How the well-being of caregivers of children with disabilities can be promoted, using applied drama?

Applied Drama

Using a drama-based education programme to develop a ‘relational’ approach to care for those working with people living with dementia

A contrast between the medical model and a person-centred approach to providing care is discussed and the epistemological assumptions of the person-centred model are described and critiqued with reference to Levinas. Explores the use of a drama-based educational programme to foster a relational approach amongst carers. (Greenwood, D., 2015)

Project Njabulo: Using Storytelling, Drama, and Play Therapy for Psycho-Social Interventions in Communities Affected by HIV/AIDS in Southern Africa - Pathways to Empathetic Locally Sustainable Care

We decided to implement longer artist residencies instead of performances that focused on strengthening relationships at home. Our new vision was to facilitate empathy interaction between children and guardians that is mutually beneficial while relieving stress and trauma associated with HIV/AIDS. The foundation of our methodology rests on local cultural mediums of storytelling, song, and African drama while integrating innovative techniques such as mindfulness-based stress reduction, play therapy, and symbolic play (Lachman, J., 2013).

“Breaking the fourth wall”: Activating hope through participatory theatre with family caregivers


Over the course of the study, scenarios, which were based on the realities of the participants’ lives as caregivers, were developed for the purpose of exploring strategies to deal with situations that challenged hope. Following two live performances, audience and participants completed open-ended surveys. Participants were also interviewed about their experiences of hope during the process. The results of the surveys and interviews were that using PT with this population was feasible and a meaningful experience. The participants reported that their hope was fostered through participation. (Quinlan, E., Duggleby, W., 2009)

Well-Being

Social

1. Parents of children with a developmental disability
who have strong networks of social support have
been found to show decreased levels of stress (Benson, 2006; Cramm & Neiboer, 2011; Gouin et al., 2016; Minjarez et al., 2013; Noh et al., 1989)

2. Caregiver's burden and psychosocial issues in alternating hemiplegia of childhood
3. A Qualitative Study of Psychosocial Problems among Parents of Children with Cerebral Palsy Attending Two Tertiary Care Hospitals in Western India
4. A predictive model of Health Related Quality of life of parents of chronically ill children: the importance of care-dependency of their child and their support system
5. Parenting a Child with a Disability: The Role of Social Support for African American Parents

Environment

1. It is revealed that family income and different living conditions such as housing and transportation significantly affect the family’s QOL (Hu et al., 2012).

2. Health related quality of life in parents of six to eight year old children with Down syndrome
3. Investigation of raising burden of children with autism, physical disability and mental disability in China
4. Challenges faced by parents of children with learning disabilities in Opuwo, Namibia
5.Quality of life, health satisfaction and family impact on caregivers of children with developmental delays

Physical

1. Showed greater likelihood of chronic conditions and exhibited significantly more smoking and unhealthy sleep than caregivers of children without a disability (Lee, M.H., Park, C., Matthews, A. K., & Hsieh, K., 2017).

2. Health Among Caregivers of Children With Health Problems: Findings From a Canadian Population-Based Study
3. Assessment of Health-Related Quality of Life Among Primary Caregivers of Children with Autism Spectrum Disorders
4. Health and quality of life among the caregivers of children with disabilities: A review of literature
5. Quality of life in caregivers of children and adolescents with intellectual disabilities: Use of WHOQOL-BREF survey
6. The association between stress and physical health in parents caring for children with intellectual disabilities is moderated by children’s challenging behaviours

Psychological

1. Over half of the caregivers surveyed experience
psychological distress, and the percentage of caregivers
of children with disabilities experiencing such is higher
than the overall population (Yamaoka, Y., Tamiya, N.,
Moriyama, Y., Felipe Alfonso, S.G., Sumazaki, R.,
Noguchi, H., 2015)

2. The Impact of Work on the Mental Health of Parents of Children with Disabilities
3. Psychological well-being of caregivers of children with intellectual disabilities: Using parental stress as a mediating factor
4. Professional Caregiver's View on Mental Health in Parents of Children with Developmental Disabilities: A Nationwide Study of Institutions and Consultation Centers in Japan
5. Psychological Functioning in Caregivers of Children and Adolescents living with Spinal Cord Injuries and Disorders in Colombia, South America

Strategies Promoting Well-Being

Programmes

1. ‘A respite thing’: A qualitative study of a creative arts leisure programme for family caregivers of people with dementia

The creative arts group offered camaraderie and participants highlighted that making art together was more pleasurable than problem-focused carer support groups.
The creative art programme met certain deep-seated needs arising giving day-today care to a person with dementia. (Pienaar, L. & Reynolds, F., 2015)

2. The Effects of a Family Support Program
Including Respite Care on Parenting Stress
and Family Quality of Life Perceived by Primary
Caregivers of Children with Disabilities in Korea
3. Mindfulness Based Stress Reduction (MBSR) for Parents and Caregivers of Individuals with Developmental Disabilities: A Community-Based Approach
4. A training and support programme for caregivers of children
with disabilities: an exploratory study
5. Perceived Changes in Self-Image and Coping Strategies of Mothers of Children With Disabilities

Support groups

1. Support Needs of Families Living with Children with Autism Spectrum Disorder

Spouses were rated as the most helpful support. Professional helpers were rated as ‘somewhat helpful’. Helpful support emphasised caring, knowledge and accessibility. Ethnic differences in perceptions of support endorse calls for culturally tailored supports. Informal supports are highly valued however professional supports require development to better meet caregiver needs. (Searing, B. M. J., Graham, F., & Grainger, F., 2015)

2. Internet Parent Support Groups for Primary Caregivers of a Child with Special Health Care Needs.
3. Support groups for dementia caregivers - Predictors for utilisation and expected quality from a family caregiver's point of view: A questionnaire survey.
4. The effectiveness of support groups in increasing social support for kinship caregivers.
5. The effects of support groups on caregivers of patients with Schizophrenia.