Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationship
Background: With the growing demand for dementia care, non-pharmacological interventions, such as creative arts therapies, have been proven effective in stabilizing cognitive function. Shadow Puppetry Therapy (SPT), which integrates visual, auditory, and kinesthetic elements, offers a promising care...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Experimental Gerontology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0531556524003139 |
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| author | Shu-Yuan Chao Hsiao-Mei Chen Bei-Yi Su |
| author_facet | Shu-Yuan Chao Hsiao-Mei Chen Bei-Yi Su |
| author_sort | Shu-Yuan Chao |
| collection | DOAJ |
| description | Background: With the growing demand for dementia care, non-pharmacological interventions, such as creative arts therapies, have been proven effective in stabilizing cognitive function. Shadow Puppetry Therapy (SPT), which integrates visual, auditory, and kinesthetic elements, offers a promising care option for individuals with dementia. Objective: This study evaluated the effectiveness of SPT on cognitive function, self-esteem, and interpersonal relationships among older adults with mild dementia. Methods: We adopted a quasi-experimental design and recruited 33 older adults with mild dementia from two dementia care centers. Older adults with mild dementia were randomly assigned to an experimental group (n = 15) and a control group (n = 18). The experimental group participated in a 16-week SPT program, and the control group engaged in regular activities, such as physical exercises, painting, cooking, music, and handicraft projects. Assessments included the short portable mental status questionnaire (SPMSQ), the Rosenberg self-esteem scale (RSES), and the interpersonal relationship scale, with evaluations conducted before and after the intervention. Results: The intervention significantly improved cognitive function, self-esteem, and interpersonal relationships in the experimental group. SPMSQ scores decreased, indicating enhanced cognitive function (p = .001), while self-esteem and interpersonal relationship scores showed significant improvements (p = .001). No significant changes were observed in the control group. Conclusion: SPT is an effective non-pharmacological intervention for enhancing cognitive function, self-esteem, and interpersonal relationships in older adults with mild dementia. The findings support the integration of creative arts therapies into dementia care. |
| format | Article |
| id | doaj-art-d6bd2bcaf76d4488a7d7fbec39e72a93 |
| institution | Kabale University |
| issn | 1873-6815 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Experimental Gerontology |
| spelling | doaj-art-d6bd2bcaf76d4488a7d7fbec39e72a932025-01-07T04:17:03ZengElsevierExperimental Gerontology1873-68152025-01-01199112667Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationshipShu-Yuan Chao0Hsiao-Mei Chen1Bei-Yi Su2Department of Nursing, Hungkuang University, Taichung City 43302, TaiwanDepartment of Nursing, Chung Shan Medical University; Department of Nursing, Chung Shan Medical University Hospital, Taichung City 40201, Taiwan; Corresponding author at: Department of Nursing, Chung Shan Medical University, Chung Shan Medical Hospital, No.110, Sec.1, Jianguo N. Rd., Taichung City 40201, Taiwan.Department of Psychology, Chung-Shan Medical University, Room of Clinical Psychology, Chung Shan Medical University Hospital, Taichung City 40201, TaiwanBackground: With the growing demand for dementia care, non-pharmacological interventions, such as creative arts therapies, have been proven effective in stabilizing cognitive function. Shadow Puppetry Therapy (SPT), which integrates visual, auditory, and kinesthetic elements, offers a promising care option for individuals with dementia. Objective: This study evaluated the effectiveness of SPT on cognitive function, self-esteem, and interpersonal relationships among older adults with mild dementia. Methods: We adopted a quasi-experimental design and recruited 33 older adults with mild dementia from two dementia care centers. Older adults with mild dementia were randomly assigned to an experimental group (n = 15) and a control group (n = 18). The experimental group participated in a 16-week SPT program, and the control group engaged in regular activities, such as physical exercises, painting, cooking, music, and handicraft projects. Assessments included the short portable mental status questionnaire (SPMSQ), the Rosenberg self-esteem scale (RSES), and the interpersonal relationship scale, with evaluations conducted before and after the intervention. Results: The intervention significantly improved cognitive function, self-esteem, and interpersonal relationships in the experimental group. SPMSQ scores decreased, indicating enhanced cognitive function (p = .001), while self-esteem and interpersonal relationship scores showed significant improvements (p = .001). No significant changes were observed in the control group. Conclusion: SPT is an effective non-pharmacological intervention for enhancing cognitive function, self-esteem, and interpersonal relationships in older adults with mild dementia. The findings support the integration of creative arts therapies into dementia care.http://www.sciencedirect.com/science/article/pii/S0531556524003139Shadow puppetryDementiaCognitive functionSelf-esteemInterpersonal relationships |
| spellingShingle | Shu-Yuan Chao Hsiao-Mei Chen Bei-Yi Su Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationship Experimental Gerontology Shadow puppetry Dementia Cognitive function Self-esteem Interpersonal relationships |
| title | Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationship |
| title_full | Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationship |
| title_fullStr | Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationship |
| title_full_unstemmed | Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationship |
| title_short | Shadow puppetry therapy enhances dementia-related cognitive function and interpersonal relationship |
| title_sort | shadow puppetry therapy enhances dementia related cognitive function and interpersonal relationship |
| topic | Shadow puppetry Dementia Cognitive function Self-esteem Interpersonal relationships |
| url | http://www.sciencedirect.com/science/article/pii/S0531556524003139 |
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