti
Giulia Candeloro
Alessandro Crociata
Valeria Pica
Angelo Romagnoli
Maria Tartari
Andrea Fabbo
Alessandra Marasco
Pier Luigi Sacco
author_sort Sara Uboldi
collection DOAJ
description Introduction: The global rise in dementia prevalence necessitates innovative non-pharmacological interventions to enhance cognitive function and the quality of life of affected individuals. This pilot study evaluates the ''Archives and Health'' program, a creative arts-based initiative that uses archival materials to facilitate reminiscence therapy for individuals with dementia. Methods: This mixed-methods study involved a total of 50 participants (aged 65-94), divided into three different activities, with varying levels of cognitive impairment, recruited from different care settings. The program featured three interventions: ''Memory Box,'' ''My Memory Box,'' and the ''Pre-Texts Protocol,'' incorporating music to enhance personal engagement. Quantitative emotional well-being was assessed using the RADAR toolkit, while qualitative insights were derived from focus groups, interviews, and ethnographic observations Results: The ''My Memory Box'' intervention led to a significant decrease in negative affect (Mean pre = 8.73, Mean post = 7.00, p = 0.007) without altering positive affect. Conversely, the ''Pre-Texts Protocol'' exhibited consistent increases in positive affect across sessions (p-values ranging from 0.0001 to 0.0023). Qualitative analyses indicated that the program effectively activated autobiographical memories, improved social interactions, and fostered emotional resonance through multisensory engagement, particularly via music. Participants expressed enhanced social connectivity and personal relevance during activities.The results should be considered preliminary also in light of the mixed qualitative design evaluation, specifically chosen and studied by the researchers as a methodological reflection on the development of mixed qualitative methodologies. Discussion: The ''Archives and Health'' program demonstrated potential in improving emotional and social well-being among individuals with dementia. Its ability to evoke positive emotional responses and decrease negative states indicates the utility of archival materials and creative engagement in therapeutic contexts. Future studies with larger samples are necessary to confirm these findings and explore their clinical implications more robustly.
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spelling doaj-art-b00c99a4921d424b83885febe8a3422a2025-08-22T04:59:08ZengElsevierArchives of Gerontology and Geriatrics Plus2950-30782025-12-012410019910.1016/j.aggp.2025.100199Archives and Health program for dementia: A pilot study of a non-pharmacological creative arts-based intervention protocolSara Uboldi0Lorenza Iannacci1Vanda Menon2Alessandro Bortolotti3Giulia Candeloro4Alessandro Crociata5Valeria Pica6Angelo Romagnoli7Maria Tartari8Andrea Fabbo9Alessandra Marasco10Pier Luigi Sacco11Department of Neurosciences, Imaging and Clinical Studies, University of Chieti-PescaraState Archive of ModenaCenter for Cognitive Impairments and Dementia, AUSL Modena, Department of CarpiDepartment of Neurosciences, Imaging and Clinical Studies, University of Chieti-PescaraDepartment of Neurosciences, Imaging and Clinical Studies, University of Chieti-PescaraDepartment of Socio-Economic, Management and Statistical Studies, University of Chieti-PescaraDepartment of Neurosciences, Imaging and Clinical Studies, University of Chieti-PescaraSchool of Arts, University of KentInstitute of Heritage Sciences (ISPC), National Research Council, NaplesAusl AstiInstitute of Heritage Sciences (ISPC), National Research Council, NaplesDepartment of Neurosciences, Imaging and Clinical Studies, University of Chieti-Pescara; metaLAB (at) Harvard, Cambridge MA; Corresponding author at: Department of Neurosciences, Imaging and Clinical Sciences, University of Chieti-Pescara, via Luigi Polacchi, 11, 66100 Chieti, ItalyIntroduction: The global rise in dementia prevalence necessitates innovative non-pharmacological interventions to enhance cognitive function and the quality of life of affected individuals. This pilot study evaluates the ''Archives and Health'' program, a creative arts-based initiative that uses archival materials to facilitate reminiscence therapy for individuals with dementia. Methods: This mixed-methods study involved a total of 50 participants (aged 65-94), divided into three different activities, with varying levels of cognitive impairment, recruited from different care settings. The program featured three interventions: ''Memory Box,'' ''My Memory Box,'' and the ''Pre-Texts Protocol,'' incorporating music to enhance personal engagement. Quantitative emotional well-being was assessed using the RADAR toolkit, while qualitative insights were derived from focus groups, interviews, and ethnographic observations Results: The ''My Memory Box'' intervention led to a significant decrease in negative affect (Mean pre = 8.73, Mean post = 7.00, p = 0.007) without altering positive affect. Conversely, the ''Pre-Texts Protocol'' exhibited consistent increases in positive affect across sessions (p-values ranging from 0.0001 to 0.0023). Qualitative analyses indicated that the program effectively activated autobiographical memories, improved social interactions, and fostered emotional resonance through multisensory engagement, particularly via music. Participants expressed enhanced social connectivity and personal relevance during activities.The results should be considered preliminary also in light of the mixed qualitative design evaluation, specifically chosen and studied by the researchers as a methodological reflection on the development of mixed qualitative methodologies. Discussion: The ''Archives and Health'' program demonstrated potential in improving emotional and social well-being among individuals with dementia. Its ability to evoke positive emotional responses and decrease negative states indicates the utility of archival materials and creative engagement in therapeutic contexts. Future studies with larger samples are necessary to confirm these findings and explore their clinical implications more robustly.http://www.sciencedirect.com/science/article/pii/S2950307825000803DementiaAlzheimer's diseaseReminiscence therapyCultural interventionsArchivesSocial prescribing
spellingShingle Sara Uboldi
Lorenza Iannacci
Vanda Menon
Alessandro Bortolotti
Giulia Candeloro
Alessandro Crociata
Valeria Pica
Angelo Romagnoli
Maria Tartari
Andrea Fabbo
Alessandra Marasco
Pier Luigi Sacco
Archives and Health program for dementia: A pilot study of a non-pharmacological creative arts-based intervention protocol
Archives of Gerontology and Geriatrics Plus
Dementia
Alzheimer's disease
Reminiscence therapy
Cultural interventions
Archives
Social prescribing
title Archives and Health program for dementia: A pilot study of a non-pharmacological creative arts-based intervention protocol
title_full Archives and Health program for dementia: A pilot study of a non-pharmacological creative arts-based intervention protocol
title_fullStr Archives and Health program for dementia: A pilot study of a non-pharmacological creative arts-based intervention protocol
title_full_unstemmed Archives and Health program for dementia: A pilot study of a non-pharmacological creative arts-based intervention protocol
title_short Archives and Health program for dementia: A pilot study of a non-pharmacological creative arts-based intervention protocol
title_sort archives and health program for dementia a pilot study of a non pharmacological creative arts based intervention protocol
topic Dementia
Alzheimer's disease
Reminiscence therapy
Cultural interventions
Archives
Social prescribing
url http://www.sciencedirect.com/science/article/pii/S2950307825000803
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