Uses of therapeutic thematic arts programming, TTAP Method©, for enhanced cognitive and psychosocial functioning in the geriatric population
DOI:
https://doi.org/10.5055/ajrt.2009.0005Keywords:
TTAP Method, Alzheimer’s disease, cognitive functioning, psychosocial wellbeing, multimodal intervention, creative arts therapiesAbstract
Currently, there is a need for strength-based recreation therapy approaches which promote the retention of skills and abilities of the growing older adult population. This article introduces an emerging multimodal intervention: Therapeutic Thematic Arts Programming for Older Adults (TTAP Method©), an approach that provides stimulation to three distinct brain systems, encouraging brain wellness and neural regeneration, thereby providing a viable means for enhancing cognitive functioning in older adults. Research on TTAP Method© efficacy is currently being explored at Cornell University and previous pilot studies strongly indicate that the TTAP Method© may be an effective intervention for slowing the progression of mild cognitive impairment to Alzheimer’s disease. TTAP Method© is person centered and culturally competent, and engages a variety of creative activities.References
Hebert L, Beckett L, Scherr P, et al.: Annual incidence of Alzheimer disease in the United States projected to the years 2000 through 2050. Alzheimer Dis Assoc Disord: Int J. 2001; 15: 169-173.
National Institute on Aging: Progress Report on Alzheimer’s Disease. NIH Publication No. 05-5724. Bethesda, MD: National Institute on Aging. Available at http://www.nia.nih.gov/Alzheimers/Publications/ADProgress2005_2006/. Accessed May 19, 2009.
Kumara R, Dearb K, Christensenb H, et al.: Prevalence of mild cognitive impairment in 60- to 64-year-old community-dwelling individuals: The personality and total health through life 60+ study. Dement Geriatr Cogn Disord. 2005; 19: 67-74.
Manly J, Tang M, Schupf N, et al.: (2005). Implementing diagnostic criteria and estimating frequency of mild cognitive impairment in an urban community. Arch Neurol. 2005; 62: 1739-1746.
Pressley J, Trott C, Tang M: Dementia in community-dwelling elderly patients: A comparison of survey data, medicare claims, cognitive screening, reported symptoms, and activity limitations. J Clin Epidemiol. 2003; 56: 896- 905.
Davie J, Azuma T, Goldinger S, et al.: Sensitivity to expectancy violations in health aging and mild cognitive impairment. Neuropsychology. 2004; 18: 269-275.
Yu F, Rose K, Burgener S, et al.: Cognitive training for early-stage Alzheimer’s disease and dementia. J Gerontol Nurs. 2009; 35: 23-29.
Rentz C: Memories in the Making©: Outcome-based evaluation of an art based program for individuals with dementing illnesses. Am J Alzheimer’s Dis Dement. 2002; 17: 175- 181.
Burgener C, Buettner L, Beattie E, et al.: Effectiveness of community-based, nonpharmacological interventions for early-stage dementia: Conclusions and recommendations. J Gerontol. Nurs. 2009; 35: 50-57.
Burgener S, Gilbert R, Mathy R: The effects of a multimodal intervention on cognitive, physical, and affective outcomes of persons with early stage dementia. J Alzheimer’s Dis Relat Disord. 2007; 12: 143-156.
Madori L: Therapeutic Thematic Arts Programming for Older Adults. Baltimore, MD: Health Professions Press, 2007.
Buckwalter K, Burgener S, Buettner L: Literature review: Review of exemplar programs for persons in early stage Alzheimer’s disease. Research in Gerontological Nursing J Gerontol Nurs Res. 2009; 1.
Kinsella G, Mullaly E, Rand E, et al.: Early intervention for mild cognitive impairment: A randomized controlled trial. J Neurol Neurosurg Psychiatr. 2008.
Blacker D, Lee H, Muzikansky A, et al.: Neuropsychological measures in normal individuals that predict subsequent cognitive decline. Arch Neurol. 2007; 64: 862- 871.
Cohen G: The Mature Mind: The Positive Power of the Aging Brain. New York: Basic Books, 2006.
Csikszentmihalyi M: Flow: The Psychology of Optimal Experience. New York: Haper and Row, 1990.
Lemonisck M, Park A: The Nun Study: How one scientist and 678 sisters are helping unlock the secrets of Alzheimer’s. Time Mag. May 14, 2001: 55-64.
Perese E, Simon M, Ryan E, et al.: Prevalence and treatment of neuropsychiatric symptoms in advanced dementia. J Gerontol Nurs. 2008; 34: 8-15.
Diamond K: Older Brains and New Connections. San Luis Obispo, CA: Davidson Publications, 2000.
Bloom S, Krathwohl D: Taxonomy of Educational Objectives: THE classification of Educational Goals, by a Committee of College and University Examiners. New York: Longmans, 1956.
Anderson W, Krathwohl R (eds.): A Taxonomy for Learning, Teaching and Assessing: A revision of Bloom’s Taxonomy of Educational Objectives. New York: Longman, 2001.
Anderson W, Sosniak A (eds.): Bloom’s Taxonomy: A Forty-Year retrospective. Ninety-third Yearbook of the National Society for the Study of Education. Chicago, IL: University of Chicago Press, 1994.
Claire L, Wilson B, Carter G, et al.: Awareness in early-stage dementia: Relationship to outcome of cognition rehabilitation intervention. J Clin Exp Neuropsychol. 2004; 26: 215-226.
Snowdon D: Aging with Grace: What the Nun Study Teaches us About Leading Longer, Healthier, and More Meaningful Lives. New York: Bantam Books, 2001.
