integrating lonely elderly patients in workshops in a cartoon museum: an efficacy study

Conditions: Quality of Life; Social Isolation; Loneliness

Summary: social relationships are important to people and it affects their quality of life, morbidity and mortality. this is a randomised controlled trial studying the effect of including older people with impaired social relationships and a perception of loneliness at workshops, at the storm p. museum - a museum about the well known danish cartoonist robert storm petersen. the hypothesis is, that by including older lonely people with a impaired social participation in these workshops, they will increase the participants health related quality of life. the investigators also hypothesis, that the intervention will improve the participants perception of loneliness, social participation and physical function. the intervention consist of a series of workshops at the storm p. museum. at these workshops the participants will create memory material for nursing home residents with dementia. the museum staff will facilitate a process of storytelling, using events, significant stories and artistic works by storm p. and encourage the participants, by means of the "narrative interview" method to share similar stories from their life.

background: social relations are important to people and it affects their quality of life, morbidity and mortality. this is especially true among older people and social relations are also important for the management of chronic diseases. those with strong social relations are less sick, and recover faster if they become sick. there is also a connection between social relations and death, as people with many social relations are more likely to live longer than people with few social relations. in denmark it is assumed that poor social relationships causes between 1000-1500 deaths per year, equivalent to about 2% of all deaths. this is a randomised controlled trial studying the effect of including older people with poor social relationships and a perception of loneliness at workshops, at the storm p. museum - a museum about the well known danish cartoonist robert storm petersen. hypothesis: the hypothesis is, that by including older lonely people with a poor social participation in these workshops, they will increase the participants health related quality of life. the investigators also hypothesis, that the intervention will improve the participants perception of loneliness, social participation and physical function as well as mortality and nursing home placement at long term. the intervention: both the intervention and the comparison group will be invited to an event at the storm p. museum. this event consist of * a guided tour of the collection with a presentation on storm p. 's life and artistic work. * a representative from the municipal daneage association will subsequently tell about the municipality's activities for the elderly. * the museum will serve a refreshment and offer participants a season pass to the museum. in addition the intervention group will be invited to participate in a series of workshops at the storm p. museum with scheduled meetings twice a month. in collaboration with the museum, participants at these workshops will create memory material for nursing home residents with dementia. the workshop will use narrative as a method to give participants a mutual relationship that is perceived as meaningful and rewarding for each participant. storytelling is central in creating a cognitive, meaningful and holistic life. in our dialogues we create a mutual understanding. stories are central to people and is used in making sense in transitions and essential decisions in your life. the museum facilitates the process of storytelling using events, significant stories and artistic works by storm p., and encourage the participants, via the method known as "narrative interview", to share similar stories from their life. this will not only benefit the participants, but also act as crucial empirical data collected via journal keeping for this project. the intervention is planned to last for up to 12 months and outcome measures are collected at baseline, 9 months and at 18 months.

Eligibility criteria:
patients consulting their general practitioner in the municipality of frederiksberg during february/marts 2014. who in a questionnaire have a low score of social participation and answers they often feel lonely. the participants are allocated to the study consecutively. inclusion criteria: age: 65 years or older, consultation at the general practice during the project period, impaired social participation and often/occasionally perceive loneliness, provided written informed consent exclusion criteria: do not talk or understand danish, terminal ill, physically not able to participate, low score on cognitive test (omc test)

Keywords: social participation loneliness general practice cultural institutions