Using psychological and physiological measures in arts-based activities in a community sample of people with a dementia and their caregivers: a feasibility and pilot study

Journal article

Bourne, P., Camic, P., Crutch, S., Hulbert, S., Firth, N. and Harding, E. 2019. Using psychological and physiological measures in arts-based activities in a community sample of people with a dementia and their caregivers: a feasibility and pilot study. Journal of Aging Studies and Therapies. 1 (1).
AuthorsBourne, P., Camic, P., Crutch, S., Hulbert, S., Firth, N. and Harding, E.
Abstract

Introduction: Nearly all community-based dementia care studies employ either qualitative methods or use a combination of self-report questionnaire within mixed-methods research designs. Physiological measures, however, are rarely used in community-based studies with this population yet could provide valuable biological information for specific activities across the course of the dementias.

Method: The study employed a within-subjects design to assess the feasibility of obtaining physiological measures (salivary cortisol and Heart Rate Variability (HRV)) alongside subjective measures of wellbeing and stress using Visual Analogue Scales (VAS) during two community-based activiti of choral singing and art viewing, respectively, for People With Dementia (PWD) in the early to middle stages of impairment and their caregivers.

Results: As anticipated, pre-post subjective wellbeing measures were relatively easy to complete by PWD and caregivers with no substantive difficulties observed or reported; significant increases in composite wellbeing, happiness and optimism were found. Continuous measurement of physiological data of HRV through a sensor-based device (Empatica® E4) was also found to be neither non-intrusive to participants nor disruptive to the interventions. Preliminary indications showed, for example, HRV significantly increased for PWD during choral singing, which may be associated
with an increase in wellbeing. Measuring stress hormones through pre-post saliva samples, however, encountered several difficulties.

Conclusions: The findings provide support for the feasibility of using non-intrusive sensor-based physiological measures alongside subjective measures for this population. Subjective measures may also give more confidence in interpreting directionality of physiological measures. A full pilot study is warranted to further investigate interactions of physiological and psychological variables in choral singing and viewing art activities but it is uncertain whether measuring stress hormones through saliva collection is feasible for this population and raised doubts about their use in a large scale trial. Holding particular promise is the use of sensor-based technology across different stages of dementia as well as across different activities.

KeywordsDementias; wellbeing; stress; biomarkers; physiological measures; choral singing; art viewing
Year2019
JournalJournal of Aging Studies and Therapies
Journal citation1 (1)
PublisherSci Forchen
Related URLhttps://sciforschenonline.org
Publication dates
Print05 Apr 2019
Publication process dates
Deposited11 Apr 2019
Accepted01 Apr 2019
Output statusPublished
Additional information

Funded in part by Wellcome Trust and the National Health Service

ContributorsBourne, P., Camic, P., Crutch, S., Hulbert, S., Firth, N. and Harding, E.
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Young offenders' experiences of traumatic life events: a qualitative investigation.
Paton, J., Crouch, W. and Camic, P. 2009. Young offenders' experiences of traumatic life events: a qualitative investigation. Clinical Child Psychology and Psychiatry. 14 (1), pp. 43-62.
Participant experiences of a mindfulness-based cognitive therapy group for cardiac rehabilitation
Griffiths, K., Camic, P. and Hutton, J. 2009. Participant experiences of a mindfulness-based cognitive therapy group for cardiac rehabilitation. Journal of Health Psychology. 14 (5), pp. 675-681.
Improving middle school climate through teacher-centered change
Rhodes, J., Camic, P., Milburn, M. and Lowe, S. 2009. Improving middle school climate through teacher-centered change. Journal of Community Psychology. 37 (6), pp. 711-724.
From trashed to treasured: a grounded theory analysis of the found object
Camic, P. 2010. From trashed to treasured: a grounded theory analysis of the found object. Psychology of Aesthetics, Creativity, and the Arts. 4 (2), pp. 81-92.
The use of singing-in-a-group as a response to adverse life events
Von Lob, G., Camic, P. and Clift, S. 2010. The use of singing-in-a-group as a response to adverse life events. International Journal of Mental Health Promotion. 12 (3), pp. 45-53.
The arts and global health inequities
Clift, S., Camic, P. and Daykin, N. 2010. The arts and global health inequities. Arts & Health. 2 (1), pp. 3-7.
Coming of age for arts and health: what we hope to achieve
Camic, P., Clift, S. and Daykin, N. 2009. Coming of age for arts and health: what we hope to achieve. Arts & Health. 1 (1), pp. 3-5.
Supportive adult relationships and the academic engagement of Latin American immigrant youth
Green, G., Rhodes, J., Hirsch, A., Suarez-Orozco, C. and Camic, P. 2008. Supportive adult relationships and the academic engagement of Latin American immigrant youth. Journal of School Psychology. 46 (4), pp. 393-412.
The state of arts and health in England
Clift, S., Camic, P., Chapman, B., Clayton, G., Daykin, N., Eades, G., Parkinson, C., Secker, J., Stickley, T. and White, M. 2009. The state of arts and health in England. Arts & Health. 1 (1), pp. 6-35.
Playing in the mud: Health psychology, the arts and creative approaches to health care
Camic, P. 2008. Playing in the mud: Health psychology, the arts and creative approaches to health care. Journal of Health Psychology. 13 (2), pp. 287-298.
Middle school climate examined and altered by teacher-directed intervention assessed through qualitative and quantitative methodologies
Cafasso, L., Camic, P. and Rhodes, J. 2002. Middle school climate examined and altered by teacher-directed intervention assessed through qualitative and quantitative methodologies. Research in Middle level Education. 25 (2), pp. 1-17.
Building bridges between universities and middle schools: A teacher-centred collaboration
Camic, P. 2006. Building bridges between universities and middle schools: A teacher-centred collaboration. Educational and Child Psychology. 23 (1), pp. 42-51.
Naming the stars: integrating qualitative methods into psychological research
Camic, P., Rhodes, J. and Yardley, L. 2003. Naming the stars: integrating qualitative methods into psychological research. in: Camic, P., Rhodes, J. and Yardley, L. (ed.) Qualitative Research in Psychology: Expanding Perspectives in Methodology and Design Washington American Psychological Association.