McKinney C, Antoni M, Kumar M, et al.: Effects of guided imagery and music (GIM) therapy on mood and cortisol in healthy adults. J Health Psychol. 1997; 16: 390-400.
Baune B, Suslow T, Engelien A, et al.: The association between depressive mood and cognitive performance in an elderly general population—The MEMO Study. Dement Geriatr Cogn Disord. 2006; 22: 142-149.
Snowdon D, Kemper S, Mortimer J, et al.: Linguistic ability in early life and cognitive function and Alzheimer’s disease in late life. Findings from the nun study. J Am Med Assoc. 1996; 275: 528-532.
Bayles A, Tomoeda C, Trosset M: Relation of linguistic communication abilities of Alzheimer’s patients to stage of disease. J Brain Lang. 1992; 42: 454-472.
Buettner L: Peace of mind: A pilot community based program for older adults with memory loss. Am J Recreation Ther. 2006; 5: 42-48.
Fratiglioni L, Paillard-Borg S, Winblad B: An active and socially integrated lifestyle in late life might protect against dementia. Lancet Neurol J. 2004; 3: 343-353.
Zarit H, Femia D, Watson J, et al.: Memory club: A group intervention for people with early-stage dementia and their care partners. Gerontologist. 2004; 44: 262-269.
Ostbye T, Krause K, Norton M, et al.: Ten dimensions of health and their relationships with overall self-reported health and survival in a predominately religiously active elderly population: The Cache County Memory Study. J Am Geriatr Soc. 2006; 54: 199-209.
Gilley W, Wilson L, Bienias L, et al.: Predictors of depression symptoms in persons with Alzheimer’s disease. J Gerontol: Psychol Sci. 2004; 59: 75-83.
Alzheimer’s Association: Warning Signs You Should Know. Chicago, IL: Alzheimer’s Association, 2006.
Salmon D, Lange K: Cognitive screening and neuropsychology assessment in early Alzheimer’s disease. Clin Geriatr Med. 2001; 17: 229-254.
Pruessner J, Lord C, Meaney M, et al.: Effects of selfesteem on age-related changes in cognition and the regulation of the hypothalamic-pituitary-adrenal axis. Ann N Y Acad Sci. 2004; 1032: 186-190.
Snowdon D: Aging with Grace. New York: Bantam Books, 2001.
Buettner L, Kolanowski A: Practice guidelines for recreation therapy in the care of people with dementia (CE). Geriatr Nurs. 2003; 24: 18-25.
Garand L, Buckwalter K, Hall G: The biological basis of behavioral symptoms in dementia. Issues Ment Health Nurs. 2000; 21: 91-107.
Johnson C: Therapeutic recreation treats depression in the elderly. Home Health Care Serv Q. 2000; 18: 79-90.
Gray J, Braver T, Raichle M: Integration of emotion and cognition in the lateral prefrontal cortex. Proc Natl Acad Sci USA. 2002; 99: 4115-4120.
Rodgers W, Ofstedal M, Herzog R: Trends in scores on tests of cognitive ability in the elderly US population, 1993-2000. J Gerontol. 2003; 58: 338-346.
Bossen A, Specht J, McKenzie E: Needs of people with early-stage Alzheimer’s disease: Reviewing the evidence. J. Gerontol. Nurs. 2009; 35: 8-15.
Butler R: The life review: An interpretation of reminiscence in the aged. Psychiatry. 1963; 26: 65-76.
Cappeliez P, O’rourke N, Chaudhury H: Functions of reminiscence and mental health in later life. Aging Ment Health. 2005; 9: 295-301.
McEwen B: Central effects of stress hormones in health and disease: Understanding the protective and damaging effects of stress and stress mediators. Eur J Pharmacol. 2008; 583: 174-185.
McKenzie E: The cultural life review program for African-American seniors. Activities Director’s Quart Alzheimer’s Other Dement Patients. 1996; 7: 1-19.
Woods B, Spector A, Jones C, et al.: Reminiscence therapy for dementia: A review. The Cochrane Collaboration, Issue 3. Available at http://www.thecochranelibrary.com. Accessed January 15, 2009.
Bohlmeijer E, Smit F, Cuijpers P: Effects of reminiscence and life review on late-life depression: A meta-analysis. Int J Geriatr Psychiatry. 2003; 18: 1088-1094.
Haight K, Burnside I: Reminiscence and life review: Explaining the differences. Arch Psychiatr Nurs. 1993; 7: 91-98.
Haight K, Bachman L, Hendrix S, et al.: Life review: Treating the dyadic family unit with dementia. Clin Psychol Psychother. 2003; 10: 165-174.
Bohlmeijer F, Valenkamp M, Westerhof G, et al.: Creative reminiscence as an early intervention for depression: Results of a pilot project. Aging Ment Health. 2005; 9: 302-304.
Tabourne C: The effects of a life review program on disorientation, social interaction, and self-esteem of nursing home residents. Int J Aging Hum Dev. 1995; 41: 251-266.
Center for Medicare and Medicaid Services: MDS 3.0 for nursing homes. Available at http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp. Accessed January 27, 2009.
Cummins P, Giordano J, Lewis J, et al.: Recreational Therapy in the Nursing Home. American Therapeutic Recreation Association, 2008. Available at http://atra-online.com/cms/index.php?option=com_content&task=view&id=56&Itemid=32. Accessed May 19, 2009.
Kolanowski A: An overview of the need-driven dementia-compromised behavior model. J Gerontol Nurs. 1999; 25: 7-9.
Buettner L: Utilizing developmental theory and adapted equipment with regressed geriatric patients in therapeutic recreation. Ther Recreation J 1988; 22: 72-79.
